Sesamoiditis vs Fracture Treatment Confusion
I’m confused by sesamoiditis treatment because most posts here seem to be fractures or bipartite sesamoids, not typical sesamoiditis. Especially success stories! I think I’ve seen only a couple sesamoiditis success stories. Which is scary. It seems much worse and then surgery doesn’t seem to be an option for all failed sesamoiditis cases without clear bone involvement like BM edema.
Anyway, that said can anyone help with some questions about sesamoiditis if you’ve experienced it and done the research?
- INITIAL BOOT NO MATTER THE SEVERITY
- Why is sesamoiditis often given the same boot treatment as a fracture? Is this just to be safe? I even see this for people who have had it a long time and then get diagnosed — boot.
- WHY NO BOOT FOR FLARES? WHY CANT INITIAL SESAMOIDITIS BE TREATED LIKE A FLARE?
- I read about people having flares for weeks or months. What do these flares look like? Are they as bad as the initial sesamoiditis? I don’t understand why each flare doesn’t mean boot like you’re starting over if that’s how you treat it initially, but that’s because this injury makes no sense to my brain.
And then I guess I don’t see why a very minor sesamoiditis that someone can easily control initially with basic offloading doesn’t get better like a flare would.
WHY NO INFO ON SESAMOIDITIS ON DR BLAKES HEALING SOLE? There are just a few emails he’s shared from people but no guidance for sesamoiditis and a lot of his material is fracture specific, like exogen bone when the bone may be fine
IF SESAMOIDITIS IS MORE COMMON THAN FRACTURE (per studies), WHY IS ALL THE GOOD INFO ON FRACTURES? SHOULD WE JUST TREAT THEM THE SAME?
IF YOU HAVE SESAMOIDITIS AND YOU TREATED IT AS SOON AS YOUR SYMPTOMS STARTED DO YOU THINK YOU COULD HAVE HEALED FASTER?
WHAT DID YOUR FIRST SESAMOIDITIS SYMPTOMS LOOK LIKE AND HOW IS THAT DIFFERENT FROM A FLARE? how often do you have symptoms now and what does your daily life look like?
WHAT ROLE DO YOU THINK PT PLAYS IN SESAMOIDITIS VS FRACTURE TREATMENT? it seems like it would be more important, earlier anyway, since it likely related to mechanics and foot stuff
Maybe I’m being cherry-pick biased because I have “only” sesamoiditis, and it’s just feeling like it’s more hopeless and confusing than fractures because ultimately surgery isn’t always an option, especially if the cause of the sesamoiditis is unknown (which is seems to always be??)