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Fractured sesamoid


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Old 08-10-2008, 06:20 PM   #16
rjs2008
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Re: Fractured sesamoid

Where have you read that clinical data.? I'd like to read it.

 
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Old 08-10-2008, 06:45 PM   #17
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Re: Fractured sesamoid

Quote:
Originally Posted by Janesfoot View Post
I'm writing to find out information about sesamoid fractures and pain in other parts of the foot/ankle. My husband had been diagnosed with sesamoiditis approximately a year and a half ago. In the mean time, I had my own foot issues and joined this board. After orthotics and painful cortisone injections, my husband sought a second opinion. New x-rays revealed his sesamoid on his left foot was fractured. His new pod made new orthotics which my husband started wearing two weeks ago. Now his ankle hurts and is swollen, though he had no injury to the site. My husband is trying to avoid surgery, though I was hoping my own experience (7 weeks post-op double bunionectomy on right foot) would encourage him that surgery may be helpful. From reading various threads I have noticed that often people have tendon issues along with bone/structural issues, which is my concern regarding my husband's new symptom. I have also read that orthotics can have their own side effects due to making the feet/body walk in a new way. I advised him to see his doctor this week, but he is a wee bit stubborn.
I would appreciate any thoughts or ideas about his foot issues. Thanks.
My situation is similar. 01-2007 while in Physical Therapy for LF 2nd toe amputation, and partial Plantar Plate removed due to scar tissue the therapist had me do a impact exercise that caused intense pain in my RF if you can believe that. Went back to DR and he asked "What are you doing here, you should be in PT for your LF". He could not believe it when I told him. He was....*issed at the therapist. After a MRI, result was "Sesmoiditis VS Fracture". Meaning, they dont know. So began 1.5 years of Conservative treatments as your husbands and also the discontinuing of my life. I was unable to bear any weight whatsoever on either ball of foot. What a nightmare. And I considered myself an Athlete at the time. I've been riding a couch for the last 2 years now. I had a new MRI last month and DR said its definitely a "Tibial Fractured" and dying.

Tomorrow, Mon, 8-11 is my sesmoidectomy. I have had 18 months to read every piece of free literature, Blogs, and clinical data I could find and all indications are this can be a positive outcome. Outcome in terms of pain free, able to go walking, to the grocery store, ride a bike.
I would say this;

Encourage your husband to find both a DPM and a MD that has performed this very procedure many times and consult with them for their opinion as well as your feeling of them.
Its about 3 months before your given the green light to attempt resuming normal activity.

 
Old 08-11-2008, 03:47 AM   #18
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Re: Fractured sesamoid

Good Luck on your surgery and thank you for posting. My husband continues to hobble around and his ankle has developed tendonitis. I feel the tendonitits could be from the sesamoid pain, and his attempts to find a way of walking that is less painful. Please update us when you are able.

 
Old 10-02-2008, 09:47 PM   #19
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Re: Fractured sesamoid

Has anyone had surgery to remove a fractured sesamoid from the foot?
How long was your recovery?
Did you lose any function of your big toe?
Can you run jump play sports etc?

I am facing surgery to remove a fractured sesamoid as none of the other treatments have been successful and I am curious as to how successful the surgery can be.

 
Old 10-30-2008, 06:58 AM   #20
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Re: Fractured sesamoid

Yes, I have had a sesamoidectomy on both of my feet. 15 years ago, I had a shattered sesamoid, so I had it removed. No problems, I was very active at running before and after. Just had the right foot done 2 weeks ago, due to a fractured sesamoid. I was in a walking boot for 2 weeks, no crutches, and am doing fairly well. Just removed the stitches yesterday and it is very tender where the incision is. (on the top of the foot, between your big toe and second). I am hoping for a quick recovery. Hope this is some help for those who are debating the surgery. It was to painful to walk on a fractured sesamoid. Nothing ever helped prior to the surgery (pads, cortisone shots etc).

Last edited by brokeinhawaii; 10-30-2008 at 07:00 AM.

 
Old 11-08-2008, 09:29 PM   #21
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Re: Fractured sesamoid

I had surgery a week ago to fix a fractured sesamoid. It was worse than expected when they opened it up so now I've got 6weeks non-weightbearing in a cast.

Just wondering how long it was before most of you were able to play sport?

 
Old 11-10-2008, 06:39 AM   #22
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Re: Fractured sesamoid

Fix a fractured sesamoid??? I thought they could not fix a sesamoid if they were broke. I was under the impression they had to be removed. I had my sesamoid removed in the left foot 15 years ago and my right foot 3 weeks ago. Im well on my way to recovery, still not working out or playing sports, but I have issues on my left foot from heel spur surgery. I was in a walking cast for a week for the removal of the sesamoid. Good luck to you.

