Understanding Sesamoiditis: Pain Under the Big Toe

What is Sesamoiditis?

• Condition affecting small bones under big toe

• Two sesamoid bones become irritated or inflamed

• Can progress to fracture in severe cases

• Different from sudden sesamoid fractures

Common Causes

• Increased activity levels

• Regular high heel wear

• Frequent uphill walking

• Reduced foot padding

• High arch foot structure

• Biomechanical factors

Symptoms

• Localised pain under big toe joint

• Area swelling and bruising

• Pain during toe movement

• Discomfort in high heels

• Ball of foot tenderness

Treatment Options

Conservative Approaches

• Rest and ice therapy

• Anti-inflammatory medications

• Appropriate footwear selection

• Deflective padding

• Immobilisation taping

• Custom orthotics

• Steroid injections

Fracture Management

• Special boot immobilisation

• Extended rest period

• Structured rehabilitation

• Possible surgical referral