| Description:
Sesamoiditis is a general description for any irritation of the sesamoid bones. Sesamoid bones are tiny bones within the tendons in the foot that run to the big toe. The sesamoid bones function as a pulley, increasing the leverage of the tendons controlling the toe.
Problems it causes:
The most common symptom of sesamoiditis is pain in the ball-of-the-foot and swelling. The pain often occurs on the medial or inner side.
The pain may be constant, or it may occur with, or be aggravated by, movement of the big toe joint. The pain is often accompanied by swelling throughout the bottom of the forefoot.
What Causes It:
Sesamoiditis is usually caused by repetitive, excessive pressure on the forefoot. Other causes include increased activity, stress fractures, having a high arched foot, and having a bony foot. If you have a bony foot, you may not have enough fat on your foot to protect your sesamoid bones and tendons.
How to help:
- Rest
- Modified shoe (Rocker Sole)
- Orthotics with a (Reverse Morton's Extension)
- Immobilization of the toe joint to speed the healing process
- Ibuprofen to decrease pain and swelling
Severe cases may require a below-the-knee walking cast for 2 to 4 weeks and the injection of steroids into the inflamed first metatarsophalangeal joint.
|