Treating Sesamoiditis: Focus On Pain Relief Methods

Sesamoiditis is a condition that mainly affects athletes and dancers. Sesamoiditis usually does not require any kind of surgery or other major intervention; treatment plans mainly focus on pain relief methods and lifestyle changes.

Medications and orthotics:

If you are experiencing a lot of pain, you can try using aspirin or ibuprofen. Alternatively, a cortisone injection may also prove to be effective in reducing pain and swelling.

Orthotics, like padded insoles, may be used with your shoes and can help in effective management of the pain. Over-the-counter orthotics are helpful for treating mild pain, but have a short life span. Custom orthotics however are designed for your particular condition and tend to last longer.

You may also try taping your big toe as it can help in easing the symptoms. You should keep your toes pointed slightly downward. If you are not sure how to do it, you can ask a medical expert or a nurse and they can show you how it should be done.

Lifestyle changes:

While making lifestyle changes, the first thing that you must do is stop performing whatever activity that may be responsible for sesamoiditis or for aggravating its symptoms. You should also steer clear of other activities that inadvertently put additional pressure on the ball of the foot. Make sure that you keep icing your foot from time to time.

If you find that high heel shoes or any other kind of footwear is actually putting undue pressure on the sesamoids, simply avoid them and go for more comfortable and supportive footwear. The best footwear products for this condition come with low heels and soft soles. You can also get clogs and other types of stiff soled shoes that may be more comfortable for you.


If other treatment options fail to produce the desired results, the doctor is going to recommend surgery for correcting sesamoiditis. Surgical removal of a single sesamoid bone can be helpful in rectifying the condition. The best thing to do in these cases is to remove only a single sesamoid and not two. Taking both these bones out may have a detrimental impact on the patient’s big toe. In fact, it won’t allow the area to be as healthy as before.

During the surgical procedure, the surgeon is going to place you under general anesthesia. An incision will be made on the bottom section of the foot so that the soft tissue surrounding the affected bone can be separated. The surgeon is going to be careful so as not to accidentally damage the nerve that runs smoothly along the bone. Once the bone is successfully removed, the surgeon will put the soft tissue back in its position and close up the incision.