The sesamoid bones are two pea-shaped bones at the ball of the foot, beneath the big toe joint. Sesamoiditis is an overuse injury caused by the chronic inflammation of the tendons surrounding the sesamoid bones. The is usually caused by an increase in pressure on these bones.
Some common symptoms of sesamoiditis are a dull, longstanding pain beneath the big toe joint. The pain usually comes and goes, often when wearing certain shoes or when participating in certain activities.
Non-Surgical Treatment Options
- Padding, strapping, or taping – A pad may be placed in the shoe to help cushion the sesamoid area, or the toe may be taped or strapped to relieve pain and tension.
- Immobilizations and non-weightbearing – The foot may be placed in a cast with crutches to prevent putting weight on the foot.
- Medications – Drugs such as ibuprofen can help to reduce pain and inflammation.
- Physical therapy – This can sometimes follow the period of immobilization. Physical therapy includes different exercises to improve range-of-motion and strength.
- Steroid injections – Cortisone injections into the effected joint can help to reduce pain and inflammation.
- Custom orthotics – Custom orthotic inserts for your shoes can be specially made to properly support and balance your foot, providing long-term treatment for sesamoiditis.