Sesamoiditis in the foot and the ankle is a condition that causes inflammation and irritation of the sesamoid bones. Sesamoid bones are pea-shaped bones that are within certain tendons. They’re typically located beneath the base of the big toe. Sesamoiditis typically develops due to overuse or repetitive stress on the sesamoid bones and the surrounding tendons.
Some causes of contributing factors of Sesamoiditis in the Foot and Ankle include:
- High-Impact Activities: Activities that involve running, jumping, or other high-impact movements can place strain on the sesamoid bones.
- Foot Structure: Having a high arch or even a structural abnormality in the foot can alter the distribution of weight & increase the pressure on the sesamoid bones.
- Improper Footwear: Footwear with inadequate cushioning or poor arch support can exacerbate the stress on the sesamoid bones and cause further injury.
- Repetitive Motion: Activities that involve repeated bending of the big toe, can contribute to irritation of the sesamoid bones.
- Trauma: An intense injury, such as a direct impact to the foot, can cause inflammation in the sesamoid bones.
The common symptoms of both foot and ankle sesamoiditis include the following:
- Pain: Persistent pain and discomfort in the area where the sesamoid bones are located, often beneath the big toe joint for foot sesamoiditis & around the ankle joint for ankle sesamoiditis.
- Tenderness: The affected area may become tender to the touch, and pressure on the sesamoid bones can increase pain.
- Swelling: Swelling and inflammation around the sesamoid bones.
- Difficulty Walking: Pain may intensify while walking.
- Limited Range of Motion: Reduced flexibility and limited movement of the big toe or ankle.
- Pain with Movement: Activities that involve bending the big toe or ankle, such as pushing off during walking or jumping, can cause pain to increase.
- Gradual Onset: Symptoms usually develop gradually over time, becoming more pronounced with continual strain on the affected area.
Treatment options of Sesamoiditis in the Foot and Ankle:
The treatment of sesamoiditis always varies on the individual, but will typically focus on reducing the inflammation, relieving the pain, & addressing the underlying causes. Here are some treatment options that may be explored:
- Rest: Avoiding activities that worsen pain.
- Ice: Applying ice to the affected area can help reduce inflammation and provide pain relief.
- Footwear: Over-the-counter orthotic inserts or shoes with proper arch support and cushioning can alleviate pressure on the sesamoid bones.
- Medications: Over the counter NSAIDs can help reduce pain and inflammation.
- Physical Therapy: Engaging in exercises and stretches to help improve foot mechanics, strength, and flexibility.
