I have tried to email back on your blog, but it is not working? I have now been to a 3rd doctor and he had me just take a CAT scan. My question is if I do have AVN, how will the bone stimulator still help me? Also I do have orthotics, but I have flat shoes from the podiatrist, what do you feel is better to wear? This all started by running 3-5 miles a day on the concrete. I ran literally almost every single day. I have very arched feet I guess, or so I have been told. I at this point feel my feet will never be the same. I appreciate your time very much, thank you.
Dr Blake's response:
If you want to send me the CD of the CT I would be happy to look at it. Bone Stimulators are perfect for AVNs that have not fragmented. If the CT Scan shows the bone in multiple pieces, then surgery is your best choice. Orthotics in some sort of shoe that seems to protect the sesamoid area would always be the best bet. With flat soles shoes, if you can not wear orthotics in them or some sort of accommodation, there is too much pressure on the sesamoid area. Rich