Sesamoids are tiny bones located within tendons that connect to muscles—as opposed to most bones which link to one another via joints. The patella, or kneecap, is the largest sesamoid, while the two sesamoids on the bottom of the feet near the big toe (the tibial and the fibular) are pea-sized. Despite their small size, these two sesamoids bear the body’s weight and the tendons they are attached to can become inflamed if they are overly stressed from high heels or activities such as ballet, basketball, or running. This condition is called sesamoiditis and can cause gradually-worsening pain under the ball of the foot, and popping sensations or difficulty bending the big toe. If you experience any of these symptoms, a podiatrist can thoroughly examine you and may utilize an X-ray, bone scan, MRI or ultrasound to determine if you have sesamoiditis. Treatment may involve lifestyle or footwear modifications, medications, or orthotics. Severe cases of sesamoiditis that do not respond to traditional treatment may require surgery.

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. Gordon Fosdick of Affiliated Foot Care Center. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

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 our offices located in Middlefield and Wallingford, CT . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.