II. Definition

  1. Fibrous proliferation of plantar fascia
  2. Similar to Dupuytren's Contracture of palm

III. Symptoms

  1. Slow enlargement of a painless Subcutaneous Nodule
  2. Eventually becomes tender

IV. Signs

  1. Involves medial half of middle of plantar fascia
  2. Contractures rarely occur

V. Differential Diagnosis

VI. Management

  1. Molded Orthotic
    1. Allows transfer of weight away from Nodule
  2. Surgery
    1. Indicated when weight bearing becomes painful
    2. Often recurs after excision

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