You are very likely to be right. The lump on the left arch of the foot is possibly Ledderhose disease because of two reasons;
1) ganglion cysts are not common in this area.
2) the microscopic and structural features of Ledderhose and Dupuytren's disease are the same. Thus the diagnosis of Dupuytren's disease in hand is suggestive of same pathological problem in the arch.
The cause of Dupuytren's contracture is not known. The important factors seems to be;
a) family history
b) smoking history
The specialist to handle these is orthopedic doctor.
The pain in the shoulder should be investigated by an MRI. The causes of consideration would be;
1) Bicipital tendinitis
2) Frozen shoulder
3) Biceps rupture
4) Brachial neuritis
5) Rotator cuff disease
Majority of people with above problems will respond to physical therapy alone. The program should be aggressive, daily and assisted by the physical therapist. The regimen consists of active and active-assistive range-of-motion exercises combined with stretching. Pain may occur early but within six to eight weeks progress is usually made. Other treatment modalities such as heat and massage may help. Nonsteroidal anti-inflammatory analgesics may also be beneficial. Deep electrotherapy in the form of short wave diathermy, Interferential current, trans cutaneous electrical stimulation, iontophoresis, phonophoresis also is very help initially.
Those people who do not respond to the initial physical therapy are considered for the following;
1) A subacromial corticosteroid injection
2) A glenohumeral intra articular injection
3) Surgery; arthroscopic or open surgery
Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
We have recently implemented a new rating and feedback system. Please be aware that you are rating my courtesy and service as a professional. If you have any questions whatsoever, or there is anything I can clarify for you, please temporarily bypass the rating system by clicking “Continue the Conversation” or "Reply."
Clicking either of the lowest two options reflects poorly on me so please reply to me if there is anything else I can do to help before choosing those options. I appreciate your patience while we work out the kinks. It's important to me that you are 100% satisfied with the service I have provided you. Thank you.