If you were following this post before.. I have NOW consolidated my experience in ONE post.. ( suggested by a reader).. so if you are just looking for the latest info.. scroll down to the bottom.. if you are NEW to this post… read on.. Happy day.
WHY did I have / need a sesamoidectomy.. In the beginning
17 years ago I had a fibular sesamoidectomy of the left foot (with a bunionectomy) …. I had been suffering from sesamoiditis (the bunion was not bad) in this foot for about a year or more before the Dr. suggested removal.. the pain was unbearable, burning and constant.. I had tried all other conservative attempts with no help ( immobilization, orthotics, taping etc.. ) at healing.. surgery seemed to be my only option to live pain free….. after all .. I lived in Miami at the time.. and ran, walked, rode my bike miles at a time EVERY day.. I could not imagine, not being able to do any of this again?
A year or so after said sesamoidectomy.. I was still healing.. apparently I had some severe scar tissue and other ‘healing’ issues.. NOT the 2 – 3 mos healing process I had discussed with my Dr.. and if I had not lived in Miami at the time.. Im not even sure how I would have put a shoe on.. I lived in teva sandals for at least a year.. The ONLY good thing that came out of that sesamoidectomy was my bikram yoga practice.. as part of my physical therapy from surgery I was told yoga would be good to help me get my balance and mobility back.. if you did’nt know. the sesamoid bones are major contributors to your stability and balance.. so removing one no doubt throws everything off..
OKAY.. 17 years later.. Im having a sesamoidectomy of my right tibial sesamoid bone.. you see.. apparently the same trauma that caused the issue on my left foot.. took its toll on my right as well.. but this time.. I’ve known it for years.. about 15 years now.. and have just dealt with it.. again trying conservative efforts to heal including many cortisone shots .. because knowing what I went thru for the first surgery.. I was NOT even considering surgery again.. NO way , NO how… BUT.. and this is a big but… .. the pain began to get so painful, so much that it hurt to sleep with the sheets hitting my toe.. :( , oh .. and I was told blood supply was severly limited now to the area.. I had to have it removed… which brings us to yesterday.. and the reason for this blog post.. seems many people are as curious about he healing process.. from a sesamoidectomy as I am .. I mean it is 17 years later.. and I have a NEW Dr. and there are many new technologies in surgery and such.
Week ONE post op
Friday – Jan 11, 2013 – Day of Surgery
I fasted after midnight.. woke up early, showered and primped .. put on my yoga pants and an easy to wear outfit.. and off we went to the surgi center. BF drove me.. surgery was to last an hour or so with an hour in recovery.. NOT too bad.. if all went well we’d be out by noon.. to make light of it all .. we had an over under on the 12 noon as a bet.. I won :) we were out by 11:56am .. So Im given iv med to sleep ..which yesterday was the worst part of the whole day.. you see I have bad veins ..and I walk around in a state of dehydration.. so finding even a bad vein.. is impossible.. and yep, we blew one.. but found it on second try. Dr. said surgery went well, bone was in bad shape and almost ‘dead’ from no blood.. he said he changed the area of incision ( I still dont know where it is) and that he expects a great recovery.. I left surgi center with a taped foot and a surgi boot with tread .. for walking??? Honestly.. I felt NOTHING in my foot at all.. it was 100% numb.. I was even ‘walking’ kind of on the heal of my boot.. heck yeah.. I can handle this.. took my toridol and antibiotic.. had some dinner and went to sleep.. sleep was .. with a pillow under my foot .
