Sesamoiditis

The two small sesamoid bones under the big toe joint take enormous load with every push-off, and they can become inflamed or fractured. Because the area heals slowly, getting the offloading right early makes a real difference.

What's Involved

Imaging — X-ray to distinguish inflammation from a fracture or a bipartite sesamoid.
Offloading — Custom orthotics with a sesamoid cut-out to take the load off directly.
Activity plan — A graded return that does not restart the injury.

When to Come In

Pain under the big toe joint — Discomfort right at the ball of the foot.
Worse pushing off — Pain on the toe-off phase of walking or running.
Dancing or running — Activities that load the forefoot repeatedly.

This content is for general information only and isn't medical advice. Talk with a qualified provider about your own situation. If you have a medical emergency, call 911.