Sesamoiditis/Sesamoid Fractures

[Guest]

I am 46 year old male that is very active. I recently took up outdoor inline speed skating. After about 3 months of increased intensity and distance I started feeling pain in both balls of my feet. I had them X-rayed and found the left foot had a fractured sesamoid bone (Tibial- I think) the one farthest from the other toes). The pain has basically gone away after I quit skating, though it was starting to last longer after every skate. There is little tenderness and I can walk and ride my bike with no pain at all. I had a surgeon look at it and he suggested possibly 3 weeks in a cast. I went back to the 1st doctor to have it x-rayed again to see if had started to heal any and he suggested a bone scan. He seemed to think it might be an old fracture and thought it would help to see if it was capable of healing. Frankly, I'm not sure what to think. My insurance for some reason, will not cover the bone scan, and I wonder if it is really going to help. Any suggestions.

Rick

[Guest]

A bone scan would be able to give you a definitive diagnosis to see if it will heal. However, most sesamoid fractures do not heal back together. Instead, they grow fibrous tissue between teh two bones and this works well and most people have no pain. Therefore, if the pain is going away, I would not spend the money on a bone scan. Good luck and please write back if you have any further questions.
[quote] I am 46 year old male that is very active. I recently took up outdoor inline speed skating... [/quote]

[Guest]

Thanks for the information.
Are you saying that it would not help to cast it at this point?

Can I do exercises that do not cause me any pain, like cycling, and by doing this will it prevent the area from at least growing the fibrous tissue between the two bones?

How good is this repair vs the normal bone healing?


[quote] A bone scan would be able to give you a definitive diagnosis to see if it will heal. However, most sesamoid fractures do not heal back together... [/quote]

[Guest]

A cats would probably not help at this point. I would continue to exercise as long as it is not causing pain.The fibrous repair versus normal bone healing is obvioulsy not as good but most people never have pain once this occurs so it is still quite good.
[quote] Thanks for the information.
Are you saying that it would not help to cast it at this point... [/quote]

[Guest]

My condition is a little different, but I thought that I would send you my condition to see if you have any suggestions. I hope that you can help.

Title: Edema in sesamoid bone and soft tissue
Post: My MRI shows that I have edema (swelling or fluid) in the fibular sesamoid bone and in the soft tissue under the bone.

1. What treatments have people had with this condition and which ones have been successful?

2. Has anyone done nothing and had the condition reverse on its own and the area become pain free?

3. What orthodics have worked?

4. What doctors have had a lot of experience and success with this condition?

Thanks for your help, golfer55



[quote] A bone scan would be able to give you a definitive diagnosis to see if it will heal. However, most sesamoid fractures do not heal back together... [/quote]

[daiseedi]

Thanks for the information.
Are you saying that it would not help to cast it at this point?

Can I do exercises that do not cause me any pain, like cycling, and by doing this will it prevent the area from at least growing the fibrous tissue between the two bones?

How good is this repair vs the normal bone healing?

A bone scan would be able to give you a definitive diagnosis to see if it will heal. However, most sesamoid fractures do not heal back together...

I am a 48 year old woman who runs. I recently was diagnosed with sesamoitis. However, in 1991 I did have a fracture of my sesamoid and I did wear a cast for 5 weeks and it helped tremendously. It was a long 5 weeks but when the cast was removed, the pain was gone. It's now 16 years later and I I am having trouble again with inflammation but I do not have a fracture. I just wonder how long it's going to take as I love to run and am not able to at this point.