How long could conservative treatment take for a stage 2

My wife had a disectomy 6 weeks ago, She is having really bad pains and cramps in the s1 area of the foot, She strugges to walk and sleep, She is taking Lyrica 150 mg 2x times a day , Will this settle down?

Excellent assessment of the issue.

I have mild disc bulge l4 l5 and l5 S1. And extreme arch pain in foot. I am really thinking about surgery. Could you please suggests me better option

My sesamoiditis developed after bunion surgery due to over correcting. I’ve had this condition for five years.

I had a weird cramp in my foot followed by extreme pain in this area. The next morning it was blue and purple/swollen. Extra didn't show any fractures and the dr didn't know what it could be. Two weeks later I am still in a boot and can see a lump in that area that isn't on my other foot. I felt like a muscle or tendon could have popped. Is that possible in this area? I am at a loss and don't know if I should go for another opinion.

I have a herniated disc and extreme degenerative disc disease in my SI-L5. The past few weeks from that 4th toe on out has been extremely painful especially when I walk. Almost as if you had walked 10 miles and your feet were tired or when you wake up in the morning and your feet need to stretch. But this feeling hasn’t gone away even with massages. I didn’t know it could be related to my back injury so I haven’t spoke to my doctor about it. They never asked if I had pain in my feet! I didn’t know they could be related. I will definitely tell him about it at my next appt.

My osteopathic doctor used to do this with just paper tape and you didn’t eat all that other stuff and it didn’t irritate your skin because it’s paper tape. Let’s just make it easy folks.

Thanks

This video explains things well. Thanks for the deeper explanations.

I broke my big toe and they buddy taped it. And it's been hurting 💔

Finally a video that explains clearly without wasting time, how to strap up a broken toe ! Thank you 👍

I would like to know who painted this woman's toes? 🤣

Coban is not waterproof so you need to change it every day.

My entire heel hurts. The doctor told me I have plantar fasciitis and I need to just stretch it as much as possible. So that's what I've been doing and it's not getting any better.

What is the point of this taping? The toe already doesn't move?

This video explained to me the issue. I am diagnosed with l5-s1 disc desiccation. (small left central annular fissure). No pain at all in my back but I feel electric shocks from time to time in my right foot (L5 Heel and S1). Did a nerve test on my right leg and all good. I am looking for treatment to stop the electric shocks.

Wow here I was getting ready to invest something. Thank u so much. Please provide link to purchase items

Should these be done daily or every other day

Nice dr blake

What if the 2nd and 3rd are both injured? Do you still tape the 2nd to the 3rd or big toe?

She got all her steps in for the day! Great video

I believe I’m at stage 1-2, as my feet have a small bump and my big toe is a little closer to the middle. How do I help it before it becomes 3-4?

HOW HAVE I ONLY JUST FOUND THIS VIDEO AFTER YEARS OF RESEARCH & FOOT SPECIALIST APPOINTMENTS?! I HAVE THE EXACT PAIN IN THE AREA IN THE LAST SECTION, LIMPING ALL DAY EVERY DAY& I RECENTLY HAD AN MRI ON MY SPINE WHICH SHOWED GENERAL DETERIORATION FOR MY AGE BUT THIS COULD BE WHY?! FINALLY SOMEONE SAID IT, I KNEW I WASN'T THE ONLY ONE! THANK YOU DR! - FROM THE UK!

Do you start the magazine strength training even in the first 3 months?

I didn't get why the arc is supported by taping along with anterior tibialis tendon and not posterior tibialis tendon, while patient has PTTD?

Is Moore Medical now McCesson Medical? Trying to order recommended 1/4 inch felt adhesive. Thank you!

Thank you

Is there any soles too correct my right ankle from turning out?

I can't believe how much research it took for me to get here. 4 years of doctors and PT's telling me it's impossible to find the cause of my foot pain because of clean imaging and difficulty recreating the pain during the exam. They would act so irritated when I told them the pain was complex and unpredictable and generalized around a certain area. They'd brush off my questions about the pain possibly originating from a different area. They were in disbelief that it kept getting worse with treatment and rest. Whenever I googled "pain after injury heals" all I could find was info on neuroplastic pain (controversial). Whenever I tried to research referred pain, all I could find was facia info (also controversial). The only people who ever agreed with me on everything being connected were alternative medicine doctors. I can't believe none of these traditional doctors ever referred me to a neurologist. They just told me there's nothing else traditional medicine can do for me. Thank god my GP referred me to a neurologist for carpal tunnel, maybe there actually is hope for me after all...

