The Diagnosis and Treatment of Sesamoiditis

Pain under the big toe joint can have many causes, although one common cause is unique to the anatomy of the big toe joint itself. Inflammation of two small, unique bones called sesamoids can cause significant pain under this joint. This article will discuss the condition known as sesamoiditis, and the treatment options available.

Sesamoiditis is generally unique to the big toe joint, as this is the only part of the foot where these bones consistently appear. The word sesamoid is used to describe a round or oval shaped bone found outside the usual connected skeleton. Several extra foot bones that appear in some humans are sometimes called 'sesamoid' bones. However, true anatomic sesamoid bones found in all humans are the consistently appearing bones found under the big toe joint. These two small, egg-shaped bones about the size of a peanut M&M candy sit under the big toe joint, and fit within two shallow grooves formed on the bottom of the first metatarsal head, the long bone that forms the first part of that joint. Sesamoids can appear as complete bones, or can form after birth in two or three separate pieces. Serving in an assisting role in bearing weight across the big toe joint during foot push-off, as well as a stabilizer for the various structures that cross over and around the big toe joint, the sesamoids bear a great deal of weight and stress during walking and running. Injury to these bones can happen on an acute and chronic basis.

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Acute injury to the sesamoids can happen due to a variety of reasons. These include falling from a height onto the ball of the foot, crushing injuries to the big toe joint, directly kicking an object that forces the big toe upwards, or a direct blow to the bottom of the foot. Chronic injuries to the sesamoids can take place during repetitive pressure on the ball of the foot from activities such as dancing or stair climber use. This can also be seen in repetitive work-related activities, such as pedal use in machinery or platform standing. Indirect force from abnormal pulling of the tissue that attaches near or on the sesamoids can also lead to injury. In general, only one of the two sesamoids usually becomes injured, as injury to both is possible but uncommon.

The Diagnosis and Treatment of Sesamoiditis

Symptoms of sesamoiditis can include a sharp pain or dull ache on the bottom of the big toe joint. This pain becomes worsened when the toe is flexed in an upwards direction. Any activity that stresses this joint, including walking, running, and jumping, can cause pain. This is especially true while one is barefoot. Using flat and supportive shoes helps to decrease the the pain of this condition, while high heels makes it worse. The tissue under the big toe joint may feel swollen or full, and may even be warm to the touch in less common cases.

This condition is typically diagnosed during a simple physical exam by a foot specialist, although x-rays may be needed to rule out a stress fracture of true fracture. Stress fractures of the sesamoids can mimic the symptoms of sesamoiditis, and may be difficult to diagnose properly as they may not show up early on the x-ray. Special imaging like an MRI or nuclear bone scan is often needed to confirm a stress fracture. True fractures are typically easy to find on an x-ray, however the presence of a sesamoid in several pieces may not always be distinguishable from a naturally occurring multi-piece sesamoid that is simply inflamed. A physician must evaluate the nature of the line between the pieces to determine if it is a fracture or simply a natural separation.

Treatment of sesamoiditis can be difficult at times, as healing may be slow. The basic treatment course involves removing the inflammation, and reducing the stress that caused it in the first place. Inflammation can be reduced by using anti-inflammatory medications. Icing is also an important part of this treatment course. More direct intervention can be considered in stubborn cases: if no fracture or stress fracture is suspected, a steroid injection can be given to reduce the inflammatory reaction of the bone and its surrounding region. These measures address the inflammation causing the pain, but the underlying stress also needs to be reduced for proper healing. This is made possible by using offloading padding or specialized shoe inserts to reduce pressure under the ball of the foot, or by modifying the activity that caused it in the first place. The use of stiffer-soled shoes is usually necessary, and impact activities must be curtailed during the healing process.

More serious cases may require immobilization in a walking boot or in a cast for up to several months. Cases that simply won't heal with any of these measures may require surgical intervention. Surgical removal of one of the sesamoids is typically effective at eliminating the pain, and is sometimes also necessary when stress fractures or true fractures won't heal. However, it should be noted that most people recover uneventfully and don't need surgery or prolonged immobilization. Dancers and athletes can return to activity once the condition resolves, but with the knowledge the condition may return if stress to the big toe joint continues. The same applies for those with repetitive foot tasks at work.

Sesamoiditis can potentially be a long-term condition if not treated properly and promptly, and is often mistaken for other general big toe arthritic conditions with inadequate treatment the result. This common foot problem is easily treated, although the time to full healing may be somewhat lengthy. By seeing a foot specialist when the symptoms begin, a speedier recover can be potentially achieved, avoiding months of pain and disability.

The Diagnosis and Treatment of Sesamoiditis

Dr. Kilberg provides compassionate and complete foot and ankle care to adults and children in the Indianapolis area. He is board certified by the American Board of Podiatric Surgery, and is a member of the American Podiatric Medical Association. Visit the practice website of this Indianapolis foot doctor for more information.

WalkFit Platinum Orthotic Shoe Inserts Review: 5 Things to Consider Before Buying

Orthotic shoe inserts have been around for years. Orthotic inserts are medically-designed to fit into shoes and provide long-lasting foot, knee and back relief. Usually, these physician-approved inserts cost 100s of dollars though.

