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sesamoid problems

Discussion in 'Ask your questions here' started by maggie27, Apr 4, 2009.

  1. maggie27

    maggie27 New Member


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    Hi there, I think I injured my sesmoid a few years back but it's been giving me increasing pain for the last year. My xrays show "cystic changes" and my bone scan shows a highly vascular and phosphate uptaking sesamoid. I'm wondering what the "cystic changes" mean....does that just mean it's broken or is there something else going one? Anybody had a similar problem. Also if i broke it 2 years ago will the doc just want to remove it or is it still possible to cast it?

    Thanks!!
     
  2. FootDoc

    FootDoc New Member

    DISCLAIMER:
    THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
    ***********************************************************
    Cystic changes in bone means the finding and appearance of cysts within the bone. There are many different causes of cyst formation, and it is up to the attending doctor to decide whether such cysts need further investigation or not.
     
  3. maggie27

    maggie27 New Member

    Thanks for your reply. Can cystic changes be just due to a old fracture? Thanks!!
     
  4. maggie27

    maggie27 New Member

    I guess i should mention that the bone scan showed my sesamoid as a "hot spot" I'm hoping it's not cancer nor arthritis (as i am in my 20s!!) thanks for any of your help!
     
  5. FootDoc

    FootDoc New Member

    DISCLAIMER:
    THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS-ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
    ***********************************************************
    There are different types of bone cysts, and some may tend to weaken bone, making fracture more likely. I have read of reports of cyst-like cortical defects after some fractures, but as I clearly advised previously, the type of cyst, its cause, its potential for problems and the need for or lack thereof for treatment is something you should be discussing directly with your own doctor or alternatively, one who can examine you.
     
  6. Unregistered

    Unregistered Guest

    cystic changes can be due to an old fracture especially if it hasn't healed properly and if arthritis is present. Arthritis is common after certain foot fractures especially those involving the midfoot (lisfranc) area. I would follow up with the physician that ordered the bone scan to be sure there isn't a new stress fracture or something. Hope this helps a little.
     
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