
Sesamoiditis, a common cause of big toe pain, affects the two semilunar-shaped sesamoid bones nestled within the tendon in the sole, aiding foot movement. Trauma or positional changes of these bones due to foot structural alterations, such as lateral displacement of the great toe, can trigger pain. Dancers, joggers, and individuals with high-arched feet or who wear high heels are particularly susceptible, with tibial sesamoiditis often observed in those with bunions. Symptoms include pain beneath the first metatarsal head, exacerbated by walking and certain shoe types. Diagnosis involves clinical evaluation, possibly joint aspiration to rule out gout or infectious arthritis, and imaging if fractures or osteoarthritis are suspected. Treatment ranges from offloading pads and orthotics to pain medications and corticosteroid injections, with surgery considered in chronic cases. If you have pain in your big toe that is persistent or worsening, it is suggested that you schedule an appointment with a chiropodist for a proper diagnosis and treatment.
Sesamoiditis can be painful and prevent you from participating in certain activities. To learn more about this condition, please consult with one of our chiropodists from West Toronto Foot & Ankle Clinic Inc. . Our chiropodist will assess your condition and provide you with quality foot and ankle treatment.
What Is Sesamoiditis?
Sesamoiditis refers to an injury of the sesamoids (two small, pea-shaped bones located beneath the big toe joint) or the tendons and/or surrounding tissue in the joint.
Causes
Sesamoiditis is typically the result of an overuse injury caused by activities that put repetitive pressure on the sesamoid bones and the tendons involved with those bones. These activities can include basketball, football, running, ballet, and tennis. People who have high foot arches and those who frequently wear high-heeled shoes are also at an increased risk of developing sesamoiditis.
Symptoms
Common symptoms of sesamoiditis include:
- Dull, longstanding pain under the big toe joint
- Swelling
- Bruising
- Difficulty straightening or bending the big toe
- Pain during movement
Diagnosis
Sesamoiditis can be diagnosed by physical examination and X-rays. Sometimes other imaging studies, such as a bone scan, MRI, or ultrasound may be needed if damage to the area surrounding the sesamoid bones is suspected.
Treatment
Treatment options include conservative measures, such as padding, strapping, taping or immobilizing the affected foot, taking oral medications or getting steroid injections to reduce pain and swelling, and wearing orthotic devices. Surgical treatment may be necessary if conservative measures are not effective.
If you have any questions please feel free to contact our office located in Toronto, ON .



