Dr Blake's comment: In this scenario, immobilization in any form should be avoided. Even non-weight bearing on crutches makes the swelling worse, since weight bearing removes swelling if it can be done with little to no pain in a protected fashion.
Any advice on the whole idea of complete immobilization? Could orthotics for the pre-dislocation syndrome have made me get sesamoiditis? I'm obviously now afraid of any more treatments since everything seems to have made it worse, although maybe that was just going to happen on its own, not sure.
- Immediately begin to see a pain management specialist to help control the pain symptoms, and pervent this going forward towards CRPS.
- Use the crutches with the cam walker and sesamoid pads to allow as much healthy weight bearing as tolerated.
- Purchase some OTC Neuro-Eze online and massage into the tissues 3 times per day.
- See if your body can tolerate contrast bathing twice daily with the ratio of 1 hot to 1 cold water.
- If the orthotics do not take enough pressure off the sesamoid, go back to have them redone for you will need this soon to help wean off of the boot.
- See if you can find a flat hiking shoe (even if it is 1 size larger) that is stiff and limits the pain in the sesamoid area.
- Ask your PCP for an Rx now of Lidoderm Patches.
- See my blog post on the CRPS checklist to look at all the areas to explore to get this under control. Good luck!!!