Is there actually any hope for a return to play?
I developed sesamoiditis at the end of March 2026, so it’s been about 4 months now. I’ve seen both a podiatrist and an orthopedist, but frankly neither have been much help.
The podiatrist did:
- An X-ray (nothing on it)
- Custom orthotics (targeted my flat feet, but didn’t offload the sesamoid at all)
The orthopedist did:
- An MRI (revealed mild medial sesamoiditis)
- Prescribed prednisone and meloxicam (marginal effect, temporary)
- Technically prescribed PT but they never called me
I bought Hoka Bondi 9s and Hoka recovery slides, which are very comfortable, but I still don’t seem to be getting any better. I’m using dancer’s pads too, which are comfortable, but again, I’m still not healing. I’m also trying to do PT at home, but to be honest, without professional guidance, I’m skeptical that this is actually doing anything.
When I first got symptoms, it was just the feeling of a tendon in my first MTP snapping to the side, then I inflamed it and it was painful for 2 weeks, and I’ve been painless ever since. About 3 months. But that tendon is still snapping to the side and the MRI still showed marrow edema. So in a nutshell, I haven’t actually gotten any better since I first developed symptoms. Zip. Nada.
I’ve been out of play (fencing) for about 3 months. And at this rate, it’s starting to look like my sesamoid will never heal past being “mild”. Online, they claim it takes a few months to heal, but this seems pretty fake to me considering I’ve had absolutely zero improvement in that time. So yeah, is there actually any hope for me to go back to fencing soon? I can’t and won’t wait a year.
And no, I can’t get a sesamoidectomy. It’s incompatible with fencing.