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Diagnosis and Treatment of Sesamoiditis

Sesamoiditis is a painful condition that affects the tendons around two small bones in the foot. These specialized bones, known as sesamoids, are unique in that they connect to muscles via tendons rather than to other bones. Typically, tendons become inflamed often due to overuse or repeated trauma, causing inflammation. This causes pain beneath the ball of the foot that gradually intensifies and may cause swelling or bruising. Certain activities, like running, basketball, or ballet, which impose considerable pressure on the ball of the foot, heighten the risk of developing sesamoiditis. Diagnosis involves a thorough physical examination to assess tenderness and limitations in mobility. A podiatrist will order imaging studies, such as X-rays, MRI scans, or ultrasounds to confirm the diagnosis and evaluate the extent of the condition. Treatment primarily focuses on lifestyle modifications, including modifying activity and changes in footwear.  Pain management strategies such as custom orthotics and certain medications may also be prescribed. In severe cases where conservative measures fail, surgery may be necessary. If you are experiencing symptoms of sesamoiditis, it is suggested that you schedule an appointment with a podiatrist.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Patrick Bruton, DPM of Big Country foot and Ankle. Our doctor will treat your condition thoroughly and effectively.


Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

  • Sudden increase in activity
  • Increase in physically strenuous movement without a proper warm up or build up
  • Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

If you have any questions please feel free to contact our offices located in Abilene, and Brownwood, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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