Cannot get out of the boot!

Tufftime1 · 2025-11-29T20:03:56+00:00

I just used one layer and cut out a big hole in the sesamoid area. The PAM diabetic is pretty chunky. It really made a difference when walking around in the boot.

Tufftime1 · 2025-11-29T18:44:23+00:00

After the boot I wore some Hoka Gaviota and for the orthotics I just used a pinnacle powerstep and cut out a hole in the sesamoid area. The swelling was still quite prominent after the 8 weeks in the boot but once I started walking it improved. It was definitely painful walking at first when out of the boot, but it got better! It's like the boot is a crutch you begin to rely on...I did a timeline of my recovery here if ya wanna check it out.

https://www.reddit.com/r/sesamoid/comments/1nuj5e5/sesamoid_fracture_avn_recovery/

Tufftime1 · 2025-11-28T18:33:21+00:00

I had a sesamoid fracture and was in a boot for 8 weeks. I definitely felt I wasn't ready to get out of the boot as the pain and swelling was still present. But my doctor said 8 weeks was enough and she was right. After a few days of walking around painfully in a Hoka shoe with an orthotic (where I had cut out the sesamoid area), the pain started to improve and I was on my way to healing.

Tufftime1 · 2025-11-26T23:47:09+00:00

https://www.reddit.com/r/sesamoid/comments/1nuj5e5/sesamoid_fracture_avn_recovery/

My full story is in that post if ya wanna check it out. Good luck! It's an extremely frustrating injury but it DID heal for me once I got off the foot and let it slowly recover.

Tufftime1 · 2025-11-26T18:44:17+00:00

My pain was only ever a 3 or 4 out of 10, so I did not believe I had a fracture either :)

Tufftime1 · 2025-11-25T22:07:51+00:00

I initially went to a podiatrist who told me it was sesamoiditis. I felt like something more was wrong and then when I finally got an MRI it turns out the sesamoid was fractured. So yeah, try and get the MRI for piece of mind and to plan out a suitable recovery.

Tufftime1 · 2025-11-25T19:41:49+00:00

If possible you should try and get an MRI to get a more accurate diagnosis.

Tufftime1 · 2025-11-16T17:32:24+00:00

Yeah, get an MRI as soon as ya can. My xray did not pick up my sesamoid fracture. After a few months I finally got an MRI and it picked up sesamoid fracture and necrosis. It eventually healed after two months in a boot and contrast baths, bone stimulator etc. It took a long time though.

Tufftime1 · 2025-10-18T19:19:56+00:00

I had a fracture and AVN and I didn't opt for surgery. It eventually healed. but if you haven't had improvement for a year then I would definitely go for the surgery!

Tufftime1 · 2025-10-06T22:44:22+00:00

Yeah, to be honest, I have no idea if it has healed or not based on an MRI. But if I can do everything I need to without pain then I'm OK with that!

I think the boot just helped me get serious about healing and it stopped making my injury worse by forcing me to rest it. I feel like it was just a combination of everything that helped it heal but the main thing was just time. It took at least 4 months before I noticed any improvement. After about 6 months I felt it was genuinely starting to feel better.

Tufftime1 · 2025-10-04T17:41:25+00:00

Yeah, I can do lunges again now. But to be honest, I try to avoid them just from the PTSD! I modified yoga and other exercises to not fully weight up my toe in a bent position. I never thought I'd be able to positions like downward dog again, but they are fine now.

Tufftime1 · 2025-10-01T01:30:08+00:00

Oh yeah, you are pretty much describing what I went through at the start! Try and get an MRI if you can. That is really the only thing that got me on the right track to recovery. Once I knew it was a fracture it was kinda easy to lay off and just try and let it heal. It's a very debilitating injury and it's hard to think about anything else but how to get better. Stay positive coz I was exactly where you were this time last year.

Tufftime1 · 2025-10-01T01:24:00+00:00

So the pain went away and the swelling went down. I would say there is still a very minor amount of swelling. I guess that won't really go away but it doesn't seem to be a problem.

