podiatry in Glen Iris, Ashburton, Malvern and surrounds
Sesamoiditis Treatment in Glen Iris
Expert podiatry for sesamoiditis and big toe joint pain – in-clinic and in-home across Glen Iris.
Clear diagnosis
Understanding Sesamoiditis Treatment
Sesamoiditis involves inflammation or irritation of the sesamoid bones and surrounding tendons in the foot. These two small, pea-sized bones are unique; unlike most bones, they are embedded within a tendon, similar to the kneecap. Located beneath the head of the first metatarsal bone, at the base of the big toe, sesamoids are crucial for foot mechanics. They act as a pulley system, providing leverage for the big toe during push-off, absorbing shock, and protecting local tendons. Inflammation of these sesamoid bones or their encasing tendons leads to sesamoiditis, often an overuse injury from repetitive stress or trauma to the forefoot.
What your first appointment is designed to answer
We want you to leave knowing what is likely driving the problem, what treatment can help, what you should avoid for now, and what the next few weeks should look like.
Assessment first
We test movement, strength, loading tolerance and the factors that may be keeping the problem going.
Hands-on care
Where appropriate, treatment starts in the room. This may include manual therapy, soft tissue work, taping or podiatry care.
Clear next steps
You leave with a practical plan for work, sport, exercise and daily activity.
Common problems
Problems We Commonly See
These are the common conditions and presentations linked with sesamoiditis treatment.
Pain under the big toe or ball of the foot: The most prominent symptom, often a dull ache that sharpens with activity like pushing off, running, jumping, or wearing high heels [1, 5].
Swelling and/or bruising: Inflammation around the big toe joint can cause visible swelling and, occasionally, bruising [5].
Treatment at GRIT
How We Treat Sesamoiditis Treatment
Our podiatrists combine clear education, hands-on treatment and progressive rehab so your plan feels practical, not vague.
Difficulty bending or straightening the big toe:: Pain and inflammation can restrict big toe range of motion [1].
Tenderness to touch:: The area directly beneath the big toe may be sensitive when pressed [1].
Pain that increases with activity and decreases with rest:: Activities stressing the forefoot, such as walking, running, or dancing, exacerbate pain [4].
Questions
Frequently Asked Questions
Simple answers to the questions people commonly ask before booking.
What are sesamoid bones and where are they located?
Sesamoid bones are small, independent bones embedded within tendons, acting like pulleys to provide leverage and reduce friction. In the foot, two pea-sized sesamoids are located under the head of the first metatarsal bone, beneath the big toe joint.
What causes Sesamoiditis?
Sesamoiditis is primarily an overuse injury caused by repetitive stress on the sesamoid bones and their surrounding tendons. Activities involving frequent pushing off the toes, such as running, dancing, or wearing high heels, are common culprits.
What are the common symptoms of Sesamoiditis?
The most common symptom is pain in the ball of the foot, directly under the big toe joint. This pain often worsens with activity and may be accompanied by difficulty bending the big toe, tenderness to touch, and sometimes localized swelling.
How is Sesamoiditis diagnosed?
Diagnosis typically involves a thorough physical examination, where a clinician assesses tenderness and range of motion. Imaging tests like X-rays, bone scans, CT scans, or MRI may be used to rule out fractures or other conditions.
How long does it take to recover from Sesamoiditis?
Recovery time for Sesamoiditis varies depending on severity and adherence to treatment. Mild cases may resolve within days or weeks with rest and conservative care, while more severe or chronic cases can take several months to fully heal.
Can Sesamoiditis be prevented?
Prevention involves addressing contributing factors such as wearing supportive footwear, avoiding prolonged activities that aggravate the condition, and gradually increasing activity levels. Custom orthotics can also help redistribute pressure and prevent recurrence.
Need Help With Sesamoiditis Treatment?
Book an initial assessment and we will point you in the right direction. No referral is required.