 
Old 11-13-2008, 06:03 PM   #23
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Re: Fractured sesamoid

Wow sounds like a good recovery. Congrats. So you had sesamoiditis in both feet?

Starte getting pain 17months ago and found out I'd buggered my sesamoid with all the sport and dancing. But because of my age the wouldn't take the bone out. Instead, they opened it up, ground the bone down a little, put a screw in and bone grafted it. I'm 10days post-op now and stitches are out and cast is off but no weight-bearing for another 4 weeks.

Just wondering how long it was before everyone could start getting back into sport with little pain?

Good luck all.

 
Old 11-13-2008, 09:35 PM   #24
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Re: Fractured sesamoid

Hello everyone I'm new to this I've never even joined a forum before but I am freaking out about my sesamoid problem. Oh boy its a long story but maybe I can condense it. About a year and a half my big toe joint hurt gradually more and more until I was limping. I got it x-rayed and was told nothing showed up and to just wear padding in my shoes for a week or two. I was annoyed because I was sure it had to be broken or something! After more pain I finally saw a podiatrist who found fractures on the 3rd and 4th metatarsal and a possible one on the sesamoid. I got a few cortisone injections and holy crap those hurt! They seemed to help barely at all. I wore a boot for about 4-6 months and I wasn't limping anymore but there was still pain. My sister would offer to rub my foot and when she got near the sesamoid there would be a pop and I wanted to cry so bad. My other podiatrist left me hanging at well I'm sorry call me if you want another cortisone shot. I was not satisfied so I sought out a new podiatrist. He also tried a cortisone shot and had me walking around in a post-op shoe since I absolutely hate the boot and want to burn it! The middle of my foot started to hurt and turns out new fracture on the 2nd metatarsal! He thinks its all a mystery. I figured like a few others that it was from compensating for the sesamoid. Only last Friday I finally got a CT scan to focus on the big toe and sure enough fractured sesamoid. It's like everyone got distracted by the other fractures and took MRIs of that and ignored the source of the beginning of all the pain...that dang sesamoid!!

I don't know if it has anything to do with it but I took ballet from 8-18 and I have waitressed for the last couple years. I'm 22 now. I go up on the balls of my feet to reach everything at work and I wonder if that is the cause?

Now I'm scheduled for a sesamoidectomy (the fibular sesamoid?) Its on the one closer to the second toe. Is it bad to get the incision on the bottom of the foot because thats what I was reading? That scares me a bit. Then I read about the tube down the throat holy scary!!! At least I'll be out cold though right? I'm scared of the surgery but we have tried everything else. I could try to be on crutches for a few weeks but my doc said it would do no good. Especially since its been a year and a half. Any suggestions? I'm probably being a baby but I'm getting way nervous for surgery.

 
Old 11-13-2008, 09:44 PM   #25
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Re: Fractured sesamoid

sorry if I posted in the wrong place I don't know if I did or not I'm new to all of this so if I did sorry in advance. I also used a bone growth stimulator which worked great on the fractured metatarsals. Unfortunately probably would do nothing for my evil little sesamoid. :P

 
Old 11-14-2008, 12:22 AM   #26
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Re: Fractured sesamoid

Wow moogie you sound like your in the same position as I was.

Two years ago I started developing pain in the ball of my foot. I'd been dancing for 7years and had just quit 6 years of hockey. I also did a lot of running, jogging and tennis prior to that. Over the months the pain gradually got worse and I was unable to dance most weeks. Saw the doctor and they originally said it was muscle pain and that it would go away with rest, but it didnĎt. After a couple of x-rays and opinions, i was sent for a CT of the metatarsal joints and 17 months ago I was officially diagnosed with fibular sesamoiditis. They say its most common in dancers and athletes caused by repetitive movements and affects movement of the big toe. I was then referred over to an orthopaedic specialist who sent me for MRI's and more x-rays. We tried nonsteroidal inflammatory drugs, podiatrists shoe inserts, 1.5 months in the damned space boot (hate that thing), crutches and the dreaded cortisone injections. Having exhausted all other options, I had an appointment with the orthopaedic surgeons and was booked in for a surgery. Gee was I freaking out!!!

I'm only 18, and because we land in the younger category they try to preserve the bones as long as possible. So last week I went into surgery. (Don't even think about the tube that goes in your throat - you are asleep way before hand and won't even notice it. Your throat may be a little itchy afterwards but there is nothing to worry about). I didn't get the sesamoid removed, instead they rounded the bone off and fixed the non-union stress fracture with a bone graft and a screw between the bones. The cast was removed yesterday and all is going well. The surgeons said it was worse than they expected but are happy so far. They are pretty sure it will heal up nicely and Iíll be back into the sports soon but there is still a SLIGHT chance that I may have to get the whole bone removed in years to come. Not worrying about that now though.

