I have a fractured left tibial sesamoid. It probably started as a stress fracture from running in a new pair of shoes last September. I didn't get an x-ray until January, at which point it was shattered into 3 pieces. My first doc (sports med) told me it would never heal and that I'd need to learn to manage the pain. I pushed back against that a little, and he suggested no running for 8 weeks and a follow up x-ray. The follow-up showed it still fractured, so he sent me to a podiatrist for orthotics for pain management.
The podiatrist put me in an air cast and prescribed an exogen bone stim machine. Unfortunately, insurance made me wait until the 90 day point to get the bone stim machine. So, I wore the cast, partially non-weight bearing (anything outside the house I did on crutches) for 6 weeks, and waited for the bone stim machine. Got the the 90 day x-ray and it showed, "further deterioration." I've now been using the bone stim machine for 30 days and got the follow up x-ray to see if it's working. The bone is still further deteriorating and my doctor suspects avascular necrosis.
I'm scheduled for an MRI on Monday to get a better look at what's happening. But, he's saying that the chances of healing are minimal at this point and that the best case scenario is that my body absorbs the dead bone and I can avoid surgery.
Thoughts on that?
I don't have direct access to my x-rays, but I have seen them and there is a clear progression of the sesamoid becoming fainter and fainter on x-ray, to the point that this week's x-ray it's hard to see the contours of the bone.
Thanks for any feedback.