Don't Ignore the Pain: The Importance of Early Diagnosis and Treatment for Sesamoiditis and Sesamoid Stress Fracture

Information  •  Thu 22 Dec 2022

Sesamoiditis and sesamoid stress fractures can cause significant pain and discomfort in the foot, and if left untreated, they can lead to long-term problems requiring surgery. That's why it's so important to get an accurate diagnosis and start treatment as soon as possible.

So, what exactly are sesamoiditis and sesamoid stress fractures, and how can they be treated? Let's dive in.

What is Sesamoiditis?

Sesamoiditis is an overuse injury affecting the small, pea-sized bones beneath the big toe. These bones, known as the sesamoids, help to support the body's weight when we walk or run and allow for smooth, fluid motion of the big toe.

Sesamoiditis occurs when the sesamoids become inflamed or damaged due to repetitive stress or overuse. This can lead to pain, swelling, and difficulty moving the big toe. Sesamoiditis is most common in athletes and those who engage in activities that involve a lot of running or jumping, but it can also affect people who wear high heels or shoes that are too tight.

What is a Sesamoid Stress Fracture?

A sesamoid stress fracture is a small crack or breaks in one of the sesamoids. Like sesamoiditis, this condition is typically caused by repetitive stress or overuse. A sudden, high-impact injury can also cause it.

Symptoms of a sesamoid stress fracture include pain, swelling, and difficulty moving the big toe. In some cases, the pain may be severe enough to make it difficult to walk or bear weight on the affected foot.

The Importance of Early Diagnosis and Treatment

If you're experiencing pain in the ball of your foot or difficulty moving your big toe, it's essential to see a podiatrist as soon as possible. Sesamoiditis and sesamoid stress fractures can be treated effectively if caught early, but if left untreated, they can lead to long-term problems.

A podiatrist can diagnose sesamoiditis or a sesamoid stress fracture through a physical examination and possibly imaging tests such as an X-ray or MRI.

Treatment for sesamoiditis typically involves rest, ice, orthotics followed physical therapy to stretch and strengthen the muscles around the sesamoids. In severe cases, a podiatrist may recommend a short period of immobilization with a walking boot or cast.

Treatment for a sesamoid stress fracture may involve rest but often require a more extended period of immobilization with a cast or walking boot. In rare cases, surgery may be necessary to remove the fractured sesamoid.

Preventing Sesamoiditis and Sesamoid Stress Fractures

There are several steps you can take to help avoid sesamoiditis and sesamoid stress fractures:

• Wear shoes that fit correctly and offer good support: Tight or ill-fitting shoes can put extra strain on the sesamoids, so choosing shoes that fit well and provide good support for the feet is essential.
• Warm up & Stretch before the physical activity: Stretching before exercise or other physical activity can help to loosen up the muscles around the sesamoids and reduce the risk of injury.
• Avoid high-impact activities: If you're prone to sesamoiditis or sesamoid stress fractures, it may be best to avoid them.

If you're experiencing foot pain, don't hesitate to call and schedule an appointment or book online to see how our Musculoskeletal Podiatrist can help you get back on your feet and feel your best.