Pierre Dupont D. P. M. | Chiropodist | Foot Specialist recommends a soft cast and an air-boot to completely offset pressure otherwise transferred on the sesamoids. Surgical treatment is only considered in the extreme unresponsive cases and it involves removal of the sesamoid bones themselves.

1. Pierre Dupont Doctor of Podiatric
Medicine | Chiropodist | Foot
Specialist On Symptoms and
Causes of Sesamoiditis

2. Sesamoiditis is a usual problem faced by
physically active young people. It causes pain
in the inner aspect of the ball of the foot, right
under the big toe joint. Some may also face
swelling throughout the bottom of the big toe
joint. It is a common ailment affecting those
who are engaged in physical activities like
racket sports, squatting, or running on the ball
of the feet and dancing. This can cause the
formation of miniature bone spurs on the
sesamoid bone.

3. The spurs themselves act as an irritant to the
surrounding tendons that hold sesamoid bone
in place. This results in inflammation, swelling
and pain. Pierre Dupont D. P. M. | Chiropodist
| Foot Specialist says that the condition is
typically diagnosed during a simple physical
exam by a foot specialist. During the
examination, he looks for tenderness at the
sesamoid bones. He will also take X-rays of
the foot to ensure a proper diagnosis and to
rule out sesamoid bone fracture.

4. Special imaging like an MRI or nuclear bone
scan are sometimes ordered to confirm
clinical and radiological diagnosis. He says
that true fractures are typically easy to find on
an plain X-ray views, but the presence of a
sesamoid in several pieces may not always
be distinguishable from a naturally occurring
multi-piece sesamoid that is simply inflamed.
He evaluates the nature of line between the
pieces to determine if it is a fracture or a
natural separation.

5. The basic treatment course involves removing
the inflammation, and reducing the stress that
caused this painful condition in the first place
if hyperpronation is identified as a major
contributive factor. If condition is not abated
by use of orthotics and soft lasers, Pierre
Dupont D. P. M. | Chiropodist | Foot Specialist
recommends a soft cast and an air-boot to
completely
offset
pressure
otherwise
transferred on the sesamoids.

6. Thank You!