What is Sesamoiditis?
Sesamoiditis is a painful condition that occurs when the sesamoid bones, which are small, pea-shaped bones located beneath the big toe joint, become inflamed. This inflammation is often caused by overuse or repetitive stress on the foot, such as from activities like running or dancing, or from wearing high-heeled shoes. Individuals with high foot arches or those who participate in activities that put increased pressure on the balls of their feet are also at higher risk for developing sesamoiditis.
Symptoms of sesamoiditis include pain and swelling in the ball of the foot, especially beneath the big toe joint. The pain may worsen when walking or flexing the big toe. Treatment for sesamoiditis typically involves rest and activity modification to reduce pressure on the sesamoid bones. Ice therapy and nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation.
Physical Therapy for Sesamoiditis
Physical therapy is an important part of the treatment plan for sesamoiditis, focusing on strengthening the muscles around the big toe joint, improving flexibility, and correcting any biomechanical issues that may be contributing to the condition. Modalities such as ultrasound or electrical stimulation may also be used to help reduce pain and inflammation. In severe cases where conservative treatments fail, immobilization or surgical removal of the sesamoid bone may be necessary. With proper treatment and rehabilitation, most individuals with sesamoiditis can find relief from pain and return to their normal activities.