Pain under the ball of the big toe (hallux) of the metatarsal head, not the toe itself. Sesamoiditis is inflammation of either one of both of the Sesamoids.


    • Two sesamoids are situated under the great metatarsal head
    • Each sesamoid bears 1/6 of the forefoot weight
    • The condition is diagnosed by tenderness over either sesamoid
    • Often, but not always associated with some form of arthritis.
    • Spurring can occur due to continually rubbing and lack of cartilage.


    • Medial arch correction (orthotic) and metatarsal pad  (see picture)
    • Slow- gentle calf stretching
    • Stiff sole shoes
    • Carbon fiber insert
    • Avoid high heeled shoes