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Answered in 1 minute by:
3/19/2013
healthydoc, Board Certified Physician
Category: Neurology
Satisfied Customers: 1,986
Experience: Board Certified U.S. Neurologist
Verifiedhealthydoc :
Hello and thank you for your question.
healthydoc :
You mentioned that you have a broken sesamoid bone?
healthydoc :
If so what are your symptoms?
Customer: Yes confirmed by*****s
healthydoc :
okay. Is movement of big toe limited?
healthydoc :
As you have tried the medications and shots the only option can be surgery.
healthydoc :
Bone removal surgery can help to remove the broken bone.
healthydoc :
When a sesamoid bone is broken , surgery may be done to remove the broken pieces. To remove the sesamoid on the inside edge of the foot, an incision is made along the side of the big toe. The soft tissue is separated, taking care not to damage the nerve that runs along the inside edge of the big toe.
Customer: What more would you suggest I try at this point? I am in a lot of pain the area where the ? Neuroma was/ is , is very painful and especially the pad below the big toe.
healthydoc :
Surgery is your best option at this point.
Customer: I do have fibromyalgia, Klipple Trenaunay syndrome if this would have any effect on it. But the other leg is the one effected with the Klipple Trenaunay
healthydoc :
For Klipple trenaunay syndrome usually compression stockings along with medications and iron supplements are prescribed.
Customer: Surgery on what? Exploratory or to remove part of the sesamoid that may have broken off or to also look for a small pinched nerve that does not show on the MRI ?
healthydoc :
Not likely fibromyalgia or Klipple Trenaunay syndrome is not related to such pain.
healthydoc :
Surgery to remove the sesamoid bone.
Customer: Doing all that for many, many years... Was cardiac coordinator
Customer: Any side effects expected from that?
healthydoc :
Than you can try Endovenous thermal ablation.
Customer: ???
healthydoc :
You have two seperate issues in both legs.
Customer: Yes
healthydoc :
No side effect but after bone graft surgery Patients usually wear a cast for up to four weeks. Then they wear a short walking cast for another two months, at which time active exercises can start.
Customer: I have pre osteoporosis will that effect the graft?
healthydoc :
No not likely as in this surgery they are removing the bone itself.
Customer: Thank you for your time. You were very helpful have a good day!
healthydoc :
You're welcome.
healthydoc :
If you have no further questions than please rate my answer positively.
healthydoc :
Thank you.
healthydoc, Board Certified Physician
Category: Neurology
Satisfied Customers: 1,986
Experience: Board Certified U.S. Neurologist
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