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Bilateral bipartite sesamoids

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  #1  
Old 3rd December 2005, 04:46 AM
pgcarter pgcarter is offline
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Default Bilateral bipartite sesamoids

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Have not actually seen him yet, but know he's coming, imaging confirmed, frequent and increasing pain, any ideas about most likely most effective conservative tx please.
Regards Phill
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Old 3rd December 2005, 05:22 AM
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Craig Payne Craig Payne is offline
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1. Don't assume that being bipartite is part of the problem (though it may well be)
2. Rule out flexor hallucis longus tendonitis
If "sesamoiditis":
3. "Moblisation" of the sesamoids and 1st MPJ to increase movement often big help
4. Offload: adhesive felt if very painful or accomodation in a full length orthotic (prefab or prescription) if not so painful
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Old 3rd December 2005, 04:53 PM
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Hi Craig,
I am expecting to see something else or the 1st mpj contributing to pain, as you infer, plenty of assymptomatic bipartite sessamoids out there I would think. Thanks for your input.
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Old 3rd December 2005, 05:17 PM
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The whole role of 1st MPJ mechanics in the symptoms of "sesamoiditis" is something I am just starting to appreciate ---- but still not sure completly what is going on.

There was also this thread we had on sesamoid pathology:
http://www.podiatry-arena.com/podiat...read.php?t=595
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Last edited by Craig Payne : 3rd December 2005 at 05:49 PM. Reason: Added link to other thread
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