What is Sesmoiditis? 

Sesamoiditis is a condition characterized by inflammation of the sesamoid bones and the surrounding tissues, typically affecting the sesamoids in the foot. Sesamoid bones are small, pea-shaped bones embedded within certain tendons, providing additional leverage and reducing friction. In the foot, the two sesamoid bones are located beneath the first metatarsal bone, near the big toe.
 

Sesamoiditis often develops due to overuse or increased stress on the sesamoid bones and the tendons attached to them. It is a common condition among athletes, particularly those engaged in activities that involve repetitive impact on the forefoot, such as running, dancing, or playing certain sports.

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Common Causes and Risk Factors for Sesamoiditis Include:
 

1. Overuse: Activities that place repetitive stress on the forefoot, such as running or jumping, can lead to inflammation of the sesamoid bones and surrounding tissues.
    

2. Foot Structure: Individuals with certain foot structures, such as a high arch or a bony prominence under the big toe joint, may be more prone to sesamoiditis.
    

3. Footwear: Wearing shoes with inadequate support or shoes with a narrow toe box can contribute to sesamoiditis.
    

4. Trauma: Direct trauma or injury to the sesamoid bones, such as a sudden impact or a stress fracture, can lead to inflammation.
   
    

Common Symptoms of Sesamoiditis:
 

• Pain beneath the big toe joint, often aggravated by weight-bearing activities.

• Swelling and tenderness around the sesamoid bones.

• Difficulty bending or straightening the big toe.

• Pain when wearing certain shoes or walking on hard surfaces.

How can Chiropractic care help Sesmoiditis?
 

Treatment for sesmoiditis often involves conservative measures, including:

• Chiropractic adjusting of the foot and ankle to improve mobility and reduce pain.

• Soft tissue therapies for the calf, arch and flexor hallucis muscles can help reduce tension on the sesmoid bones

• Shockwave therapy can help with quicker recovery.

• Ice: Applying ice to the affected area to reduce inflammation.

• Rehabilitation exercises to improve strength of the arch and calf

• Stretching exercises: Stretching the calf muscles and the plantar fascia itself.

• Supportive footwear: Wearing shoes with proper arch support.

• Orthotic devices: Using orthotic inserts to support the foot's arch.