I've got an inch long incision under the sole of my foot and just under an inch long incision on my ankle from a tricortical calcaneal bone graft. I'm currently on 6weeks non-weight bearing, wearing the space boot and on crutches but hoping it heals quickly so I can get back into the sports again. Iíd also done a lot of researching before I went in for the surgery and found that the incision under the foot in most cases healed well and wasnít too sore after healing. At the moment, the bone graft site hurts more than the toe. I canít move my toe at all and its still a little numb and tingling but apparently that goes away after a couple of weeks.

Try not to freak out about the surgery, I know its easier said than done, trust me. I was so nervous when I got into theatre and could barely focus. The surgeons went back to reminding me that every other option had been exhausted and that surgery was the last resort.

Iím really keen to get back up and walking again, back to driving and back into the sportÖ just need to get past the first 6 weeks of not walking on the foot until the bone graft heals.

Is there anything else that you wanted to know or are curious about? When are you going in for the surgery?

Hope everyone is healing well.

 
Old 11-14-2008, 10:59 AM   #27
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Talking Re: Fractured sesamoid

Thanks for the reply. It is a relief when other people are having similar experiences that I can talk to. I joined the foot-health-forum.com board and wow talk about no help at all. I post a question and the doc or whatever was kind of rude. Maybe not rude just picky like you didn't specify this and this just seemed sort of cold. I mean I'm not a doctor so sorry I don't have all the terms down but at least I can spell!
My surgery is next Thursday so 6 days. It's at 3:00pm so I'm going to be so starving when I come out! When I was about 14-15 I had my wisdom teeth and a couple baby teeth pulled as well as a chain hooked from my braces up into my gums around a tooth to pull it down. They did the IV to knock me out for that so I'm guessing this will be the same. I should not have looked at a picture online of a sesamoidectomy because I was like ahhh its gaping wide open and sick! Thats going to be me!! nooooo! I guess I'm just worried and having doubts as to whether or not this is right. I know it is since its the last option for me and I'd rather do this then go back to the boot. Seriously those boots are evil!!! That dang plastic around the top always makes a huge bump on my shin so I'd be stuffing towels around the inside and then the dang velcro wears out. I've gone through 2 boots. Last year my sis talked me into going to NYC in January. So there I was freezing to death at like 6am no sleep on the plane because of a crying baby and on top of it all I had the boot on and had to keep up in the crowd. That was miserable!
I guess your surgery was a little different but overall it was a foot surgery and incision on the bottom. I keep thinking maybe since its feeling better lately I don't need it. But the CT scan was recent and nothing has helped it heal. If I go for a walk I want to die later so this is probably for the best. Its just hard because my mom is giving me a hard time about it when she knows nothing about the situation or the procedure or results. She only sees surgery as bad. I know its right but w/ her on my case it puts doubts in my mind.
The day of your surgery when you came out of it were you pretty loopy all day? I remember when I was put out for the tooth thing and I was so crazy! It was like a dazed dream. I tripped on the curb tripped on the stairs up to my room was laughing then crying then passed out. It freaked my sis out! I guess I'm just overall curious about going in to surgery to waking up and the first week of recovering. I have the crutches all ready and luckily I can wear a post-operative shoe waaaaay better than the boot. *spits at boot*.
Well this is already way long so I will wait till I hear back. Thanks again. You rock!

 
Old 11-15-2008, 05:35 PM   #28
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Re: Fractured sesamoid

Hi Dancer
i seem to be suffering from a sesamod fracture. I have to date seen 6 podiatrists 2 foot and ankles surgeons and a Podiatric surgeon, and all of them have given me different options on my condition i have had 2 xray's 2's mri 1 cat scan, and seems like my only option is to remove my sesamoid which is freaking me out as Iím only 27 years of age and need to keep active.
I was wondering is there any chance I can please phone you to ask you a few questions about your surgery as I have heard so many different and terrible thinks about the procedure from other forums.

Also is there any chance you can please tell me who you used for your surgery, as I donít mind to travel anywhere in the world to a doctor that knownís what he is doing.

Thank you so much for your time.
Regards

 
Old 11-15-2008, 05:38 PM   #29
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Re: Fractured sesamoid

I also forgot to metion i have been i a cam walker and had orth's made for my shoes. I went for a bit of a walk 2 days ago and now my foot is swollen and sore big time, wores ever.
ayrrrrr.

 
Old 11-15-2008, 08:04 PM   #30
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Re: Fractured sesamoid

I'm right there with ya buddy! I'm so freaked out...5 more days till surgery. My podiatrist said he's done this surgery about 100 times and has success with it so I'm not super worried but pretty nervous just because it is surgery. And there are always risks associated with it.

 
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