Two pea-sized bones, called sesamoids, sit beneath the big-toe joint, within the tendons at the ball of the foot. They work like small pulleys, helping the tendons move smoothly and supporting the foot as it pushes off the ground. Sesamoiditis develops when the tendons and tissues surrounding these bones become irritated. Pain usually begins gradually beneath the big toe and can worsen when walking, running, or bending the toe upward. The area can also become swollen or tender. Unlike a sesamoid fracture, which can cause sudden pain after an injury, sesamoiditis usually results from repeated stress.
Activities that place repeated pressure on the forefoot can raise the risk of sesamoiditis. Running, dancing, and sporting activities that require quick bursts of movement are frequent causes. High-heeled shoes can shift extra weight toward the ball of the foot. Shoes that lack proper support or cushioning can also increase pressure beneath the big toe. A podiatrist can carefully examine the location of the pain and check how the big toe moves. X-rays can help rule out a fracture. When the cause remains unclear, other imaging tests can reveal tissue irritation or a small stress injury.
A podiatrist focuses on reducing pressure, controlling painful movement, and allowing the irritated area to recover. One treatment option is wearing cushioned or stiff-soled shoes. In addition, custom orthotics can improve weight distribution and reduce stress beneath the big-toe joint. Special padding can protect the sesamoids, and taping can keep the toe from bending too far. In some cases, a removable brace may be recommended. Surgery is rarely considered, but it can be an option when persistent symptoms do not respond to other care. Early diagnosis is important because a fracture and sesamoiditis can feel similar but require different treatment plans. If you have symptoms of sesamoiditis, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.
Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Scott O'Connor, DPM of Premier Podiatry. Our doctors will treat your condition thoroughly and effectively.
Sesamoiditis
Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.
Causes of Sesamoiditis
- Sudden increase in activity
- Increase in physically strenuous movement without a proper warm up or build up
- Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible
Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.
If you have any questions, please feel free to contact our office located in Bloomington and Pontiac, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
