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Foot Care (Podiatry) (Expert Forum)
First metatarsal joint pain on the bottom of both feet.
Answered by
Yena H Do, DPM - skin allergies, foot/ankle trauma, foot pain, bunions, Hammer toe, compartment syndrome, foot surgery
Cambridge Podiatry
Cambridge - MA
Questions in the Foot Care (Podiatry) forum are answered by Dr. Yena Do. Topics include: Athlete's feet, Bunions, Flat feet, Foreign body, Fractures/foot pain,Fungal infections, Hammertoes, Instability, Morton's Neuroma, Nail fungus, Pediatric curly toes, Pediatric in-toe gait (pigeon toe), Plantar fasciitis/heel pain, Sesamoiditis,
Shin splints, Warts.
First metatarsal joint pain on the bottom of both feet.
by russva, Sep 23, 2009 02:44PM
I have a purple-red bruise the size of a quarter under my medial sesamoid bone on both feet, causing much pain. The bruises began 8 months ago shortly after I began wearing hard orthotics and a higher stability shoe. I stopped wearing the orthotics and shoes 6 weeks ago. Multiple podiatrist and orthopedic doctor visits have resulted in the diagnosis "we could operate and remove or shave the sesamoids, but it may not help; or, learn to live with it." MRIs and Xrays show good bone and ligament structture. I have been off work for 8 weeks with very minimal walking. I have tried acupuncture, chiropractic, cortisone injections, oral and topical anti inflammatories, hot water, cold water, Epsom salts, rest, and the following homeopathic remedies: arnicare cream, traumaheel cream, symphytom officinale and alpha lipoic acid. Of these attempts, the only noticeable improvements came after the cortisone shots, cold water and rest. I can't walk - what can I do? Should I try a softer orthotic?
Doctor's Answer
by Yena H Do, DPM, Nov 02, 2009 06:15AM
, Nov 02, 2009 06:15AM
have your podiatrist put you in a removable cast. place a thick sole liner on the bottom of the cast with a cut out for the sesamoids. if you wear this for 6 weeks, this usually calms down the sesamoids. if it helps, transition to an orthotic with a sesamoid cut out and wear them in shoes that are not flimsy.
you may also want to try wearing MBT shoes that have a rocker bottom. this helps to take the pressure off the forefoot when you walk. refrain from walking bare foot on hard floors.
you may also want to try wearing MBT shoes that have a rocker bottom. this helps to take the pressure off the forefoot when you walk. refrain from walking bare foot on hard floors.
