1 doctor weighed in:

Sudden onset pain MTP joint. Xray showed bipartite sesamoid, no fracture. MRI identified only reactive marrow oedema, what are my treatment options?

1 doctor weighed in
Dr. Jeffrey Kass
Podiatry

In brief: This is a difficult

Thing to treat. You can try custom orthotics with a built in dancers pad.
If you work out or excercise you will have to stop for an extended time period. The sesamoid bone is small and the blood supply very tenuous so you need to be very cautious. Other options include crutch walking for a couple or weeks or wearing a stiff sole shoe so you don't propulse at the mpj allowing rest of the joint.

In brief: This is a difficult

Thing to treat. You can try custom orthotics with a built in dancers pad.
If you work out or excercise you will have to stop for an extended time period. The sesamoid bone is small and the blood supply very tenuous so you need to be very cautious. Other options include crutch walking for a couple or weeks or wearing a stiff sole shoe so you don't propulse at the mpj allowing rest of the joint.
Dr. Jeffrey Kass
Dr. Jeffrey Kass
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