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Sunday, June 30, 2024

Chronic Sesamoid Pain: Possible Relationship to the Presence of Bunions

This is a great review of something I think about, but probably do not consul patients regarding. The blog patient commented to me how their chronic sesamoid pain could be related to a developing bunion. This is true since bunions are produced by a malalignment of the big toe joint and that malalignment can be a cause of chronic inflammation in the joint. Where does inflammation in the big toe joint tend to settle? Well, gravity pulls the swelling down around the sesamoids. So, one or both sesamoids can hurt on examination even if they are not injured themselves. This can lead to inappropriate sesamoid removal. You can get some idea of the role of the bunion has on the sesamoids by treating both the malignment and inflammation for a good two weeks. This would include toe separators or bunion taping (both can be found in this blog), and contrast baths each evening as a deep flush. You have go two full weeks to check, and not wear tight shoes that shove the bunion in the wrong direction. Hope this helps some of you guys. Thanks to the person who sent me the article!! I will answer them privately. 

https://www.sciencedirect.com/science/article/abs/pii/S1268773111000154

1 comment:

  1. Hey there! My name is Jon 29 and I’ve been dealing with a fractured sesamoid bone for about 14 months now and nothing is getting better I’ve seen 2 doctors and the first didn’t help much but the second did give me a steroid shot to the ball of my foot which did help with some pain..this new doctors opinion is that the bone is so fractured that’s there’s no way to repair it and will need to be removed..I’ve seen a lot of mixed reviews on this and as to how it won’t really fix the pain in in need of some help here and hope you can give me some advice on what to do I’ve taken every step as far as icing tie raping Nettie orthotics and even a Morton’s extension..I’ve recently started contrast baths and I do get some relief..only been about 3 days so I will give it more time but I need to know if surgery is really my only option o hope to hear from you doctor

    ReplyDelete

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.