I went to 1 podiatrist, who after 1 month of electrotherapy and taping, recommended surgical removal. I sought a 2nd opinion from another podiatrist, and he thought it was simply sesamoiditis. He started by putting me on anti-inflamatories and gave me the short orthodic boot. 1 month later, and not much better, he recommended heavy duty steroids for a week. I went back in and still felt pain. He then recommended the weight-bearing air cast, which I wore for 1 week. I woke up one evening in the most pain I have felt since I started with this problem.
I called the next day and demanded an order for a bone scan to determine once and for all if it was inflammed or fractured. Results confirmed it was indeed, fractured.
1) In your experience, could the use of the air cast have actually made it worse? I swear I feel more pressure on my sesamoid using the walking air cast, than simply wearing my Birkenstocks.
|Accommodation of a Sesamoid (Big Toe Joint) placed on a removable insert that can be placed into a cast.|
|Adhesive Felt to accommodate (off weight) a sore sesamoid bone under the big toe joint.|
|Example of an accommodation with 1/4 inch adhesive felt for a fifth metatarsal fracture placed into a removable boot to create a painfree environment.|
|1/4 inch felt sheet prior to cutting into shape (customizing).|
|Here is a chronically broken medial sesamoid that developed nonpainful non-union. We may have to surgically remove someday. Patient is completely active at a high level without pain.|
|Was it the heels that caused the injury? Probably not, but they are sure painful when you are dealing with a sesamoid issue under your big toe. At least I have been told!!|