Sesamoiditis is a condition involving inflammation of the tissue surrounding the sesamoid bones which are located under the big toe joint, on the bottom of the foot. Sesamoid bones aid in downward flexion of the big toe and are embedded in the tendon.
The most prevalent symptom is pain, which usually comes on gradually, but can intensify in both severity and duration. In older patients it is believed to be brought on by osteoarthritis, which can actually mean there is extra bone tissue involved, in the form of bone spurs. In younger patients, injury or repetitive stress is thought to be the cause, an example being ill formed shoes, such as high heels and also repeated stress such as a dancer or athlete may endure.
- Begin by icing the area. Icing can help in reducing the inflammation, which is the cause of most of the pain.
- Take a load off your feet. A few days rest away from the activity that is the contributing cause can go a long way toward relieving the discomfort. This may be a necessary intervention, from time to time
- Wear flat shoes. Although not recommended over the long haul, flat shoes can relieve the pressure when you have to be on your feet.
- Take over-the-counter medication. Over-the-counter medications such as Advil or Ibuprofen can help reduce the inflammation.
- Place an orthotic insert in the shoe.. There are inserts that are available over the counter. If in doubt as to which one to choose, go with an insert that is endorsed by the American Podiatric Medical Association (APMA).
If you are not sure if you have sesamoiditis, contact Dr. Vargas’ office. He can assist with a correct diagnosis and make treatment recommendations.