By Affiliated Foot & Ankle Care
June 17, 2016
Tags: sesamoiditis  

There are several conditions which cause pain in the ball of your foot. One symptom that points to sesamoiditis over other possible disorders is the pain is most noticeable in the pushing off motion of the foot when walking or running. Another telltale sign is that once you get off your feet, the pain usually disappears fairly rapidly. At Affiliated Foot & Ankle Care, we find that patients are often unfamiliar with this disorder. Sesamoids are tiny bones that are not connected by joints. They are embedded directly into the tendons and help those tendons function properly. In your foot, there are two sesamoids located at the base of your big toe. When the sesamoids become inflamed, there is pain and discomfort, especially when bearing weight on the foot. This is sesamoiditis.

What Causes Sesamoids to Become Inflamed?

Our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah often have a clue about the cause of sesamoiditis based on the age of the patient. In most cases, if the patient is a senior citizen, the inflammation of the sesamoids is most likely a result of osteoarthritis. People with osteoporosis are also more likely to develop sesamoiditis due to the weakening of their bones. In younger people, sesamoiditis is usually the result of overuse, which can take several forms. If you participate in a sport such as tennis, football or basketball where pushing off is a common motion, you are more at risk for this condition. Also, jobs that require carrying a heavy load or squatting frequently put excessive pressure on the sesamoids and may eventually cause inflammation.

Treatment Options

Once the foot doctor has confirmed the diagnosis of sesamoiditis, you can discuss an appropriate treatment plan. Initially, the podiatrist will probably want you to rest the affected foot, avoiding weight bearing as much as possible and not participating in activities that require excessive pressure on the joint of the big toe. Nonsteroidal anti-inflammatory medications and icing the ball of the foot may be recommended to relieve pain. Going forward, the foot doctor may prescribe an orthotic insert for your footwear to protect the sesamoid area and also correct the mechanics of the foot to shift pressure away from the area.

If you are experiencing pain in the ball of your foot, don’t delay in making an appointment at our Edison or Monroe office by calling: 732-662-3050.