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Could Tendonitis Really Be Ledderhose Disease?
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04/05/11 09:19
Scooby 
04/05/11 09:19
Scooby 
Could Tendonitis Really Be Ledderhose Disease?

Can anyone with Ledderhose Disease tell me if it could be misdiagnosed as tendinitis or develop at the same time as tendinitis? Do Ledderhose nodules always grow in the middle of the arch of the foot? About 2 months ago, the ball of my left foot started hurting and it was diagnosed as tendinitis. Then, 2-3 weeks ago, my foot (still just as painful) started getting unusually red. The podiatrist suspects Ledderhose, RSD, and/or Morton's Neuroma. I have Dupuytren's in my hand, for a little over a year, now. And, my mom has battled with Dupuytren's for about 20-30 years and recently developed Ledderhose Disease. Please, can anybody help me out with any personal experience? Thanks, Sue:-)

04/05/11 20:23
spanishbuddha 

Administrator

04/05/11 20:23
spanishbuddha 

Administrator

Re: Could Tendonitis Really Be Ledderhose Disease?

I don't have Ledderhosen (LD) so can't share an experience. I do have Plantar Fasciitis in one foot, and have had both feet examined for LD.

The examination technique used was to gently feel and palpate the relaxed sole of the foot, especially feeling along and across the plantar fascia looking for thickening or broadening of the fascia, or lumps (nodules) or hardened 'strings' (cords).

04/06/11 14:17
Scooby 
04/06/11 14:17
Scooby 
Re: Could Tendonitis Really Be Ledderhose Disease?

spanishbuddha:
I don't have Ledderhosen (LD) so can't share an experience. I do have Plantar Fasciitis in one foot, and have had both feet examined for LD.

The examination technique used was to gently feel and palpate the relaxed sole of the foot, especially feeling along and across the plantar fascia looking for thickening or broadening of the fascia, or lumps (nodules) or hardened 'strings' (cords).

Thanks, for your help, Spanishbuddha. Do you have any idea how Plantar Fasciitis is different from Ledderhose Disease? It sounds like almost the same thing, since it has nodules and hardened "cords"? Is Plantar Fasciitis similar to Morton's Neuroma? I was told that Morton's Neuroma is a thickening of the nerves, that is like a "tumor" (not cancerous and not actually a real tumor). Also, Morton's Neuroma, supposedly develops between or at the base of the toes and causes pain and numbness. All I DO Know, is that my foot HURTS! And, when I went to my Rheumatologist, she said my foot was too painful for her to really examine it, so she couldn't be sure what was causing the pain. I guess, I'll have to wait until it's less painful, for the Dr. to really examine it, properly. I just had some bloodwork and my ANA came back "Strongly Positive"! The Titer Ratio was 1:2500+ and there's some protein the Dr. is concerned about, too. Only 2 years ago, my ANA titer ratio came back 1:80 - only barely positive. I guess that definitely means that there's an Auto-Immune condition, going on in my body. DAMMMMMMN:-(

04/06/11 14:47
spanishbuddha 

Administrator

04/06/11 14:47
spanishbuddha 

Administrator

Re: Could Tendonitis Really Be Ledderhose Disease?

I can only really help by explaining more about my symptoms for PF. Pain is usually worse after no activity when the feet have been resting.

So the first classic symptom is getting out of bed in the morning and standing up. This can be really painful almost preventing you from walking. This can be eased by wearing a night splint or boot which keeps the plantar stretched, and it does work for that one symptom.

Similar pain can be had just getting up from a chair or any time after resting the feet. What happens is the fascia contracts on rest, and then the pain is felt on standing when it is stretched.

I now also get pain after a lot of walking or standing on the feet. It's similar to the getting up pain, but eases with rest; and then the vicious cycle of pain starts because at some stage you have to get up again

I have no lumps or bumps, and can press quite hard all along the plantar fascia without pain, UNTIL I get to the point below the heel where it attaches to the heel bone. Pressing there firmly hurts.

I would have thought a podiatrist could help you diagnose or not PF as it's quite commonly encountered, where in my experience many podiatrists do not know about LD.

04/06/11 16:08
Cyclist 
04/06/11 16:08
Cyclist 

Re: Could Tendonitis Really Be Ledderhose Disease?

Scooby:
Can anyone with Ledderhose Disease tell me if it could be misdiagnosed as tendinitis or develop at the same time as tendinitis? Do Ledderhose nodules always grow in the middle of the arch of the foot? About 2 months ago, the ball of my left foot started hurting and it was diagnosed as tendinitis. Then, 2-3 weeks ago, my foot (still just as painful) started getting unusually red. The podiatrist suspects Ledderhose, RSD, and/or Morton's Neuroma. I have Dupuytren's in my hand, for a little over a year, now. And, my mom has battled with Dupuytren's for about 20-30 years and recently developed Ledderhose Disease. Please, can anybody help me out with any personal experience? Thanks, Sue:-)

Hey Scooby-Sue
That's no good to hear you are in pain and not having any luck getting answers, but hang in there - you'll find a way through all of this .

