Sesamoiditis

What Are Sesamoids?

Sesamoids are small bones that are connected only to ligaments, tendons, or are embedded in muscles. This structure appears in only a few places in the human body, one of which is the foot. Two very small sesamoids (about the size of a kernel of corn) are found on the underside of the forefoot near the big toe—one on the outer side of the foot and the other closer to the middle of the foot. Sesamoids provide a smooth surface over which the tendons slide, thus increasing the ability of the tendons to transmit muscle forces. In the foot, sesamoids assist with weight-bearing and help elevate the bones of the big toe.

What is Sesamoiditis?

Sesamoiditis is an inflammation of the sesamoid bones and the tendons they are embedded in. Unlike most bones connected to other bones, sesamoid bones are connected only to tendons, which makes them unique but also susceptible to irritation and inflammation. When the tendons surrounding the sesamoids become irritated or inflamed, it is called sesamoiditis and is a form of tendonitis. Overworked or injured sesamoid bones can result in sesamoiditis. Other factors that can contribute to the development of sesamoiditis include:

• Overuse – Activities that involve frequent stress on the ball of the foot, such as running, ballet dancing, and participating in sports like baseball.
• Repetitive Stress – High-impact activities like running, ballet dancing, and sports that involve jumping can lead to sesamoiditis.
• Foot Structure – High arches, flat feet, and an inward roll (overpronation) can increase susceptibility.
• Improper Footwear – Wearing high heels or shoes with inadequate cushioning can place excessive pressure on the sesamoid bones.
• Trauma – Direct trauma to the big toe joint can also cause inflammation and pain in the sesamoid bones.

Symptoms of Sesamoiditis

The symptoms of sesamoiditis can vary in intensity but typically include:

• Pain under the big toe or on the ball of the foot.
• Swelling and bruising in the affected area.
• Difficulty and pain in bending and straightening the big toe.
• Tenderness when pressing on the sesamoid bones.

• Rest – Avoid activities that exacerbate the pain and inflammation.
• Ice – Apply ice to the affected area to reduce swelling.
• Medication – Over-the-counter pain medications and anti-inflammatories, such as ibuprofen and aspirin, can help manage symptoms. Consult your physician before taking any medication.
• Footwear Modifications – Wear shoes with soft soles and low heels, and use cushioning in shoes to relieve stress.
• Steroidal Injections – In some cases, a steroidal medication injection may be used to reduce swelling.
• Brace – If symptoms persist, you may need to wear a removable brace on the leg for 4-6 weeks to give the inflammation time to subside and the bones to heal.

Recovery

Recovery time for sesamoiditis can vary based on the severity of the condition. Mild cases may resolve within days, while more severe cases can take several months. It's crucial to follow your healthcare provider's recommendations and avoid activities that could delay healing. Tips for a smooth recovery:

• Rest – Allow ample time for the affected area to heal.
• Footwear – Invest in supportive, cushioned shoes to prevent recurrence.
• Gradual Activity – Slowly reintroduce physical activities, paying close attention to your body's signals.
• Physical Therapy – Engage in recommended exercises to restore strength and flexibility.

Why Choose Southern Delaware Foot & Ankle?

At Southern Delaware Foot & Ankle, we understand the importance of foot and ankle health in maintaining an active lifestyle. Our dedicated team is here to provide you with the highest level of care and support. Here’s why you should choose us for your foot and ankle needs:

• Expertise in Foot Conditions – Our team consists of experienced podiatrists specializing in a variety of foot and ankle conditions, including sesamoiditis.
• Patient-Centered Care – Our clinics prioritize a compassionate approach, making you feel comfortable discussing your concerns and treatment goals.
• Education and Empowerment – We believe in equipping our patients with knowledge about their conditions and treatment options to make informed decisions.
• Commitment to Recovery – Our focus is on your long-term health and well-being, guiding you throughout your recovery to ensure you regain your active lifestyle.