Sesamoiditis

Sesamoiditis Treatment in Santa Monica, CA

Sesamoiditis occurs when the sesamoid bones in the foot become inflamed, resulting in pain and discomfort, particularly in the ball of the foot. Our doctors at SoCal Sports Podiatry diagnose this condition and provide treatment options such as rest, proper footwear, and custom orthotics to alleviate symptoms and promote healing. If you’re experiencing discomfort, we can help you regain your comfort and mobility.

What is Sesamoiditis?

Sesamoiditis occurs when the sesamoid bones become inflamed due to excessive pressure or trauma. The inflammation typically affects the surrounding soft tissues, such as the tendons and bursa, leading to pain and discomfort in the ball of the foot.

Causes of Sesamoiditis

Overuse
Repeated stress from activities such as running, jumping, or dancing can lead to inflammation of the sesamoid bones. This is especially common in athletes who engage in high-impact sports.

Foot Structure
Abnormalities in foot mechanics, such as high arches or flat feet, can increase pressure on the sesamoid bones and contribute to sesamoiditis.

Improper Footwear
Wearing shoes with inadequate cushioning or support can place excessive stress on the sesamoid bones, leading to inflammation.

Trauma
Direct injury or trauma to the ball of the foot, such as from dropping a heavy object or stubbing your toe, can result in sesamoiditis.

Excessive Body Weight
Carrying excess weight can increase the load on the sesamoid bones and contribute to the development of sesamoiditis.

Symptoms of Sesamoiditis

Sesamoiditis is primarily characterized by pain in the ball of the foot, located just beneath the big toe joint, which may present as sharp, aching, or throbbing sensations. Inflammation in the area can lead to noticeable swelling, making the foot tender and sensitive to touch. Discomfort often intensifies with activities that put pressure on the ball of the foot, such as walking, running, or jumping. Additionally, individuals may experience increased pain when flexing the big toe, especially during movements that involve pushing off the ground.

Diagnosis and Treatment at SoCal Sports Podiatry

At SoCal Sports Podiatry, our specialists diagnose sesamoiditis through a detailed evaluation, which includes a physical examination and imaging tests such as X-rays or MRI. These tests help confirm the presence of inflammation and rule out other conditions.

Treatment Options

Rest and Activity Modification: Reducing activities that put pressure on the ball of the foot and allowing time for the sesamoid bones to heal can help alleviate symptoms.

Footwear Adjustments: Wearing shoes with proper cushioning, support, and a wide toe box can reduce stress on the sesamoid bones and provide relief from pain.

Orthotic Devices: Custom orthotic inserts can help redistribute pressure away from the sesamoid bones and improve foot alignment, reducing the risk of further inflammation.

Ice Therapy: Applying ice to the affected area can help reduce swelling and relieve pain. It is generally recommended to use ice for 15-20 minutes several times a day.

Anti-Inflammatory Medications: Over-the-counter or prescription nonsteroidal anti-inflammatory drugs (NSAIDs) can help manage pain and reduce inflammation.

Physical Therapy: Specific exercises and stretching techniques can improve flexibility, strengthen the foot muscles, and reduce strain on the sesamoid bones.

Padding and Cushions: Using metatarsal pads or cushioned inserts can provide additional support and reduce pressure on the ball of the foot.

Steroid Injections: In cases of severe inflammation, corticosteroid injections may be administered to provide temporary relief from pain and swelling.

Surgical Treatment: If conservative treatments are ineffective and symptoms persist, surgical options may be considered. Surgical procedures can involve removing inflamed tissue or, in rare cases, excising one of the sesamoid bones.

Prevention Tips

Preventing sesamoiditis involves several key practices. It is important to wear proper footwear that provides adequate cushioning and support to alleviate stress on the sesamoid bones, while avoiding high heels or shoes that lack sufficient padding. Maintaining a healthy weight can also help reduce pressure on the feet, lowering the risk of developing the condition. Additionally, incorporating regular foot exercises to enhance flexibility and strength can prevent injuries, and gradually increasing the intensity and duration of physical activities will help avoid excessive strain on the sesamoid bones.

For effective diagnosis and treatment of sesamoiditis, visit SoCal Sports Podiatry at our office. Our team of experts is dedicated to providing personalized care to help you find relief from foot pain and improve your quality of life. Call us at (310) 395-5025 to schedule an appointment and take the first step toward a pain-free life.