Sesamoid Pain

Sesamoid pain occurs under the big toe joint. The sesamoid bones are 2 small pebble bones that form part of the joint. In some cases, the bones can become inflamed or develop a fracture. It usually occurs with repetitive stress/pressure or can be from landing heavily on the foot. Sometimes a sac of fluid next to the bones can develop and become inflamed (called a bursitis).

Management is usually using a combination of padding, orthotics, injections and sometimes using a fracture boot.

Very occasionally, surgery to reduce the size of the sesamoid or remove the sesamoid is required.