https://youtu.be/0wAvxIOXY9o
My daughter is 12 years old and plays soccer. I will give you what happened month by month starting in November 2019 until now January 2021. It helps me to keep organized with how everything has gone.
November 2019
-She starting to complain of foot pain toward the end of Fall Soccer season. She had some pain in both feet but more on the right foot. She also had some knee pain. The pain would come and go and did not impact her playing. I knew that she would be getting a good 6 week break from end of November to beginning of January and made an appt with a sports podiatrist that my friend knows and this physician is involved with the podiatry care of a professional football team and seems to have a lot of experience.
December 2019
-Had her appointment with the sports
podiatrist and based on the way her foot hits the ground and her mechanics it was recommended to get custom orthotics. She was fitted for the orthotics. She was on break from playing soccer.
-She was given a sort of temporary insert to put in her sneaker and cleat to try to help until her real orthotics came in
January 2020
-She went back to off season training. Her feet and knees were feeling better from the rest. Also, the off season training was 30-50% of the usual fall soccer training, so she was getting more rest days and it was less intense.
-At the end of the month, her orthotics came in and we also started to find a cleat that would fit the orthotic.
February 2020
-During an outdoor soccer practice, she felt a pop in her right foot when she was making a cutting type of move. She then felt pain. She was still able to finish up practice. At this point we had a follow up appt in one week at the sports podiatrist. Things were very hectic that week and we iced her feet and took that week off from practicing and her feet were feeling better.That weekend though she had 2 futsal games and felt well enough to play.
-After the 2 futsal games she could not really walk in her feet. Our follow up appt at the sports podiatrist was a few days later and the x-rays revealed 3 fractures in the one of the sesamoids in the right foot. She was put in a boot. No soccer and no exercise.
March 2020
-Still in a boot
-Follow up appointment was moved back so to lockdown with Covid
April 2020
-Was able to get 2 telehealth appts
-Continuing to wear boot and then toward end of April could start to stop wearing boot.
-Left foot started to hurt but not as bad.
May 2020
-Some pain still
-got an in-person appt toward the end of month
-x-rays revealed 3 fractures of sesamoid on both the right and left foot.
-fitted for thick rehab orthotics
-plan is to be out of soccer until Spring 2021 season
-offload feet
June 2020
-rehab orthotics came in
-wear rehab orthotics
-off load feet
July 2020
-continue rehab orthotics
-mentally feeling very sad about not being able to play
August 2020
-continue rehab orthotics
-appointment with Caroline Jordan to see about how to deal with this injury
-started Physical Therapy - working on strengthening overall body while still offloading foot
September 2020
-continuing Physical Therapy offloading foot and rehab orthotics
October 2020
-X-Rays reveal Right Sesamoid fractures almost healed and Left Sesamoid fractures improving
-Continuing Rehab Orthotics and Physical Therapy offloading feet
November 2020
-Continue Rehab Orthotics and Physical Therapy offloading feet
December 2020
-X-Rays reveal both Right and Left Sesamoid fractures clinically healed
-Physical therapy begins to gradually increase loading feet in small increments
January 2020
-Physical Therapy continues to increase loading feet and moving towards integrating soccer
-Physical Therapist and Soccer Coach talk and agree on plan to gradually work on in corporations her back into off season practice drills
-fitted for sports orthotics to fit in cleats
-finding appropriate cleats to wear with sports orthotics
So far, she has been to 3 off season practices / her pain level has ranged between a 0-7. Is this normal? Should we get an MRI? What do you suggest we do?
Dr. Blake's comment: This is where the timing of the pain is necessary to advise you. What is the baseline pain during the day? What pain level during weight bearing activities? What is her pain after practice? Is there any swelling or redness? When her pain is over 2, what is she doing? These and any others will be added to this post. I hope some of my thought process helped. Yes, an MRI of both feet would be great, but you may not need at all now. Since we have both feet supposed with three fractures each, you should answer individually for each foot. Rich
I really appreciate any thoughts you have on her case.
Sincerely,