brandon podiatrist

Heavens to Murgatroyd, a Brandon Podiatrist talks about your Sesamoid

A Brandon Podiatrist sees many different issues throughout the day. They all have varying levels of pain and discomfort that can be alleviated by addressing either a medical or lifestyle change. At the base of your big toe joint is the sesamoid (as per the Yogi Bear joke I made in the title). When the sesamoid is inflamed, podiatrists refer to it as sesamoditis.

What Is a Sesamoid?

Your tendons are attached to a sesamoid bone. Several joints in the body are sesamoids. The sesamoids are below the big toe joint, which are 2 pea-shaped bones.

Acting as a sheave for tendons, the sesamoids assist the huge toe move usually and supply take advantage of when the big toe pushes off during walking and running. The sesamoids also act as a weightbearing surface area for the very first metatarsal bone (the long bone connected to the big toe), soaking up the weight placed on the ball of the foot when walking, running and leaping.

Sesamoid injuries can involve the bones, tendons and/or surrounding tissue in the joint. Sports activities put pressure on the ball of the foot, such as running, basketball, football, golf, tennis and ballet. In addition, individuals with high arches are at risk for getting sesamoid problems. Frequent using of high-heeled shoes can likewise be a contributing factor.

Symptoms of a Sesamoid Issue

Sesamoid issues are normally detectable by a mindful history and examination. The most common symptoms consist of:

  • Discomfort while putting weight on the foot
  • Pain with pressure used straight to the sesamoid bones
  • Pulling the big toe upwards causes pain (dorsiflexion of the big toe).
  • Other conditions that can trigger comparable signs consist of hallux rigidus and gout.

Medical diagnosis can be verified with imaging tests, such as an x-ray. However, sometimes the little sesamoid bones are challenging to sufficiently visualize on an x-ray test, and therefore other tests may also be considered. The most typically utilized test is an MRI study, but bone scans can likewise be effective to recognize sesamoid problems


The treatment of sesamoiditis starts with changing shoes. Increasing the quantity of cushioning within your shoes can help ease pressure on the impacted sesamoid. Particular inserts or custom orthotics shift forces far from the swollen bone. Other treatments consist of resting, preventing particular activities that aggravate the bone, non-steroidal anti-inflammatory medications, and ice application.

In the unusual circumstance that footwear modifications and rest are inadequate to eliminate the pain, there are surgical treatment alternatives. Nevertheless, these surgeries must be approached meticulously, as defects of the big toe can typically result if one or both of the sesamoid bones are eliminated.

Recovery from a sesamoid injury can take months and is often a frustrating experience. Athletes may need an extended period of limited weight-bearing or movement, and typically healing to full sports activities can take 3 to 6 months.

If you would like to get some relief from sesamoiditis, you can come pay a visit to the Gentle Foot Doctor, Rajnish Manohar. Dr. Manohar is a Brandon Podiatrist that has helped thousands of patients suffering from foot pain and related issues. Contact his Brandon Podiatrist office at (813) 502-5904 today for an appointment. Another way to get in touch via email is to use this easy scheduling form.

Rajnish Manohar
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Rajnish Manohar

Dr. Rajnish Manohar, has more than 20 years of healthcare experience.

Dr. Manohar has been in private practice as a Podiatrist in Zephyrhills since 2001, treating Foot and Ankle Pain including Diabetic Foot Pain and Neuropathy, as well as, providing routine Diabetic Foot Care.
Dr. Manohar is board certified by the American Board of medical specialties in Podiatric Medicine. He is a member of the American Academy of Podiatric Sports Medicine. Dr. Manohar resides in Temple Terrace, Florida.
Dr. Manohar specializes in treating foot and ankle pain, Plantar Fasciitis and Heel spurs, Neuromas, Peripheral Neuropathy, Ingrown toenails, Non healing wounds, corns, calluses, Warts, Cysts, Toenail fungus.
Rajnish Manohar
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