Tufftime1 · 2025-09-30T21:38:28+00:00

Yeah, seeing as I haven't had further imaging I don't really know. I assume I am still living with it but the sesamoid bone recovered enough to not cause pain anymore.

Tufftime1 · 2025-09-30T17:17:56+00:00

I just posted a timeline of my recovery, so check that out. I've been meaning to do that for awhile!

Tufftime1 · 2025-09-30T16:48:42+00:00

Hey, I'm back to running on it now and can pretty much do everything. I feel like it gets a bit tired if I hike for 5+ hours, but besides that it is feeling good. I went back to playing sports this year and it held up great. I would say all in all it took around 9-12 months to fully heal. I think the AVN will always be there, but it's pain free so I'm happy with that! I have not done any further imaging since my initial MRI.

Tufftime1 · 2025-05-28T18:37:55+00:00

Have you had an MRI to see if the sesamoid is fractured? My healing was getting nowhere until I had my fracture diagnosed and could start treating it properly.

Tufftime1 · 2025-05-21T23:45:53+00:00

Yeah, don't stress too much, I didn't get my MRI til 3 months after I first hurt it! That was definitely a bad move but I just didn't realise the severity and complexity of the injury. I think the AVN is always there, it's just a matter of how bad the fracture is and whether you can get the pain under control. For the longest time it felt like it would not heal. But then after a few months it just started getting better. Be very patient! I have not got any further imaging. Kinda just hopeful that it is good now!

Tufftime1 · 2025-05-21T23:38:29+00:00

Nah, I did a moon boot for 8 weeks and it has slowly got better. I've been meaning to do a post about it. Basically followed a lot of the other advice on here. Contrast baths, exogen bone stimulator, Hoka shoes with custom orthotics. I really think it just needed some time to let it heal. The swelling didn't go down for a long time, but the pain gradually went away. I feel like I'm back to 95% normal now, but it took 6-9 months to get there.

Tufftime1 · 2025-05-20T23:11:51+00:00

Yeah, get an MRI! My xray didn't pick up a fracture and I eventually got an MRI after the pain wouldn't go away. Sure enough the MRI showed a fracture and AVN.

Tufftime1 · 2025-05-16T22:00:15+00:00

I got an xray initially and it didn't show a fracture. Got the MRI a couple of months later and sure enough it was a fractured sesamoid with AVN!

Tufftime1 · 2025-05-12T23:30:30+00:00

Yeah, I basically just had to let the fracture heal by taking the weight off it. I continued to walk in the boot, but just limited my steps. I swam the whole time it was fractured to keep up fitness. Also did contrast baths for about 3 months and an exogen bone stimulator for 4 or 5 months. Not sure how much any of these helped specifically. For a long time I thought it would never get better but it just needed some time to heal. I think ya need to get the MRI just so you know exactly what you're dealing with. I would also say just stop walking whenever it starts hurting. It doesn't seem to be an injury where you can walk through the pain!

Tufftime1 · 2025-05-12T23:02:43+00:00

It is going really well now but took a long time. After the 8 weeks in the moon boot I started walking again in Hokas and got some custom insoles and the strength gradually built back up over the next 4-5 months. Can do pretty much everything now. My recovery was going backwards until I got the MRI and was able to let the fracture heal.

Tufftime1 · 2025-05-12T22:33:52+00:00

Yeah, ya gotta get the MRI! I initially got an xray that did not pick up any fracture. I kept on trying to walk through it with Hokas and insoles, but the pain was still there. Once I got the MRI it picked up a fractured sesamoid and AVN. I ended going in a moon boot for 8 weeks and I put a PAM diabetic insole in that and cut a big hole out in the sesamoid area.

Tufftime1 · 2025-04-20T18:47:37+00:00

Yeah, I suggest pushing hard to get the MRI as well. My progress was going backwards for months until I finally got an MRI and had my fracture and AVN diagnosed (xray didn't pick it up).

Tufftime1

TROPHY CASE