The sesamoids are two small, pea-shaped bones located beneath the big toe joint in the ball of the foot. These tiny bones help the big toe with movement. Sesamoiditis occurs when the sesamoids and surrounding tendons are injured or inflamed, usually due to overuse in repetitive running, walking, or jumping activities. Symptoms of sesamoiditis include dull, long-term pain beneath the big toe joint that varies in intensity based on the activities you do and the shoes that you wear. Treatments for sesamoiditis can include padding, strapping, taping, or immobilizing the affected area, as well as taking oral medications or wearing orthotic devices in the shoes to help cushion the feet. If you are experiencing the symptoms of sesamoiditis, it is recommended that you seek the care of a chiropodist. 

Sesamoiditis can be painful and prevent you from participating in certain activities. To learn more about this condition, please consult with Paul A. Scotti, D.Ch from West Toronto Foot & Ankle Clinic Inc. . Our chiropodist will assess your condition and provide you with quality foot and ankle treatment. 

What Is Sesamoiditis? 

Sesamoiditis refers to an injury of the sesamoids (two small, pea-shaped bones located beneath the big toe joint) or the tendons and/or surrounding tissue in the joint.

Causes

Sesamoiditis is typically the result of an overuse injury caused by activities that put repetitive pressure on the sesamoid bones and the tendons involved with those bones. These activities can include basketball, football, running, ballet, and tennis. People who have high foot arches and those who frequently wear high-heeled shoes are also at an increased risk of developing sesamoiditis. 

Symptoms

Common symptoms of sesamoiditis include: 

• Dull, longstanding pain under the big toe joint

• Swelling

• Bruising 

• Difficulty straightening or bending the big toe

• Pain during movement

Diagnosis

Sesamoiditis can be diagnosed by physical examination and X-rays. Sometimes other imaging studies, such as a bone scan, MRI, or ultrasound may be needed if damage to the area surrounding the sesamoid bones is suspected. 

Treatment

Treatment options include conservative measures, such as padding, strapping, taping or immobilizing the affected foot, taking oral medications or getting steroid injections to reduce pain and swelling, and wearing orthotic devices. Surgical treatment may be necessary if conservative measures are not effective. 

If you have any questions, please feel free to contact our office located in . We offer the newest diagnostic and treatment technologies for all your foot care needs.