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Old 05-01-2009, 07:14 AM   #1
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Fusion or Sesmoid Removal?

Any one out there have any thoughts on whether fusion is the way to go after still having problems after a bunionectomy in April 2008? Saw ortho guy last night, said he could remove my fibial sesmoid (which he said doesn' always work) or fuse the bone. Did my podiatrist screw up? The ortho guy said he didn't think he did. (But the pod referred me to the ortho guy). I am going to seek another opinion from a pod here in my town. The pain is driving me nuts, please help!

 
Old 05-03-2009, 02:33 PM   #2
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Re: Fusion or Sesmoid Removal?

see what the other dr says. i think after your 2nd or 3rd opinion you might have an answer. if it is the saizmoid bone-then go for it. if they all dont think it will work you have no other choice but fusion. keep posting.

 
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Old 05-03-2009, 03:11 PM   #3
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Re: Fusion or Sesmoid Removal?

Hey Chubster

I too had a cheilectomy 2 yrs ago but always had pain even after surgery. Was told by three docs to fuse since there was no cartiledge left. I should have never even have had the cheilectomy as i feel like i wasted 2 yrs hoping the pain would go away. I too started out with a pod and since have turned to an ortho surgeon who specializes in feet and ankles. He has been great and i have all the confidence in him. I am 12 post op and have confidence this is the answer even tho i still have alot of discomfort and pain trying to walk, but everyone says once the fusion heals since there's no more joint there's no more pain. Can't wait for that day. Be careful about doing anything with the sesmoids as i hear that doesn't always help and might only hurt your cause. If a doc sees no more cartilege, in my opinion there is nothing else to do except fuse.
Good luck, and get a couple opinions before committing.
Brenda

 
Old 05-04-2009, 06:00 AM   #4
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Re: Fusion or Sesmoid Removal?

Debbie, didn't you have a fusion? I see a podiatrist for another opinion on Wednesday. I am so frustrated. I am in a lot of pain. I hate the thought of more surgery and the disruption it causes to your life, but I can not continue living like this, it is not what I call living. I am alone, so that makes it even more worse. Very scared of ending up in a nursing home.

 
Old 05-04-2009, 11:41 AM   #5
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Re: Fusion or Sesmoid Removal?

yes, i did have big toe fusion. i really suggest you see an ortho specialist. see 2 of them. fusion did get rid of all my pain. my only thing is i cant wear really cute shoes.

 
Old 05-04-2009, 11:53 AM   #6
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Re: Fusion or Sesmoid Removal?

Debbie, what about activities - can you walk without pain, run? Do elliptical. I hurt so bad I can bearly walk and standing for any period of time is a killer as well. I am only 48. Shoes don't really matter. In fact it was those stupid high pointly pump shoes (as well as heredity) that got me into this mess. I just want to be pain free. How long was recovery for the fusion? I live alone and I will need help.

 
Old 05-05-2009, 02:31 PM   #7
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Re: Fusion or Sesmoid Removal?

i can do everything. you are right about the pointy shoes. that what did me in, also. i ski, play tennis and work out all the time. each fusion is different. i was in a nwb cast for 12 weeks and then a walking boot for 4 weeks. i went into a wide gym shoe and started on the bike and eventually the treadmill. swelling takes aLONG time to go down.

 
Old 05-05-2009, 04:20 PM   #8
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Re: Fusion or Sesmoid Removal?

Debbi g

I had the same recovery time as you with the 12 weeks nwb and am into the 2nd week wb with a boot. Just for kicks, today i thought i'd try to put my foot into my new brooks ariel that i've been wearing on my good foot for a couple weeks. Well, talk about a weird feeling having absolutely no give in my fused foot to squeeze it into a shoe. It took me no time to slip the walking boot back on and say forget it. Exactly what kind of shoe did you wear once you were out of the walking boot? On my next appointment with the doc, i really don't want to walk out of his office in this *&$^% walking boot, i want to be in a flip flop/shoe of some sort.

Thanks
Brenda

 
Old 05-06-2009, 02:07 PM   #9
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Re: Fusion or Sesmoid Removal?

i hope you can walk out in a flip flop. the very 1st pair of shoes i put on after 16 weeks was a boys gym shoe. i went to target and paid $19. i did that because i am a size 6 and boys gym shoes are made very wide. after a couple of weeks, i bought wide new balance gym shoes. i then went to an ortho foot store and bought several pairs of ugly wide shoes. after that i went to nordstroms and bought some cute wide shoes. i gave away sooo many pairs of shoes and just kept hoping i would fit into some of my old ones. i am glad i kept them because now i do fit into most of them. its been 2 and a half years and this fused to still sucks to have!