Saturday – January 12th.. – Day 1 Post Op
Around 3am I felt my foot.. YEP.. I felt it .. as in it was no longer numb.. uh oh.. but I talked myself back to sleep and just repositioned the foot a little.. 5am. .I had to tinkle.. so I put on the walking boot.. and thought Id just hobble over to the bathroom as I kind of did last nite.. (when I was numb).. OMG.. the pain I felt as soon as my foot went down was so incredible that I began to sweat, felt faint and yes.. had to throw up.. by that time my BF woke up and helped me in to the bath room where I just about collapsed.. NOT FUN.. my BF gave me more toridol and helped me back to bed.. brought me ice for my foot and water to drink.. I slept another two hours.. by the time I woke up the toridol had started to work ( toridol is a VERY strong anti inflammatory) and my BF also brought me crutches ( thank goodness I borrowed them from my nephew) so I didn’t have to even attempt to put the foot down…. . seriously.. not sure what they think about that.. as if I can walk? LOL .. Fast forward.. Im relaxing today.. granted in a bit of pain (think constant throbbing blood flow in your foot) and not so comfortable .. but I had a visitor for lunch and Im feeling clear headed (NO pain meds allows for that).. which is good. yesterday I felt loopy for most of the day. Icing 4 times a day.. taking antibiotic twice a day.. and toridol three times.. I have oxi’s just in case.. but.. because I always have reactions from pain meds.. I dont want to take any if I can help it.. Id rather drink wine.. which I plan on doing shortly. :) Day two of healing almost in the books.. Oh.. and the swelling has gone down significantly from yesterday.. second toe is no longer touching the big toe… looks almost normal. More to come..
Sunday – Jan 13, 2013 – Day 2 Post Op
YEAH.. I had a great nights rest.. aside from having a bit of claustrophobia right before bed ( I just had to see what was under my bandages.. but couldnt :( ) I slept for almost 9 hours.. and I think a good sleep too.. I woke up with a few twinges of what felt like bone movement? but Im sure it was just a kind of mending /healing thing going on. On waking around 7am.. I put my” boot” on ( even though Im not walking.. my Dr. does not want me up and about without it on) , grabbed my crutches and made my way to the rest room on my own.. pain is still significant.. feels ‘heavy’ today.. but as crazy as it seems.. I think Im getting use to it.. ? At first glance too , color of my toes looks great.. more pink then purple today. Im NOW in position on my side of the couch in the living area.. where I presume I will stay until I take a bath ( my BF will be helping me ) and then just another day of ‘nothing’. Im staying positive.. and visualizing all the new fun pain free activities I will be doing come April.. Im not going to be hard on myself.. its ONLY day two after surgery.. and in my book.. things ‘look’ promising. (Note : photos – me just doing nothing.. its what I do most of the day and then me in my bath attire/platstic bag) Happy day. and check out my blog post from 1-13-13 regarding my shower experience..
Monday – January 14 , 2013 - Day 3 Post Op
Well the evening prior 13th, was not so much fun.. I had major pain.. intermittent, not constant.. if that makes sense, but enough to make me very uncomfortable! flash forward to waking up and today was a pretty good day. It was my first day home alone.. so I had no choice but to fend for myself. Other then a small mishap with my keurig coffee maker ( forgot to put the mug under spout) all went well. I literally do NOTHING.. foot is up with ice every 3 hours.. so whats to go wrong. I worked from home which kept me occupied (mentally) and of course there is the Dr. Phil channel.. LOL .. well, I dont think thats what its called.. but it was a never ending stream of Dr. Phil shows.. OMG ! I just had it on as background noise and within 3 hours , I needed Dr. Phil.. hmmmm I think Im on to something??? Anyhow.. all in all , I had a good day. Im not sure I like getting in to bed and not feeling tired like I would after a ‘normal’ work day… I sort of have to force myself to ‘sleep’ .. oh , and Im NOT taking any pain meds.. havent had even one.. just continuing to take the toridol and antibiotic.. btw.. tomorrow (15th) is last day for both… and also.. I have my Post op Dr.’s visit and xray.. I CANNOT wait to take a look see at what is under my bandages.. Happy day !
