I got a fracture for a while but recently diagnosed. Glad I found your video bc it has helped more than my podiatrists advice! Thanks!

Thank you so very much for making these videos and especially for addressing people's personal situations in the comments. Reading people's stories and your responses is very helpful. I was told that there wasn't much anyone could do to help me but you've given me some new ideas. I have a bipartite medial sesamoid and second plantar plate tear (confirmed in one foot and suspected in the other). It's been 3 years, 2 podiatrists, 2 pairs of custom padded orthotics, thousands of dollars. Physiotherapist told me to stop wearing orthotics if they were painful and go for super soft but stable shoe with a rocker. I've ended up with hoka one one Bondi 6 shoes (great shoes for anyone wondering about them) with a high support insert and a small rectangle of padding under the insert between the arch and ball of my foot. This is better than the orthotics but I still can't walk or stand without pain. I have been walking on the outside of my feet for a year and now have fluid in joints from poor biomechanical function. Do you think the dancers pads are suitable for someone with a tear behind their second toe? Padding in that spot tends hurt. I have knee injuries and if I reduce the padding too much there, my foot tends to roll in. I don't want to make the tear worse. What is the likelihood of any improvement on such an old injury? Thank you again for your amazing videos, Richard.

Great video. Thank you for taking the time to do this.

This is so useful as I can do the well for the feet ❤

Thank you so much for the knowledge in this video. This is the best video I’ve found on this topic. I first felt pain in my big toe October of ‘19 but I didn’t get it checked out until January of this year. I was put into a boot for more than a month and after that was in custom orthotics with a dancer pad until now. I still haven’t run or stepped foot on a soccer field in this time and after walking for awhile I’ll feel slight discomfort/pain probably around 2-3 level. My questions are these: My podiatrist didn’t really recommend any icing at the time, but would I benefit at all at from contrast bathing at this point? Is it doing any use if I continue to rest and try to heal the bone at this point or is it too late where any healing that could have happened is done? I’m not sure at this time how much activity to reintroduce into my life.

Hi and thank you for the very informative video. Question: if I do all of this for my fractured to be sesamoid, is it possible that I could be pain-free without having surgery for mal-union fracture? How do I know if I should continue with these conservative measures in your video versus have surgery for removal of the bone?

Hi Dr. Richard, 3 weeks ago I was diagnosed with a displaced sesamoid fracture on my left foot after something heavy fell on it. The sesamoid essentially broke in half, so two pieces. I was told to immobilize it for 2 weeks then see if walking is painful. It is, so I’ve continued to stay off it. The more I read the more nervous I get. Can a displaced sesamoid fracture heal? Two doctors (not podiatrists) who looked at the X-ray were optimistic but I’d like your thoughts. Is continuing to non-weight bear a good idea?

Thank you for your earlier reply - Also, Do you think bone stimulator stilll worth it? Bone is almost healed on xray... Thanks for your input!

I saw an x-ray of my tibial sesmoid. It was broken. It didn't appear as if the two pieces of bone were touching each other. When I immobilize, will those bones have a chance to come together and heal, or is a tiny screw needed to put it back together?

Thank you so much for the video. I had a fibular sesamoid removed and now my tibial sesamoid is causing me pain (not broken). My doctors are going to inject me to see if that helps but they said that later on we might consider removing the tibial. What happens when you lose both sesamoids? Are the any big risks I should be aware of? Is this something normally done?

Would you recommend trying prolotherapy for a sesamoid fracture? I was in a cam walker for 4 months, asymptomatic for 4 months after that but the pain has returned (though the pain seems to be closer to the big toe joint now/ not as close to the sesamoid as it was). Thank you!

Please help me. I had great toe arthritis for years and it got to the point the injections stopped working; it was bone on bone. I heard about the Cartivia implant and my podiatrist did the surgery. Within 2 weeks post op, I knew something was wrong. After X-Ray it was clear it was a failure. I had researched and knew of the Arthosurface Hemiimplant. My doctor did not feel I needed the total implant. That there was not enough damage on both sides. It was a great sucess,: however, after 6 weeks I noticed an awful burning on my sesidemoid area and pain when walking in addition to pain in the outside of the toe , the distal phalanx. I went back to doctor and he gave me Meloxicam. I wanted him to take an X-Ray but he didn't . I have been taking this for two weeks and it's still very painful. I've read about dancer pads but I never had this pain until the Cartiva failed. I've read this is not uncommon with failed Cartvia. I'm heartbroken because the joint pain is gone but now I'm having such pain with the mentioned areas.