 
Old 05-06-2009, 05:40 PM   #10
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Re: Fusion or Sesmoid Removal?

Yea, i'm already having anxiety wondering what i'm going to put on my feet when my 4 weeks is up in the walking boot. My daughter graduates from college on June 12 and i'm getting quite nervous about my foot attire. I'm not sure why i'm posting this, maybe to get fashion advice from debbi g, the old pro, after 2 yrs with the stiff toe!

 
Old 05-07-2009, 05:45 AM   #11
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Re: Fusion or Sesmoid Removal?

Debbie - did you say you needed the fusion because of a botched bunion surgery? I am just wondering if that is what happened in my case. Went to another pod in town and he is looking into things. He had x-rays taken that showed more of what is going on with the sesmoid bones themselves. He has all the x-rays and is going to study the progression of the arthritis. I really thing the pod who did the surgery screwed up. What do you do in that case?

 
Old 05-07-2009, 03:36 PM   #12
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Re: Fusion or Sesmoid Removal?

hi you guys, what to wear after the boot for graduation will be a tough one. i would get wide sparkle gym shoes or if you can wear flip flops, buy a beautiful pair. chub, there is nothing you can do if the bunion surgery went wrong. sometimes i think maybe i didnt let it heal enough. you cant prove anything and you have to go with the flow. i still think you need to go to an ortho and not a pod.

 
Old 05-15-2009, 10:35 AM   #13
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Re: Fusion or Sesmoid Removal?

Debbie, it looks like a fusion is in my future. Any thing you can tell me about it. I am scared, but in pain walking or standing. My quality of life is just about zero! I don't work out any more (maybe stationary bike once in while) and very depressed. Thanks for your help!

 
Old 05-16-2009, 02:53 PM   #14
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Re: Fusion or Sesmoid Removal?

Hello everyone
I sure wish I had found this earlier. I am 9 weeks post op for a toe fusion and I think I am doing well but am thankful to have found it now. My surgeon does not encourage the removal of the sesamoid unless there is a fracture but did reshape the sesamoid in my case as it was causing some of my pain.

Chubstercat - I was in the same place as you. Unable to do anything for two and half years. Couldn't work out at all and walking was so painful I avoided almost all activities. Very depressing. I had bilateral bunionectomies in 2006 and that is when the trouble began. I can tell you after seeing three surgeons a year of Physiotherapy, every orthotic, shoe and brace available and even accupuncture I decided to go with the fusion. Since I have Rheumatoid Arthritis and rely on injections to keep me mobile I had to exhaust all of these options as having to be off my meds for 3 weeks before and 3 weeks after the surgery is a problem of it's own, but I could not take the quality of life any more. I am pleased to say that I think, as Debbie says it is a good option, but will take a long time to heal. I would do it again just for the relief I have seen so far.

MySoreFeet- I recently had to fly to Chicago to my brother's wedding and know how you felt. I came to the conclusion that there was nothing else I could do but wear the #?%* boot as the swelling still prevented me from getting into a sandal or flip flop. I tried to just find something really nice to wear to make me feel better. No one except US customs really cared and it was quite an experience being checked closely between the meds I was carrying and the scanning of the boot. Sure glad they do the job they do though as you never know. I think I will be in this boot another 6 weeks unless the swelling goes down, but keep trying different shoes in the hopes!

Debbie - thank you so much for sharing your experiences. You are truly the most experienced in this area. I know now what to expect and won't be disappointed, however, I am so encouraged to hear you have been able to resume all of the activities I did before. I was told by my surgeon that this surgery is successful in most cases, but that it takes a long time to completely heal. Once again thank you for sharing.

Hope everyone has a great weekend!
Sharon

 
Old 05-18-2009, 08:24 AM   #15
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Re: Fusion or Sesmoid Removal?

grec1, I think my pod messed up the bunion surgery. I am going for a flouro-x-ray with injection on Thursday by a foot and ankle ortho. He says he has not had good luck with removing the sesmoids. I am so depressed. Feel like my life is ruined. In fact, I walked out of the orthos office on the first visit crying. Please let me know how this fusion is going, because I may have to do it. I can't take living in this pain much longer.

Last edited by Chubstercat; 05-18-2009 at 08:25 AM. Reason: Deleted some words

 
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