Sesamoiditis
What is Sesamoiditis?
Sesamoiditis is the inflammation of the sesamoid bones and surrounding tendons located beneath the first metatarsal head in the forefoot.
- Common among runners and dancers
- Caused by repetitive pressure or overuse
Overview of the Condition
This condition typically causes pain in the ball of the foot, especially under the big toe.
Symptoms
- Pain under the big toe (ball of the foot)
- Swelling and tenderness in the forefoot
- Difficulty walking or running
Causes
Repeated stress from high-impact activities or improper footwear can irritate the sesamoid bones and surrounding tissues.
Diagnosis
Diagnosis is based on clinical evaluation and imaging studies such as X-rays to assess for stress fractures or other pathology.
Treatment Options
- Rest and activity modification
- Non-steroidal anti-inflammatory medications (NSAIDs)
- Use of orthotic devices to offload pressure from the sesamoids
Conservative Management
Initial management involves rest, ice, and NSAIDs to reduce inflammation and pain.
Rehabilitation Exercises
- Stretching exercises for the foot and calf
- Strengthening exercises for foot muscles
- Gradual return to weight-bearing activities with proper support
Surgical Considerations
Surgery is rarely needed for sesamoiditis, but may be considered if conservative measures fail and there is evidence of a stress fracture.
Anatomy Overview
The sesamoid bones are small, round bones embedded in the tendons beneath the first metatarsal head in the forefoot.
Affected Areas
- Forefoot, specifically beneath the big toe
- Adjacent soft tissue structures
Frequently Asked Questions
Question | Answer |
---|---|
How long is the recovery period? | Recovery generally takes several weeks with proper rest and treatment. |
Can sesamoiditis be prevented? | Wearing appropriate footwear and gradually increasing activity levels can help prevent sesamoiditis. |
Prevention Strategies
- Use supportive, well-fitted footwear
- Incorporate proper warm-up and stretching exercises
- Avoid excessive repetitive stress on the forefoot