Sesamoiditis
Guide to recognising and treating sesamoid bone conditions in the foot
Understanding Sesamoiditis: Pain Under the Big Toe
What is Sesamoiditis?
- Condition affecting small bones under big toe
- Two sesamoid bones become irritated or inflamed
- Can progress to fracture in severe cases
- Different from sudden sesamoid fractures
Common Causes
- Increased activity levels
- Regular high heel wear
- Frequent uphill walking
- Reduced foot padding
- High arch foot structure
- Biomechanical factors
Symptoms
- Localised pain under big toe joint
- Area swelling and bruising
- Pain during toe movement
- Discomfort in high heels
- Ball of foot tenderness
Treatment Options
Conservative Approaches
- Rest and ice therapy
- Anti-inflammatory medications
- Appropriate footwear selection
- Deflective padding
- Immobilisation taping
- Custom orthotics
- Steroid injections
Fracture Management
- Special boot immobilisation
- Extended rest period
- Structured rehabilitation
- Possible surgical referral
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