Tuesday – January 15th , 2013 – Day 4 Post OP
Xray and Dr. Visit
Woohoo a day out of the house.. albeit , I went to the Dr’s.. but its a day out.. I showered, dressed and prepared like I was going to the ball (JK) .. So I had my follow up xray at 11:40am .. and was given film to take with me to the Dr. for my 1:15pm visit. In between xray and Dr. visit.. my honey took me out for a little treat…starbucks… I must say I felt a little vulnerable out and about.. as you can imagine.. regardless of having this boot to cover up .. I felt like at any moment someone may walk right over my foot.. while texting no doubt.. seems the world doesnt “just walk” or “just drive” anymore.. you know? So at the Dr’s.. he first looked at the films.. “looks great” he said..”all gone” he commented.. as if I hadnt already checked it out myself before I even made it to the office… then he took out his scissors and started to cut off my bandages.. I was nervous as can be.. what to expect..? he asked if I wanted to lay back and not look.. ? ARE YOU KIDDING me? I have been dying to look.. the bandage came off no issues.. no sticking or pain at all.. honestly .. I think the wound is still without feeling..so no biggy? At first glance (before he cleaned it up) I felt a little sick to my stomach.. but then detached myself from the fact that is was my foot I was looking at .. ad realizd.. heck, its not so bad looking.. Dr. even mentioned that it hardly bled ..as evidence from the direct gauze covering ( just a little blood spot ) no bleeding through. He washed me up and said a few very good things.. he mentioned that my swelling looked great ( minimal now)and bruising too… he said we got lucky.. LOL okay.. I guess , I ‘ll take that.. seriously.. this surgery is night and day from the sesamoidectomy on my left foot.. Im a happy camper.. He re-dressed my foot.. in a smaller, less bulky dressing.. and said that I can come in a day earlier to get the stitches out if I wanted.. it looked so good.. and when I asked if I could start driving after stitches out.. he said.. as long as I can put a support shoe on (NOT a surgi boot).. Im good to go.. and if I wanted .. I can even play soccer.. LOL he said using it is going to be the best therapy there is for me.. and that was that.. ( NOTE: Photo at Dr’s after he cleaned it up)
Wednesday – January 16th, 2013 Day 5 Post Op
NO more antibiotics.. thats all I have to say for this day.. woohoo.. Im done with them.. My stomach is happy :) Now if only I can get comfortable enough to sleep through the night.. oh .. and maybe get rid of some of the pain? NOT complaining.. its only day 5 post op ..so why does it feel like day 50? Glad I had lots to do to keep my mind busy today..
Thursday – January 17th, 2013 Day 6 Post Op
No real change.. not sleeping great because I cant get comfortable at night.. and pain is about a 5 out of 10.. .but spurts of real pain come and go. .when my foot for one reason or another spasms..? Im getting around just fine.. thought about going out gives me a little anxiety though.. cant imagine having anyone near my foot.. LOL
Friday – January 18th, 2013 Day 7 Post Op
Wow.. a week already .. time flies. NO real change.. I did NOT sleep well at all last nite.. and just feeling a little sorry for myself today? Giving myself pep talk.. this is only temporary.. I took a shower/bath and feel better already. Mom and Dad came by for a visit. it was nice to see them.. and we had some wine. A rough day turned in to a good night.
Week TWO post op
Saturday – Jan 19, 2013 – Day 8 Post Op
Swelling is down even more, and color looks good.. less red/purplish.. yeah for that ! Pain is a little less too.. but I get these weird spasm like twitches every now and again.. and BAM.. ouch.. its weird. Im also trying to move the big toe.. ( I see no reason why I cant try) and while my brain is telling it to move.. its not so easy.. its funny actually, and keeping me amused a bit.. you see, Im bored out of my mind.. My honey and I thought about going out for a bite.. but just the thought of the entire ‘process’ seemed too exhausting, so we stayed in… I get my stitches out on Monday 21 cant wait..
