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Pain Caused by Sesamoiditis

Tuesday, 28 November 2023 00:00

Sesamoiditis causes pain beneath the big toe and is often exacerbated by weight-bearing and specific footwear choices. The two tiny sesamoid bones, located just below the big toe, are integral to foot locomotion. They can be affected by direct trauma or positional changes, especially in individuals with high-arched feet, bunions, or those who wear high heels. For dancers, joggers, and those individuals with certain foot structures, the discomfort associated with sesamoiditis can be particularly challenging. Diagnosis by a podiatrist relies on examination of the toe, and determining range of motion. Other tests, such as synovial fluid analysis and X-rays, may be used to exclude infection and fractures. Pain from sesamoiditis is often intensified by walking and may involve inflammation, warmth, and swelling around the 1st metatarsophalangeal, or MTP, joint. Footwear modification and custom orthotics can play a pivotal role in managing symptoms. Wearing thick-soled shoes may also help alleviate sesamoid pressure. In cases where a sesamoid fracture without displacement is identified, treatment involves immobilizing the joint with a flat, rigid, surgical shoe. For help with pain resulting from sesamoiditis, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Dr. Lee R. Stein of Lake Shore Foot & Ankle, PC. Our doctor will treat your condition thoroughly and effectively.


Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

  • Sudden increase in activity
  • Increase in physically strenuous movement without a proper warm up or build up
  • Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

If you have any questions please feel free to contact one of our offices located in Chicago, Highland Park, and Uptown, IL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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