Sesamoiditis treatments with Prolotherapy

Danielle.Steilen.ProlotherapistDanielle R. Steilen-Matias, PA-C

In this article, we will discuss the problems and treatment of big toe pain centered on a diagnosis of sesamoiditis.

If you have questions about Sesamoiditis treatments with Prolotherapy, get help from our Caring Medical staff

The sesamoid bones of the foot are tiny bones. They are among the very few bones that are not attached to other bones. It is important to know this because the sesamoid bones then act in a unique way in their function to help transmit muscle force in the foot. As they are only attached to the tendon of the flexor hallucis longus muscle, the sesamoids can then act independently like a fulcrum in a pulley, distributing weight and the force that is required to move that weight. Like the fulcrum the tiny sesamoid bones can properly distribute force and weight far in excess of its own size.

So you have a tendon, with force and weight on both sides, balanced by the sesamoids. When that balance is disrupted by injury or overuse, the tendon becomes irritated and inflamed and a diagnosis, mostly affecting runners and dancers  of sesamoiditis is made.  Standard treatment for sesamoiditis include rest, ice and special shoe pads. Unresolved sesamoiditis pain involves removing the sesamoid bones.

Doctors at the Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, Edinburgh, Scotland have published their findings on various stress fractures that affect athletes. In discussing sesamoiditis, the Scottish researchers found:

These researchers have found, what others have, a lot of contradictory studies. One report says 100% of athletes can return to their sport with conservative care, while another says 100% of those in conservative care eventually move onto surgical intervention. Clearly there can only be 100% of anything and these numbers offer contradiction.

In research from the Department of Sports Medicine, Palo Alto Medical Foundation doctors suggest:

Sesamoiditis Pain Treatment

Doctors writing in the Bone and Joint Journal suggest that patients with hallux valgus may require different approaches and that a variety of surgical options are offered because one is best suited for each specific type of hallux valgus.3 However, even choosing the correct treatment for each specific condition can leave the patient with ongoing problems.4

Rest and ice are two treatments that can actually inhibit healing. What’s needed in this type of pain is regeneration of weakened structures. Rest and ice both inhibit blood flow, eliminating any chance of the body’s immune system repairing the weakened area. A better option is Prolotherapy, an injection technique that induces inflammation, ushering in healing factors to strengthen the weakened area

 

If you have questions about Sesamoiditis treatments with Prolotherapy, get help from our Caring Medical staff

1 Robertson GA, Wood AM. Lower limb stress fractures in sport: Optimising their management and outcome. World J Orthop. 2017 Mar 18;8(3):242-255. [Pubmed]

Saxena A, Krisdakumtorn T. Return to activity after sesamoidectomy in athletically active individuals. Foot Ankle Int. 2003 May;24(5):415-9. [Pubmed]

3 Robinson AH, Limbers J: Modern concepts in the treatment of hallux valgus. J Bone Joint Surg Br 2005, 87(8): 1038 – 1045. [Citation]

4. Hauser RA, Feister WA, Dextrose Prolotherapy with Human Growth Hormone to Treat Chronic First Metatarsophalangeal Joint Pain. The Foot and Ankle Online Journal 5 (9): 1 [Citation]

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