Hi Dr Blake! Your videos have been so so helpful, thank you so much. I was diagnosed with a fibular sesamoid stress fracture in July and I wore a boot for 8 weeks. I’ve managed to successfully wean out of the boot and can weight bear comfortably now and have regained good balance. That being said, I am still experiencing some tenderness on the sesamoid with weight bearing/walking etc, is this normal? The pain has significantly improved which seems to be positive but I know how fickle this injury can be and my doctors aren’t giving me much advice... any advice you can give will be much appreciated! Thanks, Grace

I had a surgery removed half of the sesamoid so you think if I go back to my job which is unload the truck push a heavy two wheels and drive it that s main a lot of action going in my job you think it my effect my oder part of the sesamoid

Hello Dr. Blake, I have been dealing with a sesamoid fracture since Nov 20th 2019. I had some pain in my foot for a few weeks, so I went for physiotherapy (yes, without a diagnosis). After 6 hours I woke up in agony, the pain was unbearable. I did an xray and an MRI and showed a broken medial sesamoid. I am located in Athens, Greece and I have visited 6 doctors (2 specializing in athlete injuries), and I have to tell you, I have learnt more from your videos and your blog than from any of them. The last doctor (who seemed to be the most knowledgeable one out of the lot) told me I have to do physiotherapy to help it heal (deep oscillation therapy and magnetotherapy). I have done extensive internet research, but I can't find anything solid, let alone on the effects of such therapies specifically re a sesamoid fracture, and I was hoping to hear what your opinion is on that? I have had it in a walking boot for nearly 2 weeks, then switched for a walking shoe (I even sleep in it). I have stopped going to work so weight bearing is at a minimum (I even shower sitting down), and I ice pack 4 times a day, and I keep doing some strengthening (floor) exercises to ensure my legs don't atrophy, still, I feel as if I got my injury yesterday - zero betterment... I am traumatized from my first experience of physio, and I know it is going to be a long process to get it healed one way or another, I am so scared to do anything that will worsen it, and given you have become my somewhat virtual doctor and the one I seem to trust the most even if I have never met you I thought of asking you... thank you

if you don't have any visible swelling and the pain subsides after 2-3 days is it still a possibility you have a sesamoid fracture? The pain was only minimal to begin with and I could still bare weight and walk on it. It comes and goes for me usually after a long run or if I step directly on a rock on the sesamoid region but it always goes away completely and I don't feel anything anymore after about 3 days.

Thank you for the video. The exercise you showed must be done with or without shoe? And may be some information about the "dancing pads"?

It got a bruise, then it kinda hurt now it's so so I can't walk could it be broken thanks

Hi Richard. I've had pain on my right foot for 6 years now and have had to quit all running activities. MRI shows that my medial sesamoid close to my big toe is in three parts and also shows edema. I have done conservatives treatments but none have worked. A doctor has talked about doing a bine craft to it, but another doctor suggested Mober Osteotomy in case a ENMG doesn't show sings of nerve damage on the foot. Is this info helpful for you to be able do give me some direction?

Hi Dr. Blake, thanks for your great video and materials in general. An MRI states that I have a stress reaction in both of my sesamoids in the right foot (worse in the fibular one). I feel very little pain, but don't want them to fracture! My podiatrist put me in a CAM boot but, even wearing an evenup on my left foot, I'm experiencing hip pain. I don't want to further injure myself, so was wondering if I could do anything instead and for how long. Any suggestions are welcome! Maybe my Hoka Bondis with spica taping and Dr. Jill's 1/4 dancer pads, plus icing / elevation / daily contrast baths? Any ideas on how long healing from stress reactions usually takes is also welcome!!

I have a fibular sesamoid fracture with avascular necrosis. I tried a PRP injection almost 3 weeks ago, however, still feel pain, especially when walking. I am miserable from walking around like this for months, especially since I am a very active person. In your experience, how successful is PRP for this type of injury? I am ready to give up and have surgery to remove it as I feel like it is the only thing that will help at this point. Does removal of sesamoid have a high success rate?

Would it be a mistake to put on a ski boot and ski when I’m five months out from A non-union tibial sesamoid fracture? Other words, if I decide to go skiing, could this possibly set me back in my recovery? Thank you.

