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Cortisone injection for gout after tibial sesamoidectomy

Discussion in 'Ask your questions here' started by Tfar, Nov 17, 2022.

  1. Tfar

    Tfar New Member

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    Hi I had a tibial sesamoidectomy 2.5 weeks ago, this seems to have gone ok in itself. I have mild arthritis in my 1st mtp joint and had a gout flare a few weeks before the op which subsided. Despite going hard on alluprinol and diet since the last flare i seem to have developed another flare in the last 24 hours making my foot very swollen and painful. My question is - how soon after the operation can i safely have a cortisone injection for the gout if the NSAID's dont touch it. I had my post op check the other day and all was well so the doctor wanted me to start physio and this has stopped me in my tracks.

    Thank you in advance!
  2. Craig Payne

    Craig Payne Super Moderator

    You really should check in with the dr who did the surgery re that - a lot depends on your history etc that they should know well.
  3. Tfar

    Tfar New Member

    Thank you for your reply - yes i will be speaking to him next week but the issue i am having is i have seen 3 different orthos and they have all said different things.

    I had a badly fractured sesamoid as well as mild joint damage from gout / gout attacks

    The first ortho said fuse my big toe only as that generally sorts sesamoid issues, the second said remove the sesamoid as well as fuse, and the one i went with said just remove the sesamoid as it was completely destroyed and treat my gout because the arthritis in my joint is only mild and did not warrant a fusion. I am now questioning whether i should have had the fusion as well but its too late and i have to go with it. I can get it fused at a later date but clearly will have to wait a couple of months at least but I keep getting told that isnt the way to treat gout. I am now 2.5 weeks post op and in a worse position than i was before the op because i am still recovering and now have a massive bout of swelling from the gout.

    I was just looking for some general advice on whether it is possible to get a steroid injection soon after surgery or will it stop the sesamoid surgery recovery in its tracks.

    Thanks again

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