Diagnosing & Treating Sesamoiditis


Sesamoiditis is a condition that occurs when the two sesamoid bones in the ball of the foot and the tissues surrounding them become irritated and inflamed. The sesamoid bones, like the kneecaps, are free-floating bones that have no hard connection to the surrounding bones except through tendons and ligaments. Capsulitis and neuroma have similar symptoms, so see your foot doctor for the correct diagnosis.

Symptoms and risk factors of sesamoiditis:

The sesamoid bones in the ball of your foot absorb a lot of stress and pressure, but when they are injured, you will experience severe pain and swelling in the ball of your foot, especially when bending the big toe. High-stress activities including sports and ballet dancing, or just being on your feet walking on hard surfaces all day for work, can contribute to developing this condition.

Treatments for sesamoiditis include the following:

●     Resting and icing— to reduce swelling and pressure

●     Low heel cups— Wearing shoes with lower and deeper heel cups and softer soles will lessen the stress on the sesamoid bones and speed the healing process.

●     BracesIn more severe cases a rigid brace will be required, and you will have to wear it for several months or longer.

●     Custom orthotic insertsThese can be placed by your foot doctor to redirect pressure away from the sesamoid bones.

If you are experiencing symptoms of sesamoiditis, see your foot doctor for the correct diagnosis and treatment. At Monroe Foot & Ankle Care, our podiatrist, Dr. Elliott M. Perel treats a variety of conditions including diabetic foot problems, bunions, nail fungus, arthritis, and heel pain. Equipped with advanced technologies including shockwave therapy, MLS Laser treatment, and computerized gait analysis, Monroe Foot & Ankle Care provides specialized, high-quality service for patients across central New Jersey. For any problems you may be experiencing with your feet and ankles, contact our Monroe/Jamesburg office at (732) 521-2155 or our Metuchen office at (732) 744-0003 for an appointment.