I went to a TuNai therapist who aligned my ankle and foot. We watched the swelling go down in that session! Amazing!! Continued 1 weekly TuNai therapy for 4 weeks. Got a custom orthotics boot. X-rays every 3-4 weeks showed little to no change.
Dr Blake's comment: After the first 6 weeks or so, the xrays lag behind the healing, and may not be very reliable. By this time, they are a waste of radiation in general. Best to go by symptoms.
I slowly weaned to walking with custom orthotics in my athletic shoes and have been wearing them to date. I occasionally wear Ugg converse sneakers with purchased orthotics. I added Vitamin Code D3 and a supplement called Repairzyme. I had quit drinking diet soda and caffeine back in September for other health issues.
Dr Blake's comment: It is the osteoarthritis in the joint that I am most concerning with. It suggests you have a healing medial sesamoid fracture (in some stage of healing), and arthritis in the big toe joint that may be chronic.
Dr Blake's comment: Surgeons tend to be blind to the arthritis when they are dealing with bunions and fractured sesamoids. Do not have your sesamoid removed unless you are sure it will not continue to heal and you are convinced that the arthritis is not the major cause of your pain. Arthritic big toe joints cause swelling to collect around the sesamoids, which make them hurt on physical examination.
|Tibial Sesamoid Fracture showing sesamoid fracture line and line extending into the first metatarsal. I would love to see this same image in T2 imaging where the bone is black when healthy.|
|Bottom slice of the foot showing the normal fibular and fractured tibial sesamoid|
|Another view of the fractured sesamoid with no break in the cartilage under the first metatarsal head. However you can see that the consistency of the first metatarsal head is irregular with bone cysts suggestive of arthritis.|