David Risley wrote:
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I have been diagnosed with the sesamoiditis. Even with an orthodic, built to offlift the presure from the area, it is is still not adequate to resume work. My doctor is hesitant to do a sesamoid removal. My question is this, why is this not a good idea? What are the draw backs of this operations. What could a concern for this procedure. Ive got to get back to work. Ive been out for over a year. Need to find some answers.
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Conservative treatment should be throughly tried before deciding on a surgical course. But that trial should not generally take a year or more. In my view, that is a completely unreasonable time to be out of work with sesamoiditis. First, you might want to obtain a confirmatory second opinion.
But if you do have sesamoiditis, I assume your pain is beneath the tibial (medial) sesamoid. Most sesamoidectomies work out just fine if performed with skill and care. But, as the tibial sesamoid is invested within the tendon of the medial head of the flexor hallucis brevis, sesamoidectomies which are not performed so as to inflict minimal damage on that tendon can sometimes result in a drifting of the great toe into valgus (in the direction of the 5th toe, as in a hallux valgus which is a frequent part of a bunion deformity)as the lateral head of the muscle will dominate, especially if the medial joint structures are not adequately repaired. Proper surgical technique can generally avoid such a complicaton, but I am often reluctant to perform the procedure in a patient already demonstrating some hallux valgus.
The other question is . . . Does you doctor DO surgery? |
