Sesamoiditis is a painful condition that involves inflammation of the sesamoid bones and the surrounding tissues in the foot. Sesamoid bones are small, pea-sized bones located within certain tendons, such as the tendons of the big toe. These bones play a role in providing leverage and stability to the foot during movements like walking and running.
Sesamoiditis most commonly occurs in the two sesamoid bones under the big toe joint, but it can also affect the sesamoid bones near the little toe. It is often caused by overuse or repetitive stress on the foot, especially activities that involve a lot of pressure on the ball of the foot, such as running, dancing, or activities that require pivoting and pushing off the toes.
Symptoms of sesamoiditis may include:
- Pain in the ball of the foot, typically under the big toe joint.
- Swelling and tenderness in the affected area.
- Pain that worsens with movement, especially when pushing off the toes or bending the big toe.
- Difficulty bearing weight on the foot.
Treatment for sesamoiditis generally involves conservative measures to alleviate pain, reduce inflammation, and promote healing. These measures may include:
- Rest: Reducing or avoiding activities that exacerbate the pain can help give the affected area time to heal.
- Ice: Applying ice to the inflamed area can help reduce swelling and provide pain relief.
- Cushioned Footwear: Wearing shoes with ample cushioning and support, especially in the ball of the foot, can help alleviate pressure on the sesamoid bones.
- Orthotic Inserts: Custom or over-the-counter orthotic inserts can provide additional support and help distribute pressure evenly on the foot.
- Padding: Placing padding or cushions around the affected area can help reduce pressure and friction.
- Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter NSAIDs can help reduce pain and inflammation.
- Physical Therapy: Specific exercises and stretches can be prescribed to improve foot mechanics, strengthen muscles, and reduce strain on the sesamoid bones.
- Offloading Devices: Sometimes, wearing a removable walking boot or cast may be recommended to immobilize the foot and allow it to heal.
In cases where conservative measures do not provide relief, or if there is a risk of long-term damage to the sesamoid bones, a healthcare professional may consider more advanced treatments, such as corticosteroid injections or, rarely, surgical removal of the sesamoid bones.
If you suspect you have sesamoiditis or are experiencing symptoms of foot pain, it’s important to consult a medical professional, such as a podiatrist or orthopedic specialist. They can provide an accurate diagnosis and recommend appropriate treatment options based on your individual circumstances.