I have just retired. My time now can be more involved in this blog I started almost 14 years ago. One of the injuries I write about, and treated extensively, was sesamoid fractures. I just received emails from two readers about sesamoid injuries. All doctors will treat injuries slightly differently. When I read the article below, I would emphasize the importance of some treatments more. But, overall the article is well written. Exogen bone stimulators are a must to me. 3 months of cast or bike shoe immobilization is very important. Daily contrast bathing. Evaluation of Vit D and overall bone density is crucial. Orthotic devices with off weighting the sesamoid needed. Spica taping to limit big toe bend can get patients back into activity. Avoiding NSAIDS since they can retard bone healing. Ice activity aggravation. Hope this helps. Rich
What so you think of ESWT (shockwave) or PRP to also aid in sesamoid healing ( to increase blood supply)?
ReplyDeleteHi Dr. Blake, do you have an email/ phone number I can reach you? I understand you are retired so if you are unable to help that is understandable, but I find your blog very informative! I am on my sixth doctor to see for my tibial sesamoid issue. It is believed I have AVN but I am young and hesitant for excision. I am also a very active individual. I have taken 2 MRIs (10 months apart) with no change. I have been immobilized for many months as well as using the exogen bone simulator. Thanks in advance!
ReplyDelete