Recurrent Fibromas: Treatment and Care Tips for Recovery - Oncology

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Tendinopathy


Hello: I had surgery on the sole of my foot last year, and it was diagnosed as a tendon tumor.
This year, I had another surgery, and the diagnosis was recurrent fibroma.
Sometimes, I still experience pain in my foot, and there is still a lump present.
I would like to understand if fibromas can be incompletely excised, and how I should take care of my foot.
Thank you!

Wu, 30~39 year old female. Ask Date: 2009/09/30

Dr. Chen Junyi reply Oncology


Plantar fibromas may be repeatedly caused by friction from external forces.
Regarding this issue, it would be advisable to consult an orthopedic specialist for more satisfactory recommendations.

Reply Date: 2009/09/30

More Info


Recurrent fibromas, particularly in the context of your foot, can be a challenging condition to manage. Fibromas, which are benign tumors made up of fibrous or connective tissue, can recur after surgical removal, especially if the entire tumor is not excised. This is often due to the nature of the fibrous tissue and its tendency to grow back if any remnants are left behind during surgery.


Understanding Recurrent Fibromas
1. Nature of Fibromas: Fibromas are generally benign and can occur in various parts of the body, including the feet. They can be painful, especially if they press against nerves or other structures in the foot. The pain you are experiencing may be related to the fibroma itself or to changes in the surrounding tissue after surgery.

2. Surgical Removal: The goal of surgery is to remove the fibroma completely. However, if the fibroma is deeply embedded or if it has a complex structure, it may be difficult to remove it entirely. In such cases, there is a risk of recurrence. The surgical technique and the experience of the surgeon play a significant role in the likelihood of complete excision.

3. Post-Surgical Care: After surgery, proper care is crucial to promote healing and minimize the risk of recurrence. This includes:
- Wound Care: Keep the surgical site clean and dry. Follow your surgeon's instructions regarding dressing changes and signs of infection.

- Pain Management: Use prescribed pain medications as needed and follow up with your healthcare provider if pain persists or worsens.

- Activity Modification: Limit activities that put stress on the foot, especially during the initial healing phase. Gradually increase activity as tolerated.


Treatment Options for Recurrence
1. Monitoring: After surgery, regular follow-up appointments with your healthcare provider are essential. They can monitor for signs of recurrence and assess any ongoing pain or discomfort.

2. Physical Therapy: If you continue to experience pain or discomfort, physical therapy may help. A physical therapist can provide exercises to strengthen the foot and improve flexibility, which may alleviate some of the pain.

3. Additional Surgical Options: If the fibroma recurs and causes significant pain or functional impairment, further surgical intervention may be necessary. Discuss with your surgeon the possibility of a more extensive excision or alternative treatments.

4. Alternative Therapies: Some patients find relief through alternative therapies such as acupuncture or massage therapy, which can help manage pain and improve overall foot function.


Lifestyle and Home Care Tips
1. Footwear: Choose supportive footwear that provides adequate cushioning and arch support. Avoid high heels or shoes that put pressure on the affected area.

2. Weight Management: Maintaining a healthy weight can reduce stress on your feet and may help alleviate pain associated with fibromas.

3. Regular Exercise: Engage in low-impact exercises, such as swimming or cycling, to maintain overall fitness without putting excessive strain on your feet.

4. Nutrition: A balanced diet rich in vitamins and minerals can support healing and overall health. Consider foods high in antioxidants, which may help reduce inflammation.

5. Pain Management Techniques: Explore non-pharmacological pain management techniques, such as heat or cold therapy, to help manage discomfort.

In conclusion, while recurrent fibromas can be frustrating, understanding their nature and implementing a comprehensive care plan can help manage symptoms and improve your quality of life. Always consult with your healthcare provider for personalized advice and treatment options tailored to your specific situation.

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