Thank you for the information Dr. Blake.
I saw the podiatrist this week and he suggested removing the bone all together.
Dr Blake"s comment: The sesamoid bones are two in number and dwell under the first
metatarsal at the ball of the foot.
Dr Blake's comment: I favor a medial or side incision if it the tibial or medial sesamoid, and
a plantar incision if it is the fibular or lateral sesamoid.
He prefers the top so there is not a scar on the weight bearing part of the foot.
Dr Blake's comment: If the plantar incision is in the wrinkle just lateral to the weight bearing
surface, the visualization and ease of removal is worth the scar risk.
Do you have information of which would be the better way to go?
Dr Blake's comment: This is definitely surgeon's preference, and since I do not do surgery, I am
a little out of touch if recent research is involved.
Do you have pictures of the actual procedure?
Dr Blake's comment: Sorry, but I do not.
I think I am coming to terms with having surgery.
Is there a specific amount of time to wait that is suggested before surgery?
Dr Blake's comment: Most wait 6 months to see if improvement is noted with the MRI scans
I know you mentioned it would be acceptable after three months, but is there a golden time frame?
Dr Blake's comment: No golden time frame. These things must be individualized. Top
athletes may have surgery several weeks after injury, you and I years if
treatment and testing showed initial improvement.
Thank you again for the information your blog offers
Monday, January 9, 2012
Sesamoid Injury: Email Advice
This is a comment to one of my posts several months ago.