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Has anyone had problems after surgerical removal of the PF
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peekaboo 

peekaboo 

Has anyone had problems after surgerical removal of the PF

I am back with yet another question I can't find an answer, or anyone that is dealing with this problem. I had my Fibroma removed September 25th 2009 and 4 months later I have, where the incision is very bad scar tissue, that shots of cortizone didn't even help soften or break up. And depending on what I do and how long I am on my foot depends on the severity of pain and swelling. I am still off of work. I have short term disability I am very lucky my employer is terrific. But my foot after surgery is not. But just to feel you all in I was in a lot of pain tried to do numerous things before i agreed to the surgery. Please if you have dealt with the scar tissue after surgery or recommend something I haven't tried on here, something maybe I have missed please let me know, I am thinking I might have to go on permanent disability. I also have numerous nodules in the other foot but doc doesnt want to do anything with them because nothing has worked on the left foot yet........ Any comments would be great...

newman 

newman 

Re: Has anyone had problems after surgerical removal of the PF

Hi Australia calling. Sometimes after surgery a keloid develops in the scar tissue which happened to me. This is very painful. It is usual to treat the keloid with low dose Radiotherapy very shortly after surgery. My surgeon did not make mention of the keloid and it was not until I met Prof Seegenschmiedt he identified the keloid. I would consider Radiotherapy for your other foot and discuss with the Oncologist maybe the treatment of the scar tissue. I believe the dose rate if you have a keloid is far less than the treatment for the ledderhose. Regards.

Edited 01/18/10 09:49

jimh 

jimh 
Re: Has anyone had problems after surgerical removal of the PF

peekaboo, have your doc and/or PT told you to stay off the foot until it feels 'right'? I'm not a doctor, and the last thing I'd want to do is contradict a doctor's advice, but having been through 2 Dupuytren's surgeries my feeling is that you may have to push it a bit, start using that foot to the extent possible, to minimize and flatten the scarring. Obviously you can't be walking on an open wound and shouldn't do something that causes serious pain. On the other hand I would not expect a foot to return to anything like normal, without being gently but steadily pushed in that direction.

Swelling takes a l-o-n-g time to resolve, and with the foot, gravity is working against you. Maybe some sort of exercise that has the leg horizontal - like a stationary recumbent exercise cycle - would boost circulation, promote healing and reduce swelling.

My Ledderhose is just starting to get painful (after about 15 years). No thoughts of surgery yet, but the future is unknown.

Edited 01/20/10 22:20

peekaboo 

peekaboo 

Re: Has anyone had problems after surgerical removal of the PF

I just got back from my Doctor and was told that this wasnt scar tissue it was a new fibroma growing under where the incision is and where the old one was removed.That explains a lot. Still having problems at times with the other foot as well. He told me he was looking at injections. But not cortisone because it has done nothing. Does anyone have any recommendations of injections that will help. I know nothing will cure but this disease is just awful!!!

jimh 

jimh 
Re: Has anyone had problems after surgerical removal of the PF

Triamcinolone has been used for Dupuytren's for several years, with many people claiming positive results, although no dramatic cures.

http://www.ncbi.nlm.nih.gov/pubmed/11119679

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surgerical   Oncologist   ledderhose   problems   injections   contradict   horizontal   swelling   identified   surgery   disability   treatment   something   Radiotherapy   circulation   recommendations   Dupuytren   removal   Triamcinolone   Seegenschmiedt