What is Sesamoiditis?

The sesamoids are two bones underneath the great toe. They lie within the tendon of flexor hallucis brevis. The main function of the sesamoids is they act in a similar way to the knee caps,  increasing the leverage of the muscles that flex the toe.

Pathology of the sesamoids is referred to as sesamoiditis and typically occurs from increased pressure and demand on the sesamoids.

Causes of Sesamoiditis

Sesamoiditis is generally a result of chronic overloading of the sesamoid this can be as a result of:

  • Abnormally force applied to the sesamoid
  • Poor footwear
  • Altered biomechanics

Diagnosis of Sesamoiditis

Diagnosis is usually based or symptoms and a complete assessment of your foot and ankle.

At the Ankle, Foot and Orthotic Centre we are able to provide additional information about the presence of sesamoid damage with ultrasound imaging.


Treatment of Sesamoiditis

Management becomes about offloading and supporting the toe this can be in the form of

  • Taping
  • Orthotic Offloading
  • Shoe stretching and modification

The Foot and Ankle Centre’s Northcote Podiatrists can help you with all lower limb complaints, including Sesamoid pain. Make an appointment to get your foot and ankle pain under control