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What is the lateral semoid?

(3 discussions)

What does it mean to have fluid in/along the lateral semoid (they said around the big bone that goes to the big toe)? What causes this and what needs to be done to treat it? This showed up in an MRI I had 2 days ago and was told to follow up with my podiatrist but he won’t see me. I need to know if this is something to worry about or not. Would going to an orthopedic doc be helpful or should I call my insurance and get a new DPM? I was also fitted for an aircast today (have to wait for insurance approval to get it), will that help with this? Thanks for your help.Karen

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    9 10

    I have extreme pain along my foot (the inside) up to my ankle. It has gotten more intense with time. They did the MRI to see if I tore ligaments or tendons. They said nothing is toren and that the RSD is spreading up my leg. So I’m not sure if this pain is from the fluid build up or the RSD, therefore I’m very confused. I was told to follow up with a new DPM and have an appt. this week with a new female doctor. Can having the fluid built up there cause intense pain to the point you can’t walk? Is there anything I can do to reduce the fluid? Can this be a serious problem or is it nothing to worry about? I was told the fluid is along the large bone going to the big toe and between the large and small bone also. I also found out that when the pain management doctor does the spinal cord stimulator placement he has changed his mind, he is placing 2 leads rather then 1 which was his inital plan. This has been 6 1/2 months or torture for me and I’m so ready to be free of pain.Again thanks for your help.

    Vivian Abrams DPM

    9 10

    There are 2 sesamoid bone that sit in the flexor hallucis brevis tendon under the 1st metatarsal head. They function to increase the mechanical advantage of the tendon when the foot “toes off”. Seeing fliud is a frequent notation on MRI’s. It needs to be corrolated with symptoms. As far as switching doctors, as I have suggested to you previously, you need to be able to get your questions answered.

      Vivian Abrams DPM

      9 10

      I am not an expert in RSD so I can’t really say for sure. It is possible that the swelling is due to this. It would seem almost impossible to distinguish between the possible causes of pain in your foot when there is RSD present. Usually sesamoid pain is localized under the 1st metatarsal head and big toe.

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