Understanding sesamoid injuries
The sesamoids are small bones beneath the big-toe joint that bear substantial pressure during push-off. Pain may develop gradually or after an acute injury.
Common signs and symptoms
- Pain beneath the big toe
- Pain during push-off
- Swelling or bruising
- Difficulty with barefoot walking
What to expect during evaluation
Focused examination and specialized X-ray views assess the sesamoids. MRI, CT, or comparison imaging may distinguish stress injury, fracture, and normal variants.
Treatment options
Treatment depends on the diagnosis, severity, activity goals, overall health, and prior care. Options may include:
- Activity modification
- Offloading pads or orthotics
- Protective footwear or boot
- Medication when appropriate
- Surgery for selected nonhealing or arthritic cases
Medically reviewed by Dr. Payaam Tavakoli and Dr. Phoram Vyas. General educational information only; an in-person evaluation is needed for diagnosis and treatment recommendations.