Sesamoiditis

Sesamoiditis

Definition

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.

Overview:

    • 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.

Treatment:

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