Sesamoiditis

Located under the big toe joint of each foot there are two tiny bones called sesamoids. These bones allow the big toe move up and down freely and help us push off during walking, running, and jumping activities. Sesamoiditis occurs when too much pressure has been applied to the big toe joint. Ballet and basketball are examples of activities that put recurring pressure on the balls of the feet. The medial sesamoids are more affected than the lateral sesamoids. Sometimes the nerves adjacent to the injured sesadmoids can become compressed which could lead to neuritic pain. 

Pedorthic applications may include:

• Properly fit shoes with depth
  • Shoes with shock absorbing soles and toe spring are recommended
• Excavation under the sesamoids
• Medial wedges
• Metatarsal pads
• Full length steel shank
• Rocker soles
• Accommodative orthotics
• Functional orthotics with a cut out under the sesamoids