I'm not sure about the costs involved in your part of the world, but it would be good to shop around. Go and see a few different types of physicians. Also, remember that general practitioners and allied health practitioners vary in their skills and knowledge, so don't believe the first explanation.

Work with your health system, but visit this forum regularly for a reality check! We patients seem to know most about this condition, unfortunately, so it's a long and windy path of patient-driven discovery, before you find the best way forward that suits you.

Take care and keep in touch as you work your way through the system

All the best
Di

04/21/11 10:30
CSIShadow

not registered

04/21/11 10:30
CSIShadow

not registered

Re: Could Tendonitis Really Be Ledderhose Disease?

Greetings all.

I recently joined this site due to my girlfriend suffering from both Dupuytren's contracture and Ledderhose Disease. I thought I would throw my hat into the ring on this post due to I am a licensed massage therapist in the state of Utah (will be happy to provide information on finding my license with NCBTMB if asked privately) and have had experience personally with plantar fasciitis.

Going with Wikipedia's definition, Plantar Faciitis is:

"A painful inflammation of the plantar fascia." That is pretty much the long and short of it. Inflammation on the bottom of your foot / feet.

I don't know much about the other subjects as I am new to the research but I can tell you that PF can be handled fairly easily. One of the ways I treat PF is I will have a client use hard balls. Depending on the size of the foot, I suggest anything from the size of a golf ball to a hard rubber ball no bigger than 2" (5.08cm) in diameter. Since PF is painful, I always start my clients in a sitting position with shoes (and socks if they're comfortable) off. With one foot on the ball, and as much pressure as they can stand to exert, I have them roll their foot from heel to each toe. What that does is stretches out the fascia on the foot.

Example: Starting at the heel, roll the foot over the ball, going for the big toe. Once you get to the big toe, keep going, adding pressure - stretching that toe out. Roll back to the heel. Repeat for the other 4 toes on the foot. It does help. Another thing that helps is you can pick up a brace to wear at night to help keep the foot dorsal flexed (dorsal flexion is when you bring your foot and toes up towards the top of the head). Sit in a chair with your feet flat on the floor, then bring the ball of the foot and toes up towards the ceiling. Best description I can think of.

I worked at a home improvement warehouse while going to school to become a LMT, and was on my feet on concrete for 8+ hours. I worked freight (off loading the truck and stocking), so not only did I have MY body weight, I had the added weight of whatever I was stocking. I picked up inserts for my shoes which cut the stress practically in half, adding massage into it really helped. There's a lot of information out there ranging from massage to surgery on how to deal with PF: I recommend massage, making sure you have the proper shoes for whatever activity you're doing, taking breaks when you feel your feet starting to hurt (if possible), and using the ball treatment if you can't get into a therapist or if you have a desk job where you can take off your shoes without causing too much ruckus

Anyway, good luck with that, and on with my research!

04/22/11 02:43
fjellver 
04/22/11 02:43
fjellver 
Re: Could Tendonitis Really Be Ledderhose Disease?

Scooby:
Can anyone with Ledderhose Disease tell me if it could be misdiagnosed as tendinitis or develop at the same time as tendinitis? Do Ledderhose nodules always grow in the middle of the arch of the foot? About 2 months ago, the ball of my left foot started hurting and it was diagnosed as tendinitis. Then, 2-3 weeks ago, my foot (still just as painful) started getting unusually red. The podiatrist suspects Ledderhose, RSD, and/or Morton's Neuroma. I have Dupuytren's in my hand, for a little over a year, now. And, my mom has battled with Dupuytren's for about 20-30 years and recently developed Ledderhose Disease. Please, can anybody help me out with any personal experience? Thanks, Sue:-)

Hi Scooby,

I am in a similar situation, I have pain all over my feet, but mostly in the PF spot but also along the plantar ligament, the big band that goes from your heel to the big toe metatarsal bone. My foot pain started the same time that my DD started erupting in 11/2010. I have had tons of lab work-all pretty normal, a normal MRI of my worse foot, 3 steriod injections in the worse foot for PF. I think it is the beginning of LD, but I have no discrete nodules. I had a Neurologist do nerve tests and find nothing but thinks I have unknown small fiber neuropathy. I have heard different stories from 2 podiatrists, one orthopedic surgeon:Tarsal tunnel, PF, neuropathy, I still don't know what is going on with my feet. Orthotics, good shoes, and pensaid, a topical NSAID drug has helped me some. Many days are a struggle, I often feel like I am walking on small, sharp rocks. Hopefully you have simple PF and a good podiatrist should be able to help you.