Sunday – January 20th, 2013 – Day 9 Post Op
So I’ve been up since 1:30am .. yep, another sleepless night.. I just cant seem to get comfortable.. I wonder if I had been taking pain meds would I be able to sleep.. its not so much the pain that keeps me up at night…. but where /how to position my foot that its NOT leaning on the incision… which is on the side of my foot.. OH, I should add, Im NOT a person that sleeps or can sleep on my back.. Im a stomach or side sleeper. More to come .. Im going to take a nap?
Okay, Im back.. after having breakfast (or what felt like lunch cause I was now up for 8 hours) I layed down for about an hour at 9am.. just closed my eyes.. no real sleep. I decided to take a peek under my bandage.. yep, Im going to look again.. its what I do.. but I do it right, I wash my hands , and redress my foot properly.. .. and I dont touch it.. I just look. I cant help myself.. LOL I think it looks better.. still swollen (okay, it will be for months most likely) but I think over all.. it looks good. (see photos).. after a bath (uuuugh I hate baths.. still feel dirty) I am now relaxing .. doing nothing again.. Till tomorrow.. did I mention I get my stitches out tomorrow.. WOOHOO..
Monday January 21st, 2013 – Day 10 Post Op.
Hellooooooo day I get my stitches out.. Nothing new today.. just a little anxious about feeling any pain when I get my stitches out.. Sat on my butt all day, worked from home, iced my foot.. and then .. around 6pm my honey came home from work and said ” Im ready of you are “.. ummmm ?? really.. ? WELL heck yeah.. Im ready. 6:45 in the Dr’f office.. it IS a good day.. waiting room had only one other person in there.. Im the last appt. and I was sure he would be backed up.. NOPE.. he is on time. In the ‘room’ he undressed the foot ( I admitted to changing the dressing.. as if he didnt know?) and said he was amazed at how great it looked.. he then laid the chair back and then I heard it.. snip, snip, snip.. my stomach flip flopped a bit.. and then a tug.. these babies needed a bit more then a tug and the Dr. knew I was feeling it.. (not horrible.. but not fun either.. I kept saying. no pain, no gain in my head) so he decided to ask me about my recent travels to Mexico.. I looked at my honey and said.. ‘you tell him’ .. .. I had to concentrate of not freaking out. About 5 mins later.. I said.. “all done” ? and he was.. FINALLY.. FREE from bandage, free from stitches.. I am ready to heal. He put a few steri strips on the incision , gave me instruction NOT to peel them off ( he knows me well) and then told me that he wants me to do heel / toe walking.. NO more baby steps on my heel.. which could cause another injury.. I am to put full weight on my foot.. We left the office and all I could think about was taking a shower.. tomorrow. At home, I iced my foot (still need to continue till swelling is gone) and went to sleep without my bandage.. slept okay, not great.. Im still more than aware of my foot.
Tuesday January 22nd, 2013 - Day 11 post Op
Hello sneaker.. yes, I was able to put on a sneaker.. granted I could not tie it for support..but its on.. and I wore it all day.. and started to ‘practice’ heel – toe walking .. I can do this.. I do feel TIGHT and pain when I attempt.. but its only going to get better.. I iced my foot again in the eve.. and overall .. had a good day.. even though Im still stuck in the house… I have a sneaker on.. and I am making myself MOVE more.. so it “feels” good on an emotional level.. moving forward. :)
Wednesday January 23rd, 2013 – Day 12 Post Op
Slept better last night…. so things are really getting better. Took a really LONG shower today.. but still cant stand flat foot /weight bearing .. so I sat down to shave my legs.. just in case.. but WOWY.. it felt sooooo good ! Heel – Toe Walking was easier today.. and I forced myself to to more than yesterday.. kind of training of sorts. I am surprising myself at how well I m doing .. and how good I feel.. really its not even a full two weeks since surgery.. and Im in a sneaker.. with weight on my foot? all good.
