Sesamoiditis?

Discussion in 'Health & Fitness' started by Venetian, Nov 5, 2013.

  1. Venetian

    Venetian Professional

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    Anyone had to deal with it before? I've had it for about 3 years now. Stubborn injury just won't go away. I'm at the point where I just manage the pain now, by avoiding activities that aggravate it as much as possible. I saw a podiatrist for awhile, but he wanted to do surgery and the success rate just wasn't high enough for me. Also had an allergic reaction to a cortisone shot that actually made the pain worse.

    Prior to the injury I was an avid runner. In the military we regularly do physical fitness tests, and in the 3 years since the first signs of pain, I've gone from a 9:30 mile and a half run time to a 12:10, because I just can't put in the training miles anymore. I can still play tennis, but I'm limited to one decent match in a week with plenty of ice and rest in between. I'm not really sure where to go from here. I think I might just be stuck managing the pain for the rest of my life if I don't opt for the surgery, and even that might not fix it. At least I can still play video games regularly though.
     
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  2. ps2dcgba

    ps2dcgba Rookie

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    I had a mild case of sesamoiditis, it put a real dampener on my quality of life. I took 3 months of rest, no running, barely any walking, alot of swimming and gym work, upper torso. I bought some gel pads from amazon:
    http://www.amazon.com/s/ref=sr_nr_n...et+gel&ie=UTF8&qid=1383714421&rnid=2941120011

    And I bought a wooden clog Troentorps, they were murder the first 1 month, once my feet adjusted, I can walk pretty well know for long periods of time. But my advice is rest, massage your feet, goggle trigger points, friction therapy. Would hurt to give it a nice moderately warm soak once it a while. I wish you the best.
     
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  3. Chas Tennis

    Chas Tennis Legend

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    A friend of mine had this injury. He played with pain for a year or so (?) with some play after diagnosis. He had surgery a year ago. He just said that his foot is doing well. The recovery went well. I believe, but I'm not sure, that the recovery was longer than 3 months and shorter than the Dr had predicted.

    He is very fast. Not sure if this has any relevance - He would bust up his shoes in an unusual way - as if the part near near the ball of his foot might be bending a lot and causing the shoe to fail. Shoe would bust up on both sides.

     
    Last edited: Nov 6, 2013
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  4. Cindysphinx

    Cindysphinx G.O.A.T.

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    Yes, I had it. Or more accurately, have it.

    I got it in a yoga class. Did a down dog a bit too aggressively and kind of hyperextended the ball of my foot.

    After waiting for it to heal for 18 months, I saw a podiatrist. He confirmed the diagnosis and said there is no good treatment. They can do surgery, but putting in a pin for a hairline crack in a bone that small doesn't work, and removing it entirely has mixed results.

    Now it has been maybe 2.5 years, I think. I use my orthotics and try not to do things that bother it. It bothers me most when I do lunges, which is a shame because lunges are necessary for my knees.

    So I do the best I can with it. I don't ice or take drugs for it. I just cope.
     
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  5. Curious

    Curious Hall of Fame

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    I can easily say that his has been one of the most frustrating things in my life. How can a bone of such a minute dimension ruin my tennis?
    Have you or anyone else had good results with any sort of treatment? Been suffering from it for over a year now.
     
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  6. dman72

    dman72 Hall of Fame

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    I started to have a problem with it after doing calf raises on a staircase too far up on the balls of my feet.

    I bought these silicone foot bad thingies and wore them in all my shoes for awhile. Now I just wear them playing tennis as it's gotten better. Not fun and really uncomfortable.
     
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  7. RogueFLIP

    RogueFLIP Professional

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    Have you gotten a fracture ruled out? X-ray can miss it sometimes. After a year of suffering, you shouldn't get too much resistance getting an MRI or bone scan.

    Soft tissue work, flexibility, great toe mobility, foot/ankle mobility, looking at the alignment of the entire lower extremity, a gait analysis....all things that need to be worked on with a chronic condition like this.

    And of course if you're not resting it properly....

    Good luck.
     
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  8. Curious

    Curious Hall of Fame

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    Thanks. I stopped playing and exercise completely 6 weeks ago. I feel it only mildy now. Avoiding weight bearing on that side while walking has made the biggest difference along with wearing very soft sole shoes at all times including in the house.
    I'm just too lazy to arrange an MRI. Xray was clear. I'm thinking of giving another 2 months.
     
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