May 01, 2014
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Do you have pain associated with the base of your big toe but don’t think it is a bunion deformity? Sesamoiditis may be your problem!

The sesamoids are two pea-shaped bones located in the ball of the foot, beneath the big toe joint.  They act as a pulley for tendons by providing leverage when the big toe pushes off while walking, running and jumping. The sesamoids also act as a weight bearing surface for the long bone, called the first metatarsal, connected to the big toe. Although many people become affected with it due to increased activity levels, it is most common in runners and dancers because they push off the ball of their foot so much.

Frequently wearing high-heeled shoes can also be a contributing factor to Sesamoiditis – which is an overuse injury with chronic inflammation of the sesamoid bones and tendons surrounding those bones. It is possible to fracture a sesamoid bone – either acutely with a direct blow or chronically with a hairline fracture from repetitive stress.  After examining the foot and radiographic evaluation, Dr. Mendoza will help you decide the best course of action.  Sometimes oral medications such as ibuprofen will be enough to cut the pain.  Other options include steroid injections to reduce the inflammation, or even a surgical procedure to remove part or all of the affected sesamoid bone.

Call our office today at 615-452-8899 if you think you’re experiencing sesamoiditis!