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Friday, February 7, 2014

Friday's Patient Problem of the Week: Fractured Tibial Sesamoid: Successful early progress

Hi Dr. Blake,
I had contacted you back in May or June for some advice regarding a fractured left tibial sesamoid. Following your advice, I got an MRI, which ruled out necrosis (yay!) so I continued on with conservative treatments. I have been using a bone growth stimulator nightly for about 8 months.  I was in a removable boot from March to August and then went to rocker sole shoes with an orthopedic insert. I did PT to strengthen my ankle and foot after coming out of the boot and have recently started to work on your walk to run program. I'm up to 7 minutes walking/3 minutes running x 3, and while it's taking me about twice as long at each level, I am making progress. I got a follow up MRI this week and it showed no more swelling around the bone and bony bridging of the fracture.

So, I'm just writing to report a case of going the conservative (extremely patient) route working. It's been tough, but it's worth it to me to keep the bone and hopefully one day be back to full activity without pain.

Thanks so much for your advice!

Dr Blake's comment: You are welcome. I am so happy for you. Please continue to ice for 10 minutes 2 times a day, and continue the bone stimulator for 2 months longer than you think you need to. Glad the Walk/Run Program is safely returning you to activity!!!

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Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.