Sesamoids treated with Prolotherapy

Sesamoiditis is almost always due to too much load on the sesamoids. You treat it my reducing the load on the sesamoids.

Prolotherapy will not reduce the load. At best it may help a little with tissue healing, but unless the load is reduced it is going to be an ongoing problem.

Incidentally the last coupe of long term 'sesamoiditis' problems I have seen were not really sesamoiditis. One was a tendon problem and the other was a necrosis of the sesamoid - these are not common but do happen.

 

Generally what need here is regeneration of weakened structures, an injection technique that induces inflammation. Take X-rays for proper assessment of the problem and surgery can also help a lot . Wear low heeled and shoes do icing

 

Would suggest further imaging (eg MRI), to ensure this is not just sesamoiditis. Sometimes, sesamoiditis will progress to insufficiency fracture and avascular necrosis if pressure has continued to go though the bone.

A spell in a removable cast walker with a rocker sole (eg Aircast) for 6-8 weeks would be sensible at this point.