A member asked:

How long does a "full" recovery usually take after a sesmoidectomy? worst little injury i have ever had and i have had a lot. i am over 12 months post op and still have pain and possibly related "referred pain" to the base of my 4th and 5th toes at the

A doctor has provided 1 answer
Dr. Howard Fox answered

Specializes in Podiatry

You : You have two sesamoid bones, but since you made reference to an injury, i'm going to assume you fractured your tibial sesamoid, which is the one furthest away from the pinky toe, and the one more exposed, less protected, and more susceptible to injury. The sesamoids act as fulcrums and are invested in one of the flexor tendons near the bottom of the big toe, and their purpose is to give more leverage (power) to the flexor tendons as to equate the power of the extensor tendons. When a tibial sesamoid is removed, two things are usually also done: the extensor tendon of the big toe is lengthened (to offset the loss of power of the flexor tendon after the sesamoid is removed), and a special type of repair is made to the joint capsule of the big toe to prevent it from turning in, which can occur after the tibial sesamoid is removed. So not only are you facing the consequences of walking on this thing for a year, but you also probably had more stuff done than just have the sesamoid removed. Nevertheless, now at 12 months post-op, you shouldn't really be limping. I recommend you get a second opinion.

Answered 10/3/2016

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