Hello Dr. Blake. I fractured a sesamoid in my left foot in January. In my stubbornness I didn't get diagnosed and start treatment until June. It has been almost two months in my boot and I just started using Exogen. However, I have the hardest time staying out of the gym. My podiatrist says I can't even use the recumbent bike. Working out is a big part of my mental health treatment. Can I still workout with this injury and while I am in my boot?

Dr Richard. Sesmoid fracture that was never treated 40 years ago. Both bones. Now arthritis set in. Other complications. Told by Cedar Sinai Top Surgeon 8 years ago to get surgery. I am in my 60’s. What a mess. I can barely walk but have no choice to keep moving. I am screwed.

Hi. I have been given a diagnosis of a likely AVN sesamoid bone. There was no fracture, or particular injury, but rather a more gradual pain situation. Would Exogen bone stimulator treatments possibly revitalize the bone?

I went 6 months on a fractured sesamoid without knowing it because it was misdiagnosed at urgent care. I then went a year trying the non-invasive treatments (post op shoe, full cam walker, bone stimulator and custom orthotics) before having the sesamoid excised. Now I’m about 2 months post op and I have reduced mobility in my big toe and numbness around the scar and the inside of my big toe near the web. Is this something I’ll have to learn to live with or can I do some specific exercise to gain more mobility and feeling?

18 yr old xc runner with sesamoid fracture - currently weaning out of the boot (he has been in it for 11 weeks), sesamoid fracture is healing according to xray, and he has been casted for orthotics. Still swollen and there is some pain (less than before). Would contrast bathing help him? We know this is a long process. Just want to get him out of boot and back to some activity (not running - yet) Thank you!

Hi dr I need your advice plz I'm a rad technician but just 2 days bak I got fracture in right foot sesamoid and dr put plaster on it in er only fr 5 days will that help becz I'm suppose to return to my work after 5 without plaster but one other dr suggested to have it for Atleast 2 weeks to take off any pressure on sesamoid very confused as I'm working plz guide me as my sesamoid is split in two pieces now after fracture thanks plz reply

Do you know of a doctor you would recommend in nashville Tn. I am on my 3 rd sesamoid problem in the past 9 years.

Around April time I fell on my big toe doing my trampoline routine, my big toe became swollen and very painful immediately and I couldn’t walk . My X-ray showed a creak all the way across my sesamoid bone on my right foot. I was told it’s most likely ligament damage and he said it is normal to have a creak through a Sesamoid bone, is this true ? The doctor put me in a Boot for 4 weeks and I took 6 weeks off trampolining. 6 mouths on I’m still with the same swollen Sesamoid throbbing pain and shot in pain in the bone when I walk. What could this be ? And what should I do?

I had a stress fracture of the fibular sesamoid due to low vitamin D levels. It was a nonunion that didn't heal on it's own. I had the sesamoid removed plantarly last November. I've started to experience very slight swelling around the healed scar and on the inside of my big toe. When pressure is applied to a specific area on the scar, there is a sharp pain and I feel tingles all the way up into the inside of my big toe. Could this be nerve damage that needs to be assessed by my podiatrist?

I never had problems with sesamoid stress until after my big toe fusion. Is there hope?

Hello sustained a sesamoid fracture that was missed by first Dr so no immobilization for the first 2 months. 1 month ago properly diagnosed and put in a removal boot. X ray last week(after4 weeks in boot) showed little if any healing. Dr is trying to get permission for CAT scan although I requested MRI. Then hopes to get bone stimulator. Already talking about removal of not healed in eight weeks after stimulator. She has mentioned nothing about calcium or Vit D or padding to prevent stress on sesamoid. She talks about the delayed diagnosis and doubts it will heal. I am willing to do anything to save this bone if at all possible. Any suggestions?

Do you start the magazine strength training even in the first 3 months?

I have a new podiatrist who told me I had bi partite seismoid and a bone spur on one, but did nothing or suggest nothing but surgery. What can I do to heal and get better without surgery. Should I get a boot? MRI , New podiatrists.

Do Dr's know for sure that Insurance don't cover the Exogen bone stimulator?

Hi ,I am suffering from a sesamoid fracture for over a year and still have some inflammation and lot of pain on my foot. Ive seen many orthopedic surgeons for opinions but every time I lose hope. I don't know what to do and where I should go for proper treatment. Please help me out.