Several years ago WalkFit Orthotics hit the infomercial market & since then over 5 million have been sold. Millions of people have tried WalkFit for a fraction of the price and never looked back. The new WalkFit Platinum has taken the good & made it better with new & improved technology.

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There are 5 things you should consider, though, before purchasing the WalkFit Platinum Orthotic Shoe Inserts:

WalkFit Platinum Orthotic Shoe Inserts Review: 5 Things to Consider Before Buying

Who Needs WalkFit Orthotics? Most people thinking about purchasing the WalkFit Orthotics Inserts are already suffering from some sort of foot ailment such as shin splints, bunions, heel spurs, hammer toe or just foot pain in general. The answer is that, in terms of long-term health, everyone would benefit from wearing WalkFit Orthotics. There are, however, obvious benefits for active adults, seniors & anyone who spends a great deal of time on their feet at work such as mechanics, hospitality professionals and construction workers.

Are The Claims Made on TV True? The short answer is, YES. The Walk Fit Platinum Orthotics do live up to the claims made on TV. What they do not explain on TV is that, depending on the condition of your feet, it may take a week or two (maybe longer) for you to be able to wear the WalkFit for extended periods of time.

Once the feet become accustomed to the insoles, however, approximately 95% of our customers surveyed reported that WalkFits are essential to their daily life. A small percentage of those that try the WalkFit Platinum have such extreme discomfort that only a surgical procedure will repair the problem.

How Do WalkFits Compare to Other Orthotics? There is the option of having an orthotic foot specialist custom-design a pair of inserts for your feet. This option requires the investment of the physician visits plus the cost of the orthotics insoles, which usually are no less than 0. WalkFit Orthotics, on the other hand, are customized to within inch of the size of your feet and include three additional customizable inserts for varying comfort levels. So, while WalkFit Platinums aren't designed to the specific mold of your foot, they do offer the added benefit of varying comfort levels for varying levels of pain & foot problems. Many of our customers who have had custom orthotics report that these gel inserts make the WalkFit much more helpful.

How Do WalkFit Orthotics Work? WalkFit Orthotics gradually re-align your feet over time to give you the best arch support possible for overall health. By re-aligning your feet properly, the entire body is put in a much more stabilized position. Very much like an anchor keeps a ship stabilized. This stabilization not only benefits the feet, but helps to gradually re-align and support other areas of the body such as the shins, the knees, your thighs & hips, as well as lower back and neck. It's like the domino effect, but in reverse.

Bottom-Line: If you're suffering from foot pain, this is not a natural way to live. Each pair of WalkFit Platinum Orthotic Inserts comes with a full 30-day satisfaction guarantee. If you don't begin to feel relief within 30 days, will gladly refund the full purchase price.

WalkFit Platinum Orthotic Shoe Inserts Review: 5 Things to Consider Before Buying

Sherman Walters is President of, the Inernet's most trusted source for As Seen on TV infomercial products. He and his staff routinely test infomercial products for their customers and publish the results of those tests online.

Foot Pain - Ball of Feet, Cause and How To Fix

Often, runners or others who put a lot of pressure on their feet throughout the day experience foot pain on the ball of their feet. If you are one of the unfortunate individuals who suffer from this type foot pain, you may be in luck. I will try to explain what may cause this and how you can receive relief from such pain. Please, read on.


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There are various reasons why a person might experience foot pain on the ball of the foot, however; one of the more common reasons would be a condition known as Morton's neuroma. This condition is generally caused by ill fitting footwear and continual trauma or injury to the area known as the metatarsal heads.

Foot Pain - Ball of Feet, Cause and How To Fix

The metatarsal heads are located at the ball of the foot. There are nerves that run along this region that can become irritated from the constant abuse. This can cause a thickening of the nerves and therefore cause burning pain in the ball of the foot and sometimes pain and numbness in the toes.

Possible Solution:

Metatarsal pad and/or other special foot support products may help relieve foot pain around the ball of the foot, heel, arch, or other areas where pain may occur. See your podiatrist or foot specialist for any special needs. Purchasing correct fitting shoes is very important. Shoes that don't fit well can cause many problems, including this issue.

When purchasing any shoes, be sure your toes fit comfortably. Remember, your feet tend to swell later in the day, so you might want to try on shoes in the late afternoon or evening. Also, make sure you select the right kind of shoes for whatever sport or event you intend to participate in.

If you are planning on running a marathon, make sure you have a good pair of running shoes. If you are planning on standing in one spot for a period of time, be sure to get comfortable shoes. The same goes for walking. If you go to a theme park all day, get shoes that fit well and have correct padding to absorb the shock.

Often, there is nothing like a good old foot massage to relieve aching feet. A wonderful device that has helped my feet is called the Foot Log. The Foot Log is a scientifically designed foot massager that is soft and durable. It is shaped like a log, about 12" long by about 2" diameter. It has several little rubber nubs that, as you roll your feet on top of it, massages all of the pressure points on the bottom of your feet. This stimulates circulation and helps the muscles relax. This is a very good tool for targeting the pain in the ball of your feet.

If you treat your feet well, they will treat you well. We often ignore our feet and as a result, we suffer the consequences. It is important to remember that if your feet hurt, you hurt all over.

Foot Pain - Ball of Feet, Cause and How To Fix

Wait, before you go:

To find out how to get your hands on the Ultimate Foot Massager, called the Foot Log, click here: