Sesamoiditis

The two small sesamoid bones under the big toe joint take enormous load with every push-off, and they can become inflamed or fractured. Because the area heals slowly, getting the offloading right early makes a real difference.

What's Involved

Imaging — X-ray to distinguish inflammation from a fracture or a bipartite sesamoid.
Offloading — Custom orthotics with a sesamoid cut-out to take the load off directly.
Activity plan — A graded return that does not restart the injury.

When to Come In

Pain under the big toe joint — Discomfort right at the ball of the foot.
Worse pushing off — Pain on the toe-off phase of walking or running.
Dancing or running — Activities that load the forefoot repeatedly.

This content is for general information only and isn't medical advice. Results vary from person to person, so talk with your eye doctor about your own eyes. If you have a medical emergency, call 911.