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Posts for tag: sesamoiditis

By Affiliated Foot & Ankle Care
March 05, 2019
Category: Nutrition

March is National Nutrition Month, and at Affiliated Foot & Ankle Care, we think this is a great opportunity to inform patients about the important ways that food affects the health of your feet.

Weight Watching

Everyone knows that what and how much you eat determines what you weigh. What you may not realize is the importance of maintaining a healthy weight for your feet. Since your feet carry the weight of your entire body, if you are overweight, you are putting excess strain on your feet. Weighing more than you should can be a risk factor for several foot conditions, including flat feet, plantar fasciitis, metatarsalgia, and sesamoiditis, to name a few. Being overweight increases your chances for systemic diseases such as diabetes and heart disease which can also have a negative impact on the health of your lower extremities.

Inflammation Fighters

Many podiatric conditions have inflammation as a primary symptom. Arthritis, Achilles tendonitis, and plantar fasciitis are examples of painful podiatric disorders brought about by inflammation. Studies have found that certain foods can trigger an inflammatory response in the body. Some of these include fried foods and foods high in sugar. Other foods, like berries, fish high Omega 3 fatty acids, and olive oil, can help suppress or reduce inflammation.

Gout Triggers

Certain foods can bring on a gout attack. Gout is a form of arthritis that most often strikes the big toe joint and is caused by too much uric acid in your body which crystallizes in the joint and results in severe pain. Foods to avoid include red meat, organ meats, beer, brandy, red wine, and shellfish.

The next time you are in for an appointment at our Edison, Monroe or Monmouth Junction office, ask our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah if you could improve a foot condition you have with modifications to your diet. You can contact us by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
January 16, 2018
Category: Overuse Injuries
Tags: Turf Toe   sesamoiditis   fracture  

At the base of your big toe are two tiny bones known as sesamoids. Sesamoids are unique structures in the body in that they are bones that are embedded in tendons and not attached to other bones. When these little bones are injured or irritated, they can cause severe pain under the big toe. That’s when  Affiliated Foot & Ankle Care usually gets a call.

3 Common Sesamoid Injuries

The sesamoids can become inflamed due to excessive pressure and overuse brought about by many sports and activities, such as basketball, running, golf, tennis, ballet, and football. Acute injuries are also possible when there is a blow to that part of the foot or a sudden exertion and overstretching of the big toe joint. Common problems include:

  1. Sesamoiditis - this is an inflammation of the sesamoid bones or the tendons they are embedded in. It is characterized by a dull, aching pain beneath the toe joint that may come and go, depending on the activity or shoes you are wearing.
  2. Fracture - breaks in a sesamoid bone can be acute or chronic. Acute fractures are caused by a direct trauma or blow to the bone which causes immediate pain and swelling. A stress fracture is a crack in the surface of the bone and will produce an intermittent, aching pain.
  3. Turf Toe - the soft tissue around the big toe joint can be injured if the joint is overextended. Signs of turf toe include a sharp pain at the moment of injury (sometimes patients feel a “pop”) and swelling. The range of motion of the toe will be severely limited as well.

You can help reduce the risk of sesamoid injuries by limiting your time in high heels and avoiding repetitive stress on the big toe joint. If you feel you may have injured your sesamoids, contact our Edison, Monroe or Monmouth Junction office in New Jersey for an appointment by calling: 732-662-3050. Our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah, will examine your foot and determine the proper treatment to reduce pain and inflammation.

By Affiliated Foot & Ankle Care
October 13, 2016
Tags: sesamoiditis  

Are you experiencing pain under your big toe or on the ball of your foot? Is it painful to bend and straighten your big toe? Have you noticed any swelling or bruising on the ball of your foot? If the answer to one or more of these questions is yes, you may have a condition known as sesamoiditis.

What are Sesamoids?

Sesamoids are tiny bones that are embedded in muscle or connected only to tendons. This bone structure occurs in only a few places in our bodies and one of them is the bottom of the foot. Two sesamoids are near the base of the big toe. Their job is to provide a smooth surface for tendons to glide over easily. This helps with weight bearing and bending the big toe.  When the tendons near the sesamoids get inflamed, sesamoiditis is the result. The inflammation is usually the result of overuse and at Affiliated Foot & Ankle Care we see it fairly often in runners, baseball and softball catches, dancers and other patients who participate in other activities that put an excessive amount of pressure on the toes and forefoot.

Diagnosis and Treatment

The first step is to have one of our board certified foot and ankle surgeons, Dr. Varun Gujral or Dr. Nrupa Shah take a look at your foot.  During your appointment at our Monroe, Edison or Monmouth Junction office, the foot doctor will focus on the joint of your big toe. The podiatrist may observe you walking and check the wear pattern of your shoes. X-rays or other imaging studies may also be ordered. Once a diagnosis of sesamoiditis is confirmed, the foot doctor will want you to rest the foot and take a break from the activity that is causing the irritation to the tendons. There are several treatment options available:

  • Icing the sole of the foot and taking over-the-counter anti-inflammatory medications such as ibuprofen
  • Inserting cushioning or padding into shoes  to protect the inflamed area
  • Steroid injections

In extreme cases, you may need to wear a removable brace on your feet for several weeks to allow the bones to heal. It’s best not to delay seeking treatment. If you are experiencing pain in the ball of your foot, contact us by calling: 732-662-3050.

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.