Sesamoiditis

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Sesamoiditis

Steven L Wolfington, DPM
1714 North 8th Street
Sheboygan, WI 53081
920-457-6104

 

Foot Excercises and Stretches

Strengthen Foot Muscles

Pull the towel under your foot with toes/arch for 3 minutes at a time. Repeat 3 times

Plantar Fascia Stretch

Fill a small plastic water bottle with water and freeze. Roll bottom of foot on frozen bottle for 10 minutes. Wait 50 minutes before repeating. Repeat 3 times throughout the day. 

Heel Cord Stretch

Sitting on the table or ground, hold your leg straight out in front of you. Loop a towel or belt around the ball of your foot, holding the ends with one hand. With knee slightly bent, steadily pull the towel or belt toward you to stretch your calf muscles. Hold for 30 seconds and then relax. Repeat 10 times, 3 times daily. 

Achilles Stretch

Face wall, about two paces away and with one foot in front of you. Keeping both heels flat on the floor, lean forward into the wall stretching out your calf. Hold for 30 seconds then relax, repeat 10 times, 3 times daily. 

As always, you can contact our office to answer any questions or concerns.


Sesamoids are small bones that are connected only to tendons or are embedded in muscle. This structure appears in only a few places in the human body, one of which is the foot. Two very small sesamoids (about the size of a kernel of corn) are found in the underside of the forefoot near the big toe—one on the outer side of the foot and the other closer to the middle of the foot. Sesamoids provide a smooth surface over which the tendons slide, thus increasing the ability of the tendons to transmit muscle forces. In the foot, sesamoids assist with weight-bearing and help elevate the bones of the big toe.

Like other bones, sesamoids can fracture. Additionally, the tendons surrounding the sesamoids can become irritated or inflamed, which is called sesamoiditis and is a form of tendonitis. Sesamoiditis is a common condition among ballet dancers, runners, and baseball catchers because of the pressures placed on their feet.

Symptoms include:

  • Pain under the big toe or on the ball of the foot.
  • Swelling and bruising.
  • Difficulty and pain in bending and straightening the big toe.

Surgery is usually not required to treat sesamoiditis. Treatments generally include:

  • Discontinuation of the activity causing the pain and inflammation.
  • Over-the-counter pain medications and anti-inflammatories, such as ibuprofen and aspirin. Note: Please consult your physician before taking any medications.
  • Icing the sole of the foot.
  • Wearing shoes that are soft-soled and low-heeled.
  • Using cushioning in shoes to relieve stress.
  • Injection of a steroidal medication to reduce swelling.

If symptoms persist, you may need to wear a removable brace on the leg for 4-6 weeks to give the inflammation time to subside and the bones to heal.




Steven L. Wolfington, DPM, Podiatrist - Sheboygan  
Sheboygan Foot Care, LLC
1714 North 8th Street
Sheboygan WI, 53081
920-457-6104

 

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