Sesamoiditis
Description: Sesamoids are the small nodular bones embedded in a tendon or a joint capsule. Sesamoiditis is the inflammation of the sesamoid bones or surrounding structure.
Cause: Sesamoiditis is usually caused by repetitive, excessive pressure on the forefoot. It typically develops when the structures of the first metatarsophalangeal joint are subjected to chronic pressure and tension. The surrounding tissues respond by becoming irritated and inflamed. This is a common problem among ballet dancers and people who play the position of catcher in baseball. Any activity that places constant force on the ball of the foot can cause sesamoiditis. |
Treatment: Treatment for sesamoiditis is usually non-invasive. Minor cases require a strict period of rest and the use of a modified shoe or a shoe pad with a cutout to reduce pressure on the affected area. A metatarsal pad can be placed away from the joint to redistribute the pressure of weight bearing to other parts of the forefoot. In addition, the big toe may be bound with tape or athletic strapping to immobilize the joint as much as possible and allow healing to occur. Oral anti-inflammatory drugs can be used to reduce swelling.
Severe cases may require a below-the-knee walking cast for 2 to 4 weeks and the injection of steroids into the inflamed first metatarsophalangeal joint.
Seek physician advice on how to best treat your condition.
Severe cases may require a below-the-knee walking cast for 2 to 4 weeks and the injection of steroids into the inflamed first metatarsophalangeal joint.
Seek physician advice on how to best treat your condition.