Treating Sesamoiditis


Sesamoiditis occurs when the tissues surrounding the two sesamoid bones in the ball of the foot become irritated and swollen. The sesamoid bones are unique since they are free-floating bones that have no hard connection to any other bones. These bones are only attached by the tendons and ligaments that connect them to the surrounding structures. Your knee bone is the largest sesamoid bone.

Signs and risk factors of sesamoiditis

The sesamoid bones carry a lot of weight in their location in the ball of the foot, where they experience all the pressure and stress from walking and exercising. If you experience severe pain when bending your big toe and the ball of the foot shows signs of swelling, then you may have sesamoiditis. If you regularly perform high-stress activities including dancing, running, and other sporting activities, your sesamoid bones are more likely to become injured. Similar conditions including neuromas and capsulitis can also cause pain in the ball of the foot, so see your foot doctor for the proper diagnosis and treatment.

Treatment for sesamoiditis

Conservative treatments include resting and icing to reduce swelling and pain. Wear shoes with a low heel cup and softer soles to help reduce the pressure on the sesamoid bones. Steroid injections may also help to reduce pain and discomfort, and a special brace may be required in more severe cases. This brace may have to be worn for a month or longer for proper healing to occur.

If you are experiencing pain and discomfort from sesamoiditis, we highly recommend that you consult our board-certified podiatrists Andrew Shapiro, DPM and Michael Barkin, DPM. With access to advanced technologies, along with years of experience to help diagnose and treat a variety of foot and ankle problems, we can assist you with heel pain, ankle sprains, diabetic foot care, toe deformities, nail fungus, and skin problems, among many other conditions. Our practice is conveniently located on West Merrick Road in Valley Stream to accommodate all your foot care needs. Call (516) 825-3860 or book an appointment online today!