Thursday January 24th, 2013 – Day 13 Post Op
Every day seems a bit better.. I decided it was time to walk.. I mean really walk. And since I had the blessing from my Dr. to put full weight on my foot.. I was going to do just that. LOL Walking with all my weight.. NOT happening. Im just not sure my brain wants the same thing my body wants.. or maybe its just protecting me? I just cant seem to get all of my weight on the foot..? Regardless.. it was a BIG day for me.. I did a lot of walking in the house.. and I even took myself out of the house.. by myself. I drove to Target. First time Driving since the surgery.. I was good when I got to Target.. but wasnt sure I wanted to drive home.. LOL and I was all alone.. so I sucked it up.. hurried home and immediately put ice on my foot and took an IBprofin.. I did a bit too much .
Friday January 25th, 2013 – Day 14 Post Op
Honestly.. I cannot believe I am doing as well as I am.. I drove a little yesterday, walking a little bit more.. and today I was able to but on my UGG boot.. granted… it took a bit of wrangling to get in there.. but once in , it felt good… almost protected ? Since today was the two week mark of my surgery and I was doing so well, we decided to head out for a bite.. YES, my first time going out .. We went to our neighborhood spot.. and all was fine, I sat at the bar, but kept my foot up on my honey’s leg.. after about 2 hours of eating and chatting it up with friends.. I was just about exhausted.. afterall, it was my first time out and about.. once home, I was asleep in about 15 minutes.. @ 8:45 pm.. LOL overall.. a good day.
Week THREE post op
Saturday, Sunday January 26, 27 , 2013 – 15 /16 days Post Op
So Im walking more daily.. and I mean really putting weight on it.. granted… only a few steps at a time.. but Im doing it… kind of like walking on fire and nails..if you like that sort of thing..LOL I am getting around well when Im not trying to walk on it.. as I have just altered my steps and kind of walking on the side of my foot.. a little exhausting actually.. but makes it easier to MOVE without using crutches. and little by little , I am doing more. Sunday was the first day I stopped taking IB profen.. seriously.. my stomach needs a break.. and Im icing a good deal of the day so that seems to be working. Sleep is still not great.. but also getting better. I also drove a bit more on Sunday.. :)
Monday January 28th, 2013 17 Days Post Op
Im going to work.. first day back in the real world.. for me that means a 40 minute drive to the office one way.. which for me today proved to be a bit much.. my foot swelled a bit .. but I iced it. and while I didnt want to, had to take an ibprofen too. overall.. I had a good day. still swelling, still walking on side of my foot to really move.. but Im doing okay.. toe started to tingle a bit today and has some sharp pains but nothing horrible.. seriously, could not be happier with progress.. I DO see a light at the end of this tunnel.. my next Dr. visit is Feb 11th.. and I think by then alot will change. Happy day.
Tuesday – Friday January 29th – February 1st, 2013 18 – 21 days Post Op
So I have not posted in a bit.. maybe because really, nothing new to post. Im feeling great, foot gets better daily, walking more , trying as best to put full weight on it and swelling is going down. I had a pedicure :) granted we didnt do much to that foot..but its nice that its now pretty :) I also went to the gym.. just doing upper body sitting exercise.. so I dont have to worry about pressure or balance.. I honestly… cannot complain.. I am thrilled with my healing process.
