Sesamoid Evaluation and Treatments

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[@vincevarriale3294]

I sure wish a podiatrist of your caliber was in my area

[@pauliukzz]

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 :)

[@drblakeshealingsole]

Thanks for the comment. If I was to pick one shoe, it would be the Hoka Bondi. It is a low heel, rocker type shoe with great stability. However, Hoka shoes have 3 different rocker types (early, balanced, late) and one may be just better for you individually. Check out stores that sell Hoka when you have alittle soreness, and see if one of the Hoka rockers feels better for you. When you are in alot of pain, getting bike shoes with embedded cleats to walk around in can immobilize the area. For insoles, you want a full length Sole or Powerstep that you can place off weighting pads. Please see my blog at www.drblakeshealingsole for more info. Hope this helps. Rich

[@pauliukzz]

@@drblakeshealingsoleOkay thank you very much. If I would buy Hoka Bondi shoes, do I need to change insoles for them into orthotic insoles or maybe I can wear without changing the insoles, which way is better?

[@drblakeshealingsole]

They do different things. The shoe stops the toe bend and the shoe insert should be used to off weight with dancers padding

[@FranklyScarlettFaced]

I wish you were my physician!

[@eri7-11]

omg I'm in Japanese countryside, no podiatrist. It hurts bending forward and backward and the long tendon and on the outside. OUCH!!!!!!!!

[@gelidsoul]

What if it's comorbid with turf toe injury?

[@drblakeshealingsole]

Thanks for the comment. Turf toe is far more challenging then sesamoid injuries. The instability caused by the turf toe at the big toe joint must be assessed, and surgery decided based on that. It is really hard to sort all the symptoms out when there is more than one injury at a time. The simplest, and may be the best, is to surgically fix the ligament damage while removing the damaged sesamoid. Is that the best? For some yes, for some they may heal on their own. Rich

[@gelidsoul]

@@drblakeshealingsole thank you so much for your reply! My hunch is that it's a dislocated sesamoid but only time and an mri will tell. Thanks again.

[@eddiemuise4791]

Yes having issues with my big toes on both feet when I try to walk they hurt I'm also dealing with a hamstring injury and calcification on the left leg

[@bronzethunderbeard1572]

ugh I've been dealing with pain in my sesamoid for about 2 months now - I recently got into climbing and absolutely love it and cannot see myself stopping. But after one particular session where I wore shoes that were a tad too tight for the entire session and was really bending my toes hard - the sesamoids hurt afterwards, particularly in my right foot. When I got home I massaged my sesamoids rather aggressively and I remember feeling and hearing some crunching. I couldn't even walk the next day after doing this and they haven't been the same since =( feel like I have constant sesamoiditis and don't know what to do

[@drblakeshealingsole]

Hope you are feeling better now?

[@dingdong6005]

How are you doing now ?

[@bronzethunderbeard1572]

@@dingdong6005 I am doing great in regards to my bunion in my left foot. Pain is minimal, still do toe circles and some of these movements. Climbing is pain free for the most part. Some thing I feel like I’ve learned are important to bunion/foot health to be doing along sides movements and stretches like this video. Shoes. Get ‘barefoot’ shoes or any shoes that have minimal cushioning and plenty of room for your foot to feel the pressure of the ground and be able to spread out more. I’m sure a contributing factor to Bunions comes from wearing tight shoes with lots of cushion as well. Another thing I’ve found in my research over the past year with bunions that I’m going to try is squatting with toe spacers in all your toes. I hope it helps. Also there is definitely a big element of ‘moving through the pain’ when it came to bunions. The toe circles can hurt but when I started to do them slowly and moved through the pain, it helped in the long run for sure.

[@prboop1007]

hi I fractured my sesamoid bone in February. still haven't heal . I'm so frustrated..

[@drblakeshealingsole]

Please see my blog called drblakeshealingsole for alot of information. I hope it helps you. Rich

[@henryboey6918]

I am diagnosed with this condition. I have pain in the balls of my foot. I might have damaged the nerve as well since throughout the day I'm feeling needle sensation at rest and burning sensation at night. Honestly, I don't know what to do anymore.

[@drblakeshealingsole]

Henry, I find that sesamoids as they heal get overloaded with both nerve pain and inflammation. Therefore, at the same time you are off loading the sesamoid to let it heal, you have to work on the inflammation and nerve sensitivities. Some podiatrists are good at this, with the nerves being the hardest to manage. Carefully, using little compression, warmth, massage, topicals like Neuro One, and neuro flossing, you can start moving in the right direction. Rich

[@hollysmith4262]

Would you recommend while in a walking boot to wear the walking boot while sleeping? Would you recommend immobilization while sleeping to help the healing process?

[@Spreadlove5683]

I've been dealing with a sesamoid nonunion for years. If you have a fracture, I would not recommend wearing the boot at night. I started to get athletes foot from not letting it air out enough. Honestly, I don't recommend using a boot at all except for when walking (with an orthotic like a dancers pad in it). You can more or less feel what hurts, and I think the weight of the boot is no bueno sometimes. Any sort of movement while weight bearing (even on the heel of your foot) is a big no. Also, even going through the motion of walking without weight bearing (on crutches or something) is also a big no. I think you can feel your foot more sensitively without the boot.

[@martinwright1575]

I've been dealing with sesamoiditis on both feet for about 2 years now. My last MRI (which I got last week) shows mild bone edema on both of my medial sesamoids. It's not getting worse, although it's not getting better either. I'm a runner. At one point I took over 2 months off, and the pain only got worse. Nowadays I'm running (although much less than before getting injured), and I feel like the pain is always worse walking than running. What can I do? It's supposed to be a "MILD" sesamoiditis, but I'm feeling miserable and I want to heal once and for all.

[@FranklyScarlettFaced]

Ballet for me. I’ve had such a struggle bc it’s comorbid with so many issues in my feet, esp the mtp joint. Have had surgeries but avoiding sesamoid removal surgery. Improvement after surgery, but still no to low range of motion. Obviously will never dance again but can stand and walk more. Wearing a toe spacer relieved pressure while it’s in. I don’t Know how to find other than a dance wear vendor - the toe spacer we wear between great toe and second toe joint in pointe shoes

[@hens13]

@@FranklyScarlettFaced A cortisone shot into the sesamoid area helped me, I’m still hurting but not as bad, can also look into MLS laser therapy

[@zhaochenli761]

Hi, have you recovered? I felt I am in a similar situation, my MRI showed “very mild hyperintensity in medial sesamoid”, and it is just not getting better:(

[@martinwright1575]

@@zhaochenli761 I haven't. I was misdiagnosed and my problem was bilateral hallux limitus. I'm in pain 24/7 :(

[@zhaochenli761]

@@martinwright1575 sorry to hear. So in the end it’s not sesamoiditis that’s giving the pain?