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Bilateral bipartite sesamoids

Discussion in 'Biomechanics, Sports and Foot orthoses' started by pgcarter, Dec 3, 2005.

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  1. pgcarter

    pgcarter Well-Known Member


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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
     
  2. Craig Payne

    Craig Payne Moderator

    Articles:
    8
    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
     
  3. pgcarter

    pgcarter Well-Known Member

    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.
    Regards Phill
     
  4. Craig Payne

    Craig Payne Moderator

    Articles:
    8
    Last edited: Dec 3, 2005
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