tag:blogger.com,1999:blog-673715911736059911.post5906745252099767433..comments2024-03-28T02:42:33.170-07:00Comments on Foot and Ankle Problems By Dr. Richard Blake: Sesamoid Injury with Complex Regional Pain Syndrome: Email AdviceUnknownnoreply@blogger.comBlogger4125tag:blogger.com,1999:blog-673715911736059911.post-3107954446124046152014-10-25T11:47:44.174-07:002014-10-25T11:47:44.174-07:00Demineralized bone can take u to 5 years to streng...Demineralized bone can take u to 5 years to strengthen back to normal because you are at the same time using protective weightbearing principles etc. <br />Using an exogen bone stimulator for a 9 month period will definitely reduce the time, but I'm not sure how much time. <br />Fusing the big toe joint is a permanent thing that you can never go back, and it is always a last resort. <br />Glad the MBT shoes were helpful to you.<br />I would not focus on the 5 years because healing is a bell-shaped curve and you can be on one side or the other. Each month continually work on strength, protected weightbearing, anti-inflammatory, and see how the next year goes. <br /><br />Keep going,<br />-RichDr Richard Blakehttps://www.blogger.com/profile/14832893709341945125noreply@blogger.comtag:blogger.com,1999:blog-673715911736059911.post-20142202330307380582014-10-23T23:12:12.955-07:002014-10-23T23:12:12.955-07:00thank you Rich for your reply.. you are a blessing...thank you Rich for your reply.. you are a blessing to all who are suffering out there.<br />oh my god . 5 years...how come a broken sesamoid heals in less than a year while demineralized bone can take up to 5.<br />i don't want to do any sports or running- just want to walk on two legs without pain , like human do.<br />if i buy an exogen bone stimulator , i can reduce 5 years to how much?<br />- also do you recomend toe fusion ?<br /> - i bought a pair of MBT yesterday and wore them with orthotics. they relieved 80%of my heel pain/ it's not the most relaxed shoes but that made me feel better.<br />i have read in many places on french websites that 70% of aldodystrophy of the foot cases can heal in 6-12 month ,and often without leaving any traces.<br />while 30% heal but leaves some traces mainly muscles weakness or stifness, but i don't have any stifness or claw toes so my doctor was reassuring about this part;.<br /><br /> so now i am confused....): after your statment of 5 years. haven't slept yesterday ):<br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-673715911736059911.post-67144140146429703902014-10-22T12:43:30.688-07:002014-10-22T12:43:30.688-07:00I am so sorry that this problem is getting worse. ...I am so sorry that this problem is getting worse. Look at my posts on the checklist for CRPS and see if there are areas that you are not addressing. Calmare Pain Therapy may be the answer so I would check their website for locations near you. You need to see a pain management specialist with interest in CRPS. Definitely orthotics place pressure on the bottom of the foot nerves and can make them unhappy. I love the Hannaford based ones (see the blog) as the best version for support and cushion. Sesamoids that have demineralized can take up to 5 years to strengthen, so continuing a protected weight bearing environment makes sense for at least several years as long as your function continues to improve. Keep me in the loop. You are in my thoughts and prayers. RichDr Richard Blakehttps://www.blogger.com/profile/14832893709341945125noreply@blogger.comtag:blogger.com,1999:blog-673715911736059911.post-78559096530269573072014-10-22T05:06:10.297-07:002014-10-22T05:06:10.297-07:00dear Dr blake -
thank you for your help. who poste...dear Dr blake -<br />thank you for your help. who posted about sesamoiditis that was transformed to algodystrophy.<br />it's me again . i wanted to update you regarding my algodystrophy.<br />after 2 month of relatively fast improvements,i left crutches and started to feel better but <br /> now i am down again and feel this life is seriously a hell hole.<br />there's no more enhancements since the last two month , things got worst and my left leg started to hurt , first i thought it's due to the pressure shifting but symptoms started to become like another algodystrophy, the doctor said , yes they sometimes move , with <br />50% less power than the first time. actually i feel like my pain got some sort of mirroring to the next leg .<br />but i had an Xray and there's no bone dimeneralisation.<br /><br />my main pain mainly comes from my heels - ( since sesamoid and fingers are alleviated) <br />i am really starting to loose hope , i don't go lots of places and this is really affecting my family and my work.<br /><br />i was wondering since i tried more than 5 types of orthotics - all hand made and were adjusted several times - and they all in a way increase pain in both heels, does orthtotics normally put more pressure on the nerves or on the heel ? or this is related to my feet being weaker or... i donno..<br />this week i will consult a neurologist , sicne my pain moves sometimes between both legs , i donno if a neurologist is the right person to see for my condition , since i already seen an orthopedist , and a rheumatologue just to confirm that i don't have rheumatoid arthisis.<br />by the way please let me know as per your experience , how much a sesamoid bone needs as healing time after being demineralized??<br /><br />i never thought that foot problems can destroy a life in this way.<br />Anonymousnoreply@blogger.com