Wednesday, September 10, 2014
Sesamoid Injury with Complex Regional Pain Syndrome: Email Advice
Good morning Dr. blake hope you are doing fine .
Thank you a lot for your help ,
Just wanted to update you regarding my algodystrophy (aka complex regional pain syndrome).
Sorry for the long mail .
I did a new X-ray which shows some areas of bone demineralization in my foot “ including some small stripes on the sesamoids” unfortunately they didn’t give me a CD so I cannot send them to you.
The MRi didn’t show demineralization “ doctor said it’s normal in algodystrophy”
I have the synovial fluid of 4 mm under second metatarsal but doesn’t seems to cause any pain , and doctor suggested it will disappear on it’s own.
I did very good progress after 2,5 month , so now I feel my pain is mainly mechanical ‘ from bone loss” no more nerve issue I guess.
And I did a lot of efforts to relax , since there’s a real relation between pain and stress or anxiety.
Acupuncture helped me a lot , it also removed the inflammation from the sesamoid area like magic from the 2nd session.
and swimming was also beneficial.
I have reduced now my smoking habit. And trying to quit , I know this is bad for blood flow.
I can spend now an “ almost “ normal life with the help of orthotics and 2-3 Advil per day
My pain level vary between 2-3- and maximum of 5-6 – but I keep walking sometimes even with pain , since the doctor told me it’s better for bones to heal faster.
I started to feel now that I might be , from the lucky guys who will finish algodystrohy within 6 month time frame. Still have 3.5 month So I cross my fingers.
I am mostly worried about the sesamoids areas , it is the place where all this hell started for me , and it’s the most painful site in my algo as well.
the original tendonitis injury seem to be gone as you predicted ,
but I was wondering how long it would take for these sesamoids bones to be normal again and make mineralization.
I am afraid to live all my life in orthotics as sesamoid are very stubborn , and I read all those “ horror stories online about people stuck with this hell”
Since my original tendonitis 10 month ago , I have tried several brands and went to professional people for custom made.. bought a lot of shoes..ect
Orthotics always coz discomfort in other areas of the foot as you know , the stress from this issue made me so anxious for 9 month and This is what launched my regional pain syndrome I guess.
and I work in outdoor sales , so life is not fun at all with orthotics.
You told me to wear orthotics full time , and I am doing that now , even at home
Only take them out for the shower or for the pool,
I now wear Reebok easy tone with custom made orthotics , that what I found most comfortable.
but I hope if you can give me the name of a brand that makes classic and formal shoes for men ideal for sesamoids.
Since at work I am supposed to wear a suit with tie and now obliged to wear jeans , I tried MBT but couldn’t balance in it and felt like wearing ladders.
this would help a lot to have something similar to easy tone but formal or classic.
Any other advise for shoes is great.
If I need a bone stimulator and I am abroad and cannot have a doctor prescription here , how we can arrange to buy it ?
And If I do buy them , how this would affect my healing ?
I appreciate your help