Hello, I have a stress fracture of the I lateral sesamoid, did MRI, doing streches for calf muscl, but I don't know which insoles to buy, maybe you can recommend me, which ones better to buy, I'm thinking about ortho shoes too. Thank you for the answer :)

Wow. I have dex. scoliosis of lumbar spine and hyperlordosis of L/S part. Also bulging disk L4/L5, cyst on L5/S1, bursitis on L4/L5, Tarlov cyst S3-right. I have lumbar back pain, hip pain, muscle cramps, tingling, and last few weeks stabbing/burning pain in feet, especially right foot outside, around heel, both big toes pain (not all the time), and sometimes pain in my thigh bellow my right buttock. I work as a waiter and walk around 10-15 km and this pain in my legs and feet are killing me. I'm 40 y.o. but feel like I'm old lady.

Thank you so much first of all for marking the toes 1-5. Mine is 4. I couldn't remember which one to tape it to until I watched your video. I can't thank you enough this is the way my podiatrist did it while living in Miami he was the best podiatrist I've ever had. For many reasons beyond that. He also so educated with my Rheumatic disease A.S. haven't found one yet that knows beans about that and certainly not here in TX anyhow thanks again❤

What if you have flat feet and no arch ?

Helps alot. : )

This is walking because at no point does one of the feet leave the ground whole the other is planted.

@angelica225 I did, it took me about 3 years but i did. I am going to list my best advice/ recommendations/ mistakes, but keep in mind that i dont know what point of your sesamoid fracture journey youre at, your lifestyle/ work and body composition (which play a role in your recovery journey). You will be okay, it will take some time but eventually you will be fine! The Game Changers: First, you need to keep the weight off 24/7 for a long time. Google 'post op shoe for broken toe', and get you one. If you wake up at night because of the pain, buy 2, so you use one while you sleep. I lived with this shoe for about a year, but i was lucky because that year was the first pandemic year, so we were locked in so i wasnt being mobile that much. After a few weeks i could take it off while laying down. Then I used it on and off for about another year (there was a lot of trial and error, I will elaborate on this later on). After that, I searched for a long time shoes that I could walk in and then be okay (the pain will come and go for a long time before it disappears forever). I live in Greece so the weather permits it, and for the first time in my life I bought berkinstocks - they were they only ones that gave me freedom of movement. (Again, this was for my foot, I have severe flat footness, so im sure that played a role. So search around for your foot and see - forget heels for about 2 years. Second, you need to take care of your nutrition. This is the fuel your body uses to heal itself (build it too). Any inflammatory foods (especially sugar, breads, alcohol, processed foods) is your enemy. Stay away, your body will thank you for it. Inflammatory foods affect your body's immune system, cardiovascular system, brain chemistry - everything you do not want to be doing right now. Third, no smoking or at worst minimize to the max. You need to understand your sesamoid bones are floating bones, this means they are not a part of your skeletal system. Such bones get their nutrition through micro vessels, which smoking kills. Inflammatory foods also affect if those micro vessels will deliver nutrients to your sesamoid bones. Fourth, exercise. This comes in 2 stages. Stage 1 is when youre in excruciating pain, can't walk, hating life while being in the immobile stage. Exercise will become your daily motivation and source of endorphins - your happy chemicals. You need those now. At this stage all your exercises are on the floor, on a mat. You need to keep your legs strong, both of them, and your core too. Here I will introduce to you Caroline Jordan. Without exaggeration I owe her my whole recovery. Check this link out: kzbin.info/www/bejne/mGe9i2SMl5uXhbs Her videos made me stronger. I practiced yoga for 10 years before my injury, run every day, I was super fit - working out with Caroline Jordan's videos, I swear I was so much stronger after the injury when i got back on my mat. I couldnt believe it. Also, swimming if you can, sign up at a gym with a pool (swimming became my new running). Stage 2 comes when you can bear weight, and can walk on it a bit, without it afterwards getting swollen. Here you do serious strength training. Find an excellent personal trainer with specialised expertise in body rehabilitation - you dont play around here. This person is going to help you jump again. You need someone to push you through, while making sure it wont break/ hurt again. I can't stress this enough, you need a person who knows the correct steps to eventually get you back to jumping. And you will work with them for at least 2 years (I still go once a week). I had a collection of videos on 'Sesamoid strengthening', the folder i have kept public so you can access it. These were videos that I saved back then because I learnt/ gained something for my healing journey, but its been a long time, so I dont remember which ones were top, apart of course of this video by Dr. Richard Blake (which is on the list), and the the link above of a video by Caroline Jordan. Anyways, here is the link where you can check the other informative videos I had found back then on sesamoid strengthening: kzbin.info/aero/PLGk-epq1csvSrnM_K5vPYgy5ETACjyCtv Here is a link to another folder I made 'broken foot exercises', youll find 100 videos i had saved to keep me in shape during the different stages of my rehabilitation journey. These were of 'short' duration: kzbin.info/aero/PLGk-epq1csvQegrLyTXxD8PgIGM4q7Z_0 I had compiled another folder 'broken foot long exercises', 35 videos of longer workout routines, here is the link: kzbin.info/aero/PLGk-epq1csvSKZdn11kf6pWuYepyThwyw. Fourth, sleep. You need to have a good nights sleep. It is during the night when you sleep, your brain releases the chemicals that then, in 2 words, go around the body to heal/ repear damaged cells. You miss that window, you might sleep but you dont get the real benefits of sleep. Make sure youre asleep max by midnight. This is a period in your life where you focus on your body and put it first. Last your psychology. This is a long marathon, it will take time, discipline, but you will be able to jump again. I keep on saying jump because for me that was the ultimate goal. I dont know how you got your fracture, but mine was a stress fracture (overuse). If you also got it like this use this rest time to ponder why and learn something from this. For me, that fracture ended up being a blessing a disguise - i changed gears after that, respecting my body, you'll see you'll come out of this respecting your body and its ability so much after this. You'll never take walking for granted ever again. Keep your spirits high, this is only a phase, it gets better, and in due time the pain will disappear. But it is a long journey. And there will be a lot of trial and error as i mentioned earlier. What i mean is, what I experienced was, when i was able to walk again, even start doing very timidly and very humbly basic yoga, on the one hand i was scared to push through that fear of risking to break it again and relive all that pain, and on the other hand, to keep my ego in check. For example I would think 'oh yeah I can walk now 3 blocks with my berkinstocks' and then end up having to stay immobile again for 3-4 days because it ended up getting super swollen. Also I foolishly hurt it again twice, seriously hurt it once I had to go back to the shoe for a whole month. Be careful when you're starting to use your foot again, but make sure you dont get stuck in your mind about it. Dont worry if you do something and the pain is back, just keep the weight off for a couple of days, use the special shoe again, and youll be back to normal again. So there will be some back and forth going on in your healing journey. Be patient and respect and listen to your body. If you want to ask me anything, feel free. I remember how i felt when i got it, but this summer i danced on heels at a wedding for 10 hours, so eventually youll be fine trust me!

