Sesamoiditis
What is Sesamoiditis?
Sesamoiditis is the inflammation of the sesamoid bones and surrounding tendons located beneath the first metatarsal head in the forefoot.
- Common among runners and dancers
- Caused by repetitive pressure or overuse
Overview of the Condition
This condition typically causes pain in the ball of the foot, especially under the big toe.
Symptoms
- Pain under the big toe (ball of the foot)
- Swelling and tenderness in the forefoot
- Difficulty walking or running
Causes
Repeated stress from high-impact activities or improper footwear can irritate the sesamoid bones and surrounding tissues.
Diagnosis
Diagnosis is based on clinical evaluation and imaging studies such as X-rays to assess for stress fractures or other pathology.
Treatment Options
- Rest and activity modification
- Non-steroidal anti-inflammatory medications (NSAIDs)
- Use of orthotic devices to offload pressure from the sesamoids
Conservative Management
Initial management involves rest, ice, and NSAIDs to reduce inflammation and pain.
Rehabilitation Exercises
- Stretching exercises for the foot and calf
- Strengthening exercises for foot muscles
- Gradual return to weight-bearing activities with proper support
Surgical Considerations
Surgery is rarely needed for sesamoiditis, but may be considered if conservative measures fail and there is evidence of a stress fracture.
Anatomy Overview
The sesamoid bones are small, round bones embedded in the tendons beneath the first metatarsal head in the forefoot.
Affected Areas
- Forefoot, specifically beneath the big toe
- Adjacent soft tissue structures
Frequently Asked Questions
QuestionAnswerHow long is the recovery period?Recovery generally takes several weeks with proper rest and treatment.Can sesamoiditis be prevented?Wearing appropriate footwear and gradually increasing activity levels can help prevent sesamoiditis.
Prevention Strategies
- Use supportive, well-fitted footwear
- Incorporate proper warm-up and stretching exercises
- Avoid excessive repetitive stress on the forefoot
Related Conditions
- Stress fractures of the foot
- Metatarsalgia
Additional Treatments
Conservative management is the primary approach, with surgery being rarely indicated.
A Quick, Clear First Step Toward Joint Pain Relief
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