u/chickengossiper

For sesamoiditis with no bone marrow edema or fracture

confused about boot. Many with sesamoiditis have flares after boot and then recover, but say they are glad they did the boot early on.

If you flare after wearing the boot, how is that different from the original sesamoiditis? If you still have pain after the boot, how was the boot a success? How can you move on from there without a boot but could not move on without a boot before?

If you don’t start PT when in pain at the start of this, how can you start PT while still in pain later? How to know when it’s time for PT?

Maybe my question is really just why aren’t people in and out of boot all the time and instead do boot then do not do boot and move forward with loading, PT, etc to heal.

I see so many stories of “I did boot then things were really up and down and now I’m doing much better.”

Also, how long for boot? How long for nonweightbearing before weightbearing?

The above is for sesamoiditis only. Below is for all:

How can you prevent sesamoidITIS on the other foot in a boot? Would wearing a dancer pad preventively help?

It’s looking like I’m going to be in a boot, if that isn’t clear, but I don’t really know why when the answers to the questions above are so elusive to me. I’ll do it, but I’m just like “what if I only feel better while in boot”

I am SO SCARED AND STRESSED AND READING THIS WHOLE SUB AND DEPRESSED but I DONT know if I’m just crazy. Please help me.

had an injury a while back that required PT and a long healing process so I’m not basing this on absolutely nothing but I do worry I may be, well, losing it.

During some ball lacrosse ball passing with my nephew a couple weeks ago I noticed the bottom of my foot on the big toe area felt a little weird but not quite painful. Because of my last injury, I immediately decided to stop what I was doing. I am really gunshy about my foot and injury now.

Next day barefoot walking near the ball of my foot or maybe on the ball of my foot felt like a tiny trampoline trying to stretch under foot, and I knew something was weird, so I put my old Birks on in a panic. Still felt it some for rest of day, almost like a stretching out feeling at the ball. Over the day it progressed to an 1.5-2/10 super quick pinch on toe off. Very noticable but didn’t make me limp.

Switch to Hokas for grocery store — felt the pinch on some steps but not all. It was definitely in the big toe area. Went to store next day in Hokas — fewer pinches, but still there.

A couple days later I had to go to work so I put on a stiff surgery sandal type shoe with a dander pad and tape. I felt the twinge/pinch/tug with many steps earlier in the day and fewer steps later. This was by far the worst day for the pinching. No pain at rest or sleeping

- over the next few days the pinch ceased and became a mild tug or pressure feeling in the ball but very occasionally. My foot often feels totally fine. HOWEVER, I am also babying it. Low step count. Stiff Birkenstocks only. No barefoot.

- one night after doing lots of poking and testing, I did have some night time pain

Some tests I did during the first week:

—heel raise: minor pinch pain during the start of the rise and come down of a heel raise and no pain in a back lunge. Top of heel raise was fine.
—poking it: Was able to find some bruise like pinpoint pain at ball of foot briefly on the fibular side after provoking it in a hot bathtub. pain did not get worse when pulling toe back. Walking right after that was sore in the area but it returned to baseline
-on day 2 or 3 I had some extremely minor pain when standing on the floor barefoot (just standing) that felt sorr of diffuse on the ball of the big toe but it did not feel sharp or like I was stepping on something at all. It was almost more like something tugging while being squished with a little bruise feeling.

Since then, I have had occasional general feelings in the ball of my foot, which are like ghost tugs or a step here and there that feels a little achey or like a dull pinch. Very occasionally. Continuing to walk after that bruised step or set of bruised steps does not increase the feeling in frequency or intensity. It goes away.

Went to an orthopedic foot and ankle doctor today and he took x rays and tried poking it all around the ball and found absolutely nothing. It was a little sore on the ball when walking after that for the next hour or so and now it’s back to not hurting

I am wearing very stiff Birkenstocks and have been at all times for the past 10 days. I don’t stand barefoot in the shower but if I stand barefoot on the floor I don’t know if I have no consistent symptoms because there’s nothing wrong with me or because I’m being so careful.

No barefoot walking

Much of the time I’m convinced I’m actually insane. My foot does not hurt the majority of the time. It occasionally does something weird and previously got a semi consistent pinch. I’m scared to test it more. I’m compensating on the other foot and taht one is starting to hurt. I’m starting to tell people that I’m in the long haul for a scary foot injury that may or may not heal. I don’t know what to do.

My orthopedic doctor suggested I get into therapy (like brain therapy) immediately. But I know that I felt pinches when walking. I know that I have had pressure pain and a small amount of swelling. I know that when I rub my feet together by accident at night I feel something like pain (but then when I touch I don’t feel it). I know there’s tightness. I know I had a previous injury that took a long time to heal

I just don’t know if I should be scared and of what — the start of this foot thing or my own brain.

Please help me.

Everyone here says treat sesamoiditis immediately. I’m not sure if I’m being extreme but I kind of wished the doctor gave me a boot for 6 weeks. But with the other foot already hurting, how do I move forward? I’ve never been so scared in my life and I don’t want to ignore this and just start regular therapy to convince myself I’m not crazy if maybe I SHOULD be doing something about this. Maybe I should be getting a boot and taking charge of this myself.