What is Sesamoiditis?

Understanding Pain in the Ball of Your Foot

Sesamoiditis is a painful condition affecting the small sesamoid bones beneath the big toe joint. Unlike most bones, sesamoids are not connected to other bones by joints; instead, they are embedded within tendons, similar to the kneecap. These bones play a crucial role in weight distribution and absorbing impact during movement. When the tendons surrounding these bones become inflamed or irritated, it leads to sesamoiditis.

At Gotham Footcare, we are dedicated to diagnosing and treating sesamoiditis to restore comfort and mobility for our patients.

Causes of Sesamoiditis: Why Does My Foot Hurt?

Overuse and Repetitive Stress

Activities that put repeated pressure on the ball of the foot, such as running, jumping, or dancing, can lead to overuse injuries, causing inflammation in the tendons around the sesamoid bones.

High-Impact Activities

Athletes involved in sports requiring frequent toe push-offs, such as basketball, tennis, or ballet, are particularly prone to sesamoiditis due to the stress placed on the big toe.

Improper Footwear

Wearing high heels or shoes with insufficient cushioning can exacerbate pressure on the ball of the foot, increasing the risk of sesamoiditis.

Foot Shape and Structure

People with high arches or a natural tendency to put excessive pressure on the ball of the foot are more likely to develop sesamoiditis.

Trauma or Injury

Direct trauma to the sesamoid bones, such as a fall or hard landing, can cause acute inflammation and lead to sesamoiditis.

Symptoms of Sesamoiditis: How to Recognize the Pain

Localized Pain

Pain is typically concentrated beneath the big toe joint and intensifies during activities that involve pushing off the toe, such as walking or running.

Swelling and Tenderness

The affected area may appear swollen and feel tender to the touch.

Difficulty Flexing the Big Toe

Pain and stiffness can make it challenging to bend or flex the big toe.

Bruising or Redness

In some cases, the skin over the sesamoid bones may show signs of bruising or redness.

Pain When Wearing Certain Shoes

Tight or rigid footwear can exacerbate symptoms, making it difficult to find comfortable shoes.

Diagnosing Sesamoiditis

How Gotham Footcare Can Help

Comprehensive Physical Examination

Our podiatrists will conduct a thorough physical examination of your foot, focusing on the big toe joint and the surrounding tissues.

Medical History Review

We will review your activity levels, footwear choices, and any prior injuries to identify potential contributing factors.

Imaging Tests

X-rays are often used to rule out fractures or other bone abnormalities. If additional detail is needed, advanced imaging techniques like MRI or ultrasound may be employed to evaluate soft tissue inflammation.

Home Remedies for Sesamoiditis

Relieving Pain at Home

Rest and Activity Modification

Reducing activities that put stress on the ball of the foot can alleviate pain and give the tendons time to heal.

Icing the Area

Applying an ice pack to the affected area for 15–20 minutes several times a day can reduce inflammation and numb the pain.

Over-the-Counter Pain Relief

Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, can help manage pain and reduce swelling.

Supportive Footwear

Wearing shoes with a wide toe box and ample cushioning can relieve pressure on the sesamoid bones.

Padding or Inserts

Using gel pads, cushioning inserts, or metatarsal pads can provide additional support and reduce stress on the ball of the foot.

Treatment Options for Sesamoiditis at Gotham Footcare

Personalized Care for Lasting Relief

Non-Surgical Treatments

Custom Orthotics

Our podiatrists may recommend custom orthotic devices designed to redistribute pressure away from the sesamoid bones and provide better arch support.

Taping or Splinting

Immobilizing the big toe with tape or a splint can limit movement and reduce strain on the affected tendons.

Physical Therapy

Stretching and strengthening exercises, tailored to your specific condition, can improve flexibility, reduce inflammation, and prevent future issues.

Corticosteroid Injections

For persistent inflammation, corticosteroid injections can provide targeted pain relief by reducing swelling around the sesamoid bones.

Advanced Treatments

Shockwave Therapy

This non-invasive treatment uses sound waves to stimulate healing and relieve pain in the affected tendons.

Platelet-Rich Plasma (PRP) Therapy

PRP therapy involves injecting a concentration of your own platelets to promote tissue repair and reduce inflammation.

Surgical Treatments

In cases where non-surgical methods are ineffective, surgery may be necessary. Surgical options include:

Sesamoidectomy

This procedure involves removing one or both sesamoid bones to relieve pain and restore function.

Tendon Repair

If the surrounding tendons are significantly damaged, surgical repair may be needed to restore their integrity.

Duration of Treatment

How Long Does It Take to Recover from Sesamoiditis?

Non-Surgical Recovery
With proper treatment, most patients experience relief within a few weeks to a few months. Rest, footwear modifications, and physical therapy play a significant role in recovery.

Post-Surgical Recovery
Surgical recovery times vary depending on the procedure. Patients typically resume normal activities within six to eight weeks, although physical therapy is often recommended to ensure a full recovery.

Preventing Sesamoiditis

Tips for Healthy Feet

Choose Proper Footwear

Wear shoes with adequate cushioning, arch support, and a wide toe box to reduce stress on the ball of your foot.

Incorporate Stretching Exercises

Regular stretching of the toes, feet, and calves can improve flexibility and reduce tension on the sesamoid bones.

Use Orthotic Support

Consider using custom orthotics or metatarsal pads, especially if you engage in high-impact activities.

Avoid High-Impact Activities

If you’re prone to sesamoiditis, limit high-impact activities or alternate them with low-impact exercises like swimming or cycling.

Gradual Activity Changes

When starting a new activity or increasing intensity, do so gradually to avoid overloading your foot.

Frequently Asked Questions About Sesamoiditis

What Causes Sesamoiditis?

Sesamoiditis is often caused by repetitive stress or overuse of the sesamoid bones, particularly during high-impact activities like running or dancing./p>

Can Sesamoiditis Heal on Its Own?

Mild cases of sesamoiditis can improve with rest, activity modification, and proper footwear. Persistent or severe cases may require professional treatment.

How Is Sesamoiditis Diagnosed?

A combination of physical examination, medical history review, and imaging tests, such as X-rays or MRI, is used to diagnose sesamoiditis.

Is Surgery Necessary for Sesamoiditis?

Surgery is typically a last resort, reserved for cases that do not respond to conservative treatments.

Can I Prevent Sesamoiditis from Recurring?

Yes. Wearing proper footwear, using orthotics, and avoiding repetitive stress on the ball of your foot can help prevent recurrence.

Your First Step to Getting Better

At Gotham Footcare in NYC, we strive at recognizing your individual needs and desired outcomes while formulating an effective and personalized treatment plan with the highest quality care available.

What sets Gotham Footcare apart from other podiatry offices is our dedication to providing you with the education you need to make well-informed decisions regarding your care. Regardless of what your foot and ankle trouble may be, at Gotham Footcare our team will work tirelessly to help you feel better. At Gotham Footcare, we help you put your best foot forward.

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