|Here a dancer's pad to take pressure off the big toe joint and sesamoid area is glued to the undersurface of shoe insert.|
Step 2: Once the Environment is Painfree, gradually increase function over as long a period as necessary to keep the pain level between 0-2.
Step 3: With each plateau in function below normal, and with a pain level between 0-2, search for ways to improve function.
Step 4: If a plateau is stubborn, have your treating doctor send you to several respected healthcare providers (not necessarily in the same discipline) for 2nd opinions.
Step 5: If surgery seems imminent, and all stones have been turned over, do the surgery that is the simplest to get rid of the problem (KISS--Keep It Simple Stupid).
Dr Blake's comments: The 3 sports medicine podiatrists I know well is New York are Karen Langone, David Davidson, and Robert Conenello. The link is below. Good luck. Rich