Week FOUR post op
February 2, 2103
WOOHOO… Happy to report that I am doing great.. really for all of you out there that are nervous ( I cant believe the response Im getting via email and even a phone call :) ) please don’ t be nervous .. had I known that I would heal as quickly as I am .. I would never have waited as long.. as you know I had a sesamoid-ectomy on my other foot (left) years before this one on the right foot.. however, that one was also in conjunction with a bunion-ectomy.. a practice my Dr. at the time liked to do.. because they say that often you will get a bunion after a sesamoid-ectomy.. ?? so I guess he was being proactive..? uuugh.. makes me cringe thinking about that Dr and the recovery.. My Dr. now said NO way does he believe in that practice.. and its rare that I would now get a bunion…. fast forward.. I had my tibial sesamoid-ectomy (ONLY) on my right foot January 11th, 2012.. yep, not even 4 weeks ago.. and Im doing great.. healing is faster than I imagined.. .. sure I had some pain (never took any pain killers.. but thats just me) , and swelling and I could’nt shower ( I bathed) or drive for 12 days.. but Im now past that..and I even put on a real shoe today ( see red loafers below.. ONLY shoes that fit.. but I’ll take it).. Im doing great.. So realize.. if you are in the position to NEED a sesamoid-ectomy.. there is nothing as debilitating and painful as what you are dealing with now.. it will ONLY get better. So keep a positive attitude and do as you should with any re-hab and exercise.. and you will be just fine.. running , yoga, basketball, walking.. whatever you desire.. its going to be OK.. thought Id post a series of photos from first few days to present.. the last two photo is actually from TODAY 2-4-13 .. btw.. I go back to Dr. for my release appt. on Feb 11th…. and he may just tell me I can do whatever I want.. as I can.. Im not yet putting full weight on it.. but I bet by next week I will be :)
Week FIVE post op
February 11th, 2013
So here we are.. If I haven’t posted in a while, since about a week .. its a good thing, means Im getting an active life back.. YES. Things are going well, Im driving with NO issues now and able to wear two different pair of shoes, a pair of sneakers and two pair of cute boots ( not bad, at least I have some choices) still have a little swelling.. but now its just at the end of the day really, after I’ve been using (driving and walking a bit ) my foot.. so to be expected. I started scar tissue massage..(deep massage on top of scar tissue) because I have developed a little internal (painful) adhesion where the incision was , Im told this is common ( it happened on my other foot too) because of the internal stitches that are just now starting to dissolve (at the 3 – 4 week post op stage) … I wont lie.. the scar tissue massage is painful. .but I know necessary.. so Im able to deal .. its temporary.. will continue to do this for 3 times a week..or as much as I can handle it.. I have also been getting twinges or spasms as I call it.. in my foot too which are also as Im told.. part of the healing process.. and yes, a little painful.. but they last only a few minutes at a time.. and not all that often.. so .. I can deal. TODAY I had my 3rd post op surgery Dr. visit.. and my Dr. is thrilled… so am I :) seriously.. you cant even find an incision point .. or at least I don’t think you can.. ? He flexed and pulled my toe.. did a strength test and all are on target .. the only time I felt pain (real pain) was when he made me push my toe down into his hand..he said that will go away in a few more weeks.. but movement is great.. He released me for MORE activity.. Im now able to walk as long as I want to or can tolerate, even for exercise on a treadmill ( no incline though ) as fast as I can..? and I am allowed to start riding the exercise bike and also do a lower body work out .. ie : leg press, squats etc.. all things that take foot control.. I am still NOT able to stand flat foot with balance without a shoe .. so yoga and any exercise where I would be bare foot is still out of the question.. over all .. Im a happy camper.. !! FYI.. photo below.. is from my visit today.. notice still red - just part of internal circulation / inflammation but external swelling is going down.. and hardly NO scar at all? Will check in in a few more weeks.. when I have more GREAT news to report..
Week 13 Post Op
April 14th, 2013
Hi all.. thought Id give an update… Im doing great.. I have NO pain at all.. NONE no more twinges from the nerves healing, no pain from swelling and def. no sesamoid issues.. I can almost say I forgot about it.. :) Im wearing any shoe I want to.. even cute moderate heels.. open toe and mules ( backless) that I have to grip with the toe to stay on .. I honestly feel great.. I have been back to doing yoga and can do postures that I could not do without pain (mostly on toe)… still taking slow with heavy walking .. but I bet I could easily walk a couple miles right now..? It was definitely worth it.. here are two photos from today 4-14-13 to show you how good everything looks. . Stay positive and do what you can to keep moving, be sure to eat well and nourish your body and take care of yourself.. Happy day.