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Any ortho docs on here?

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Old 08-31-2016, 03:07 PM
  #16  
jdistefa
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It is very rare to fracture a sesamoid. Most likely you have a bipartite sesamoid, i.e. congenital failure for the sesamoid to fuse into one piece. Not uncommon.

Within the limits of internet medicine, more likely you have sesamoiditis (google it). Donut padding, soft footware, rocker shoe, avoidance of impact activities, cortisone injection, time are all reasonable approaches. Excision is an absolute last resort and is a salvage procedure for intractable pain.

The plantar fascia extends to the forefoot and occasionally someone will have metatarsal rather than heel pain with this condition. However if you have pinpoint tenderness over the sesamoids then.... obvious.

Last option is to buy a 944 or SPB and simply not brake
Old 08-31-2016, 03:27 PM
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jlanka
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Originally Posted by jdistefa
It is very rare to fracture a sesamoid. Most likely you have a bipartite sesamoid, i.e. congenital failure for the sesamoid to fuse into one piece. Not uncommon.

Within the limits of internet medicine, more likely you have sesamoiditis (google it). Donut padding, soft footware, rocker shoe, avoidance of impact activities, cortisone injection, time are all reasonable approaches. Excision is an absolute last resort and is a salvage procedure for intractable pain.

The plantar fascia extends to the forefoot and occasionally someone will have metatarsal rather than heel pain with this condition. However if you have pinpoint tenderness over the sesamoids then.... obvious.

Last option is to buy a 944 or SPB and simply not brake
Thanks for all the data. I actually am tracking a SPB...



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