We don’t often think much about our feet or toes. That is of course, unless they become injured
and walking is then painful. Such is the case with sesamoiditis. Our feet have dozens of bones,
joints and ligaments. Sesamoids are among these. Small, pea shaped bones, sesamoids are
located below the big toe joint. As you might imagine, they play a big role in walking, running
and jumping. Here’s what you need to know if you sustain an injury.
What is Sesamoiditis?
With sesamoiditis the tendons surrounding the sesamoids become inflamed or irritated.
Sesamoiditis is brought on by overuse or undue pressure on the sesamoids. The following
symptoms are common with the condition:
- Pain under the big toe that blooms rather than explodes. The pain may worsen with
certain activities.
- Stiffness or pain that interferes with bending of the big toe.
- Some people experience bruising and swelling.
What is sesamoid fracture?
Another injury concerning the sesamoids is sesamoid fracture. Fractures may be acute or
chronic. Acute sesamoid fractures are caused by a blow to the bone. The onset of pain and
swelling is immediate and can be severe. Chronic sesamoid fractures are brought on by overuse.
As with sesamoiditis, the pain is a dull ache that comes and goes with certain activities.
Diagnosis
Our Atlanta podiatrist has extensive experience with the diagnosis and treatment of sesamoiditis
and sesamoid fracture. Our examination will include manipulation of the foot and big toe.
Tenderness, range of motion, as well as pain on movement, will be noted. You may also be
asked to walk for further observation. X-rays or imaging may be required to determine and
finalize an accurate diagnosis.
Treatment options include:
- Taping or padding to reduce discomfort.
- Orthotics or stiff soled shoes.
- Modified activity, avoid what causes pain or aggravates the condition.
- Anti-inflammatory pain relievers, such as Aleve
- Immobilization of the foot, may include the use of a walkable boot or crutches.
- Cortisone injections
- Rest and ice have also been helpful in managing painful conditions of the sesamoids.
- In some cases, surgery is indicated.
With appropriate interventions you can expect to make a full recovery in a few months. Our
Atlanta podiatrist will work in concert with you to arrive at the appropriate course of action for
your injury. Your treatment plan will be based on the type and extent of the injury. Improve
long-term outcomes by following the plan closely. Relieving painful conditions of the foot and
ankle is our specialty. When you need expert relief or professional advice give us a call. We are
here to help.
