Today I got a question from a doctor who wanted to know what I would do with a runner after surgery to remove non-healing sesamoid fractures in both feet.
You have two sesamoid bones under the big toe joint in each foot. When one of them develops a stress fracture, it can break.
If it breaks into two pieces, it can be very difficult to get the broken sesamoid to heal completely.
If it doesn’t heal, becomes arthritic and turns into what we as doctors call a “sesamoid fracture non-union” your doctor may recommend surgery to take it out.
Today on the Doc on the Run Podcast, we’re talking about what to think about when a doctor is trying to rehabilitate a runner after tibial sesamoid non-union removal surgery in both feet.View Details »
Sesamoid injuries can be serious and can keep injured runners running.
Sesamoids are small fragile bones and if they become inflamed and turn into a stress fracture they can crack, break and become permanently damaged. If you have surgery to remove a permanently damaged sesamoid bone, your foot will never be the same.
Our guest today went through a long battle with a sesamoid injury and then got back to marathon training.
Today on the Doc On The Run Podcast we are talking with Isabel about the strategies she used to recover from sesamoiditis and start training for the London marathon.View Details »
Just today I got an interesting question from Victoria, who has been suffering with a bad case of sesamoiditis which has been keeping her from running.
She saw an orthopedic surgeon who who thinks there is scar tissue around the sesamoid bone restricting the range of motion and causing the pain under the big toe joint.
The doctor explained to her that one other conservative option, which might help her avoid sesamoid surgery would be a corticosteroid injection which is sometimes also called a Cortizone injection.
So her question was:
“How exactly do steroid injections help? Do they break up scar tissue? The orthopedic surgeon told me to be cautious about doing steroid injections, but I never got a clear explanation as to why.”
Today on the Doc On The Run podcast, we’re talking about the good and bad of cortizone injections for sesamoiditis in runners.