Usually dancers, runners and baseball catchers are more prone to getting sesamoiditis. While, eating too much red meat, shellfish and brandy, being a man over 40 yrs and genetics makes you more gout-prone. Did you know that historical figures such as Benjamin Franklin and King Henry VII of England had gout conditions? Gout has been around for a long time, unfortunately for Mr. Franklin and King Henry VIIIthey didn’t have Dr. Steinberg, Dr. Yanes, or Dr. Ho to treat them with today’s prescribed gout medication. So stop by our offices in Frederick or Urbana, MD !
Depending who operates on your foot because you could be left with nerve damage, deformity and unable to wear nice flattering shoes as what happened to me 8 years ago having a bunionectomy. I asked many surgeons if they could fix it but none would until I found an excellent orthopaedic surgeon who did a scarf osteotomy and akin operation last June correcting the problem. This was done in Sydney. My surgeon has a wonderful reputation and I would recommend him to anyone and everyone. Most happy with my foot now although its still swollen and recovering from the op. Best of luck!!!
All joints are assessed for inflammation, deformities, and contractures. The patient's ability to perform activities of daily living (ADLs) is evaluated. The patient is assessed for fatigue. Vital signs are monitored, and weight changes, pain (location, quality, severity, inciting and relieving factors), and morning stiffness (esp. duration) are documented. Use of moist heat is encouraged to relieve stiffness and pain. Prescribed anti-inflammatory and analgesic drugs are administered and evaluated; the patient is taught about the use of these medications. Patient response to all medications is evaluated, esp. after a change in drug regimen, and the patient and family are taught to recognize the purpose, schedule, and side effects of each. Over-the-counter drugs and herbal remedies may interact with prescribed drugs and should not be taken unless approved by physicians or pharmacists. Inflamed joints are occasionally splinted in extension to prevent contractures. Pressure areas are noted, and range of motion is maintained with gentle, passive exercise if the patient cannot comfortably perform active movement. Once inflammation has subsided, the patient is instructed in active range-of-motion exercise for specific joints. Warm baths or soaks are encouraged before or during exercise. Cleansing lotions or oils should be used for dry skin. The patient is encouraged to perform ADLs, if possible, allowing extra time as needed. Assistive and safety devices may be recommended for some patients. The patient should pace activities, alternate sitting and standing, and take short rest periods. Referral to an occupational or physical therapist helps keep joints in optimal condition as well as teaching the patient methods for simplifying activities and protecting joints. The importance of keeping PT/OT appointments and following home-care instructions should be stressed to both the patient and the family. A well-balanced diet that controls weight is recommended (obesity further stresses joints). Both patient and family should be referred to local and national support and information groups. Desired outcomes include cooperation with prescribed medication and exercise regimens, ability to perform ADLs, slowed progression of debilitating effects, pain control, and proper use of assistive devices. For more information and support, patient and family should contact the Arthritis Foundation (404-872-7100) ().