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Afraid of a non-ledderhose foot surgery...
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04/12/08 20:30
Debra 
04/12/08 20:30
Debra 
Afraid of a non-ledderhose foot surgery...

I am new to this forum, and am seeking your help....

Please excuse misspellings or imperfect terminology :)

I have a bunion & think surgery will give me some relief, BUT I am afraid that the trauma that a surgery will cause to my foot might accelerate the growth of the nodules on my feet. I don't want my ledderhose to get worse! My worry stems from the fact that I had carpel tunnel surgery on my right hand/wrist last December, & by February had shown the first signs of Dupuytrens in my right hand. (Besides one knuckle pad I've had for about 3 years on, my left hand has nothing.) My hand surgeon told me he thought there was no corelation (between the carpel tunnel surgery & my first signs of Dups). Without disrespect to a great surgeon, I disagree with him.

Has anyone had any kind of non-ledderhose foot surgery that may have started/contributed to/accelerated your ledderhose syndrome?

Thanks for your help,
Debra

04/13/08 09:47
newman 
04/13/08 09:47
newman 

Re: Afraid of a non-ledderhose foot surgery...

Hi Debra Australia Calling,
Welcome to the forum. I like yourself have high arches and this is not a contributor to ML. However in 2000 I developed Ledderhose and pressure points under the balls of my feet. I visited a Podiatrist who also was surgeon. I had orthotics made which distributed the weight over the whole foot as well as reducing side rolling of the feet. You mention you have bunion so the first thing is- the end of high heeled shoes. I would seek advise from a podiatrist to see if that helps before surgery .I recently had radiotherapy on both feet and hands in 07 for MD- ML and am happy with the results so far. About 40% of patients with ML also have knuckle pads. Unfortunately knuckle pads are an indicator the disease may be aggressive . The fact that your are only 34 yr and had surgery is not good. I was diagnosed at 35yr but no surgery until 50 yr then multiple surgeries. You say your father has had muliple surgery as well. You may consider radiotherapy. Have you looked at the Dupuytren Society web page http://www.dupuytren-online.info There is lots of reading. I have read that carpel tunnel /trauma can trigger dups. have a look on Google type in youtube-dupuytren 1-22-07 make your own decision. Unfortunately if your bunion affects you quality of life you have no other option but surgery.Finally RT. works best on the nodules before there is any contracture of the hand. Hope this helps . Regards

Edited at 04/13/08 09:57

07/22/08 08:56
miruca

not registered

07/22/08 08:56
miruca

not registered

Re: Afraid of a non-ledderhose foot surgery...

I too am fearful of non ledderhose surgery for the feet. Does ANY surgery result in trauma that furthers the progression of ledderhose or DP contracture?

How did your surgery work out? Was there an effect?

07/25/08 14:38
debramccue

not registered

07/25/08 14:38
debramccue

not registered

Re: Afraid of a non-ledderhose foot surgery...

I didn't have surgery yet. My doctor fitted me for orthotics as a starting point because the way I walk is causing or contributing to my bunions (I thought I really only had one bunion but the doc said I have 2!). This doctor also didn't give me a definitive answer about bunion surgery contributing to my ledderhose. Sorry I don't have much of an answer for you!

12/31/08 17:54
Lady Canuck

not registered

12/31/08 17:54
Lady Canuck

not registered

Re: Afraid of a non-ledderhose foot surgery...

I don't know about foot surgery but I do know about hand surgery. I broke my left wrist in June 07 and had surgery to install a titanium plate. 6 months later I noticed two nodules on my left palm (they don't hurt or bother me at all). I am convinced that it was the surgery &/or subsequent physiotherapy that caused the nodules. I am 53 years old and no one in my family has this problem. However, this past summer I also developed a lump in the arch of my foot (and it is very painful). My podiatrist said it Ledderhosen Syndrome and that the nodule was a tear that was caused because the muscles become brittle and because I was wearing shoes that are too flat. I was golfing a lot this past summer and my golf shoes are pretty flat. She said people with a high arch like me should wear shoes with at least a 1" heel. She told me the lumps in my hand are Dupreyen's. I now have custom orthotics but they don't help the pain in my foot at all. The only thing that helps is massage. I have read about Radiation Treatment on this forum but have not been able to find a doctor here in Canada that does it.

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