A long answer to your question but I do believe PF can be linked to DD/LD.

Best,
Fjellver

08/07/16 21:42
COHikerGirl 
08/07/16 21:42
COHikerGirl 
Re: Could Tendonitis Really Be Ledderhose Disease?

I have reason to suspect it is possible.

I am of both Scandinavian and Germanic descent (both of which have high prevalence of Ledderhose Disease and DuPuytren's Contracture). Both my parents have DePuytren's; my father and my eldest brother both have both conditions. I very recently self-diagnosed both conditions (due to family familiarity with them), confirmed by my doctors.


Precipitating Factors:


1) After a car accident several years ago, 4 years of limping caused plantar fasciitis in my left foot.
After spine surgery fixed the limping, a single cortisone shot permanently fixed the plantar fasciitis
(since the root cause of the problem was gone). However, a small, HARD NODULE remained at the center
of my left plantar fascia ever since then, tender to the touch during massage therapy sessions. It
did not grow, and caused no problems, and I chalked it up to scar tissue.

2) One year ago, my too-old, too-light hiking shoes resulted in my getting a stone bruise on a rocky trail while backpacking, located at the base joint of my second toe (next to the big toe) on the ball of my left foot. It never healed, and over time became more and more painful. I was diagnosed with metatarsalgia. After a year, one cortisone shot temporarily removed all pain for a period of about a month (while hiking in the Himalayas), but the pain returned about a week after my return home. A second cortisone shot had no helpful effect whatsoever. I was now diagnosed with the addition of Morton's Neuroma.

3) However, at about the same time, I recognized the first nodules of DuPuytren's Contracture on my right little finger, and two small but visible lumps of Ledderhose Disease on my left plantar arch, centered right where the 'hard spot' had been for so many years prior. Neither condition had been present in the past -- I believe they both sprang up at nearly the same time, just recently (i.e., sometime over the course of just the past few months).


Speculation:


I suspect, first, that the first injury to my foot (plantar fasciitis due to limping) and its resulting scar tissue may have inhibited the ability of my foot to heal from the subsequent hiking stone bruise, resulting in chronic metatarsalgia and, eventually, the development of Morton's Neuroma.

I strongly suspect that this second injury to my foot (stone bruise from hiking), a year ago, precipitated not only the obvious metatarsalgia and Morton's Neuroma, but also the expression of Ledderhose Disease. I also suspect that the expression of Ledderhose Disease is tied to and associated with the simultaneous appearance of DuPuytren's Contracture.

08/08/16 09:20
spanishbuddha 

Administrator

08/08/16 09:20
spanishbuddha 

Administrator

Re: Could Tendonitis Really Be Ledderhose Disease?

COHikerGirl:
I have reason to suspect it is possible.

I am of both Scandinavian and Germanic descent (both of which have high prevalence of Ledderhose Disease and DuPuytren's Contracture). Both my parents have DePuytren's; my father and my eldest brother both have both conditions. I very recently self-diagnosed both conditions (due to family familiarity with them), confirmed by my doctors.


Precipitating Factors:


1)
2)
3)

As described on the website pages http://www.dupuytren-online.info/dupuytrens_contracture.html there appears to be a genetic link (autosomal dominant https://en.m.wikipedia.org/wiki/Dominance_(genetics)) and often another external factor (multi-factorial https://en.m.wikipedia.org/w/index.php?t...ial_inheritance) cause of DD and LD, so your story fits.

08/08/16 19:37
COHikerGirl 
08/08/16 19:37
COHikerGirl 
Re: Could Tendonitis Really Be Ledderhose Disease?

Quote:

As described on the website pages http://www.dupuytren-online.info/dupuytrens_contracture.html there appears to be a genetic link (autosomal dominant https://en.m.wikipedia.org/wiki/Dominance_(genetics)) and often another external factor (multi-factorial https://en.m.wikipedia.org/w/index.php?t...ial_inheritance) cause of DD and LD, so your story fits.



Yes, I concur. But more to the point of the original poster's question, I think my experience reflects a very real possibility that what is thought to be tendonitis MIGHT potentially be an indicator of early Ledderhose Disease. The trouble would be distinguishing between them ... perhaps the presence of a 'firm' or 'hard' nodule (especially one that is highly resistant to 'loosening' by massage therapy, as mine always was) would heighten suspicion of LD, as opposed to simple tendonitis.

Edited 08/08/16 19:40

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Rheumatologist   Fasciitis   spanishbuddha   contracture   Neuroma   dupuytren-online   Dupuytren   Tendonitis   distinguishing   practitioners   Ledderhose   experience   metatarsalgia   Disease   multi-factorial   painful   patient-driven   tendinitis   self-diagnosed   Plantar