Sesamoiditis: Symptoms, Causes, Treatment- Anti-inflammatory Medications, Orthotics, Insoles

Sesamoiditis is a condition where there is inflammation of the sesamoid bones. In a human being, there are normally two sesamoid bones in each foot. They are about the size of jelly beans. These bones are embedded in the tendon of the Flexor Hallucis Brevis muscle, which is located at the base of the big toe.


Symptoms of Sesamoiditis

  • Pain which develops gradually.
  • Pain upon weight bearing on the forefoot.
  • Tenderness along the undersurface of the joint.
  • Gait disturbances.
  • Swelling is present.
  • Pain upon big toe movement, particularly against resistance.

Causes of Sesamoiditis

Injury to the sesamoid bones causes inflammation. Sesamoiditis is an overuse injury, which develops gradually due to repetitive trauma or force. Increase in activities which put pressure on the forefoot such as dancing is a common cause. Overpronation may also cause sesamoiditis.

Treatment of Sesamoiditis

  • Rest is important.
  • Cold therapy application helps in easing pain and inflammation.
  • Anti-inflammatory medications such as ibuprofen and naproxen help in reducing pain and inflammation.
  • Padding may be used. It helps in taking the pressure off of the bones.
  • Orthotics can be used to decrease the pressure on the sesamoid.
  • Strapping the big toe to immobilize it helps in faster healing.
  • If the cause is overpronation, then it can be corrected by using the insoles.
  • In severe cases where conservative treatment fails, corticosteroid injections may be given.
Pramod Kerkar, M.D., FFARCSI, DA
Pramod Kerkar, M.D., FFARCSI, DA
Written, Edited or Reviewed By: Pramod Kerkar, M.D., FFARCSI, DA Pain Assist Inc. This article does not provide medical advice. See disclaimer
Last Modified On:September 18, 2018

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