About the condition
Sesamoiditis is characterized by localized pain under the big toe, a condition that can stem from a variety of factors. The human foot contains two sesamoid bones under the first metatarsal bone near the big toe, which can become inflamed due to mechanical overload. This overload may be attributed to an individual's foot shape, gait biomechanics, inappropriate footwear, certain sports activities, or underlying pathologies such as osteoarthritis or functional hallux limitus. Without timely intervention, sesamoiditis can escalate into more serious complications, including stress fractures or bone necrosis, making early treatment crucial.
Treatment
The treatment approach for sesamoiditis must be holistic and customized, focusing on the underlying causes of the condition:
Orthotics: Custom orthotic devices can significantly reduce pressure on the sesamoid bones by redistributing forces more evenly across the foot, addressing biomechanical imbalances.
Change of Footwear: Switching to shoes that provide better support and cushioning around the forefoot can alleviate stress on the sesamoid bones and reduce pain.
Injection Therapy: In cases where pain and inflammation are severe, injection therapy may be employed to provide relief and reduce inflammation, facilitating a quicker return to normal activities.
A thorough assessment is essential to determine the most effective treatment plan, incorporating one or more of the aforementioned strategies. By addressing the specific factors contributing to sesamoiditis, it is possible to relieve pain, prevent the progression of the condition, and avoid the need for surgical intervention.