What if my big toe not flat on the ground what should I do next??

Hi Dr Blake, I've had sesamoid pain for nearly 5 months. I've been to 2 different podiatrist but I don't see a change. My second doctor ordered an MRI and I'm currently waiting for the results from my MRI. However, I'm not sure I can trust the second doctor either. No doctor talks about examining the affected area, they just palpate the ball of the foot and say it's sesamoiditis. When I tried to explain to the 2nd doctor about me having a plantar flexed first metatarsal, he looked at me weird. He already talked about doing a sesamoidectomy. That scares me, I don't Wana go there, he also talked about steroid shots... I don't want aggressive approaches that could affect my life for ever. I was wondering if you do online consults? Could you review my MRI if I send it to you? I'm in southern California area. Please help me out. Thank you.

Seems like everyone is scavenging for answers pertaining to this injury as we all suffer from it. I have had my sesamoid in my left foot fractured for 5 years now. I wear custom orthotics and the hoka cliftons. I still suffer from it. Is there any hope for me or am I stuck with this forever?

I've been pretty active on a sesamoid stress fracture for 3-4 mnths (without knowing it was fractured, just got a boot)..am I screwed for long- term healing?

Hello. I broke my sesamoid a few days ago. As I am a footballer, I'd like to ask if return to this kind of sport is possible after this injury? And how long is a revovery usually untill back on a pitch?

my foot started hurting after volleyball practice one day and my trainer told me to get it x-rayed so I did and they didn’t see any fractures or anything so I continued to play. a few days later I couldn’t walk on it so I got it re-x-rayed by a foot doctor and there was a split straight down the middle of my sesamoid bone and he thinks I was born with it but he’s not completely sure because it wasn’t on the other foot so he gave me a steroid shot which did more harm than anything and then put me in a boot for about three months. nothing was improving and he started talking about surgery so i left and I saw a sports medicine Doctor Who told me the boot wasn’t doing anything but making my ankle weak so she told me to go get shoe inserts made which I did and they’ve helped a lot and I continue to ice after i over use it and I use a NYNEX medicine machine that is basically shock therapy and it seems to help sometimes but it’s been over a year since I was put in the boot and I’m playing volleyball again with my shoe inserts and I tape my foot but I’m still having bad pain when I’m playing but I don’t wanna have to get off of it again because next year is my last year to play on a travel team, do you have any recommendations?

My podiatrist told me I could do nothing to heal the sesamoid fracture because we could not determine how it happened and it likely had been fractured awhile. I am not convinced of this but want your opinion

I have had a fractured sesamoid in my big toe for well over 5 years. It was originally thought to be a bunion due to an unclear x-ray so I missed the window for immediate treatment. I have since tried ultrasound therapy and to no avail, there is still pain and the fracture remains. I wear custom orthotics that help float the sesamoid in both shoes since my other big toe has had problems as well. I have been told removing the bone leaves little chance of a full recovery and results in a bunion (which I already have). My doctor has told me that I should simply wear these orthotics in all of my shoes for essentially the rest of my life as there is not much else to be done, noninvasive wise anyways, to help get rid of my pain. I'd love to hear what you think about this.

Hallo Dr. Blake, Ich leide seit 3 Monaten an einer Sesambeinfractur. Da kein Röntgenbild gemacht wurde wurde der Bruch des Sesambeins anfangs nicht erkannt. Nach 7 Wochen habe ich dann auf ein MRT gedrängt. Der Befund vom MRT ergab dann die Fractur mediales Sesambein. Auf den Bildern ist ein deutlicher Riss zu erkennen. Dieser klafft an der äußeren Seite auf und beträgt an der äußeren Stelle ca. 3 mm. Der Orthopäde hat mir einen Vorderfussentlastungsschuh verschrieben. Ich mache mir sorgen nie mehr normal laufen zu können. Ich bin jetzt seit 4 Wochen zu hause. Ich soll drn Fuß ruhig stellen. Ich habe dass Gefühl, dass eine absolute Ruhigstellung so nicht gewährleistet wird. Muss die Ruhigstellung nicht mit einem Air cast Walker durchgeführt werden? Sehen Sie Möglichkeit, dass ein 3 mm klaffender Bruch wieder zusammnenwachsen kann? Für eine Antwort bin ich Ihnen sehr dankbar. Vielen Dank. Grüße dirk

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