Where can I order metatarsal pads?

I have this issue and get cuboid pain after prolonged walking. I can't even flex my foot for a day or so. 😑

Hallo Dr. Blake, Ich leide seit 3 Monaten an einer Sesambeinfractur. Da kein Röntgenbild gemacht wurde wurde der Bruch des Sesambeins anfangs nicht erkannt. Nach 7 Wochen habe ich dann auf ein MRT gedrängt. Der Befund vom MRT ergab dann die Fractur mediales Sesambein. Auf den Bildern ist ein deutlicher Riss zu erkennen. Dieser klafft an der äußeren Seite auf und beträgt an der äußeren Stelle ca. 3 mm. Der Orthopäde hat mir einen Vorderfussentlastungsschuh verschrieben. Ich mache mir sorgen nie mehr normal laufen zu können. Ich bin jetzt seit 4 Wochen zu hause. Ich soll drn Fuß ruhig stellen. Ich habe dass Gefühl, dass eine absolute Ruhigstellung so nicht gewährleistet wird. Muss die Ruhigstellung nicht mit einem Air cast Walker durchgeführt werden? Sehen Sie Möglichkeit, dass ein 3 mm klaffender Bruch wieder zusammnenwachsen kann? Für eine Antwort bin ich Ihnen sehr dankbar. Vielen Dank. Grüße dirk

This is a great post about the nuances of gait analysis. For many patients, doing a gait analysis can help so much in getting the right orthotic prescription! Thanks Dr. Blake!

UK here, let down by the NHS repeatedly, now onto my second private podiatrist at great expense but your website and videos have greatly helped a mid 20 year old who is struggling greatly with this! Thank you for everything you do

very helpful and educational! thank you!

left side?

Went to the podiatrist today and this was the area that was sore and I had all the symptoms, it’s been 3 weeks. Have been in a boot for that time but they told me 2 more weeks and gave me a steroid injection into the joint where the sesamoids are. They didn’t exactly give me a specific name for the diagnosis other than saying it was a joint and soft tissue injury with fluid buildup/swelling but did an xray at least. They said I had a slight bunion which showed on the xray. This video was very helpful, just like what my podiatrist did to assess the issue. Thanks! I hope mine gets better and that it isn’t permanent, it would be great to avoid surgery but the pain from it is so sharp and tender and unbearable to walk on without my walking boot. I just want to walk normally again and use my toe.

The instructions about the anterior not supposed to help are priceless!!! So I do not do exercises from each segment right from the get go , but start with range of motion only, then go through the variations and then move up to isometric and functional?

Your thumb is pressing on my Nerve enervation. That medial pain just under the maleosis is exquisitely bad and it’s so relieving to have it recognized.

What does S stand for?

Where your thumb is in the middle is where most of my pain is. It feels like it is bruised. The soreness is all around where you pushed but the main soreness for me is where you kept your thumb

Im not sure but it looks like he’s already showing signs of bow-legging!