Whats That Pain Under My Big Toe?

Are you experiencing pain under your big toe or on the ball of your foot? Do you see any swelling or bruising in that area of the foot? Is it difficult to bend and straighten your big toe? If you answered yes to any of these questions, you may have a problem with your Sesamoids.

Sesamoids—What Are They?

Sesamoids are small bones that are embedded in muscle or are only connected to tendons. The foot is one of the few places in the human body where this structure appears. Two sesamoids about the size of corn kernels are found in the underside of the foot near the big toe. These tiny bones provide a smooth surface for tendons to slide on which increases their ability to transmit muscle forces. In your foot, the sesamoids help elevate the bones of the big toe and assist with weight-bearing.

Sesamoiditis and Other Problems

When the tendons surrounding the sesamoids become irritated or inflamed it’s known as a form of tendonitis called sesamoiditis. This condition is often seen in people whose activities place pressure on the balls of their feet such as catchers, runners, and ballet dancers. Sesamoids, like other bones, can also fracture.

Diagnosis and Treatment

At Southern Maryland Foot & Ankle, our experienced podiatrists, Dr. Larry Hotchkiss and Dr. Gregory Cardinal are skilled at diagnosing and treating all conditions of the foot and ankle. If you are experiencing symptoms of sesamoiditis, a thorough exam will be conducted. Once a diagnosis of sesamoiditis or a sesamoid fracture has been made, your foot doctor will determine the best treatment for you. Options include:

• Modifying your activities to discontinue those that are putting pressure on the ball of the foot and causing the pain and inflammation
• Over-the-counter pain medications and anti-inflammatory drugs
• Icing the area that is inflamed
• Wearing soft-soled shoes with a low heel
• Pads or cushioning inside the shoe to relieve pressure
• Injection of a steroidal medication

If none of these treatments are successful or your sesamoid injury is severe, a removable brace may be recommended to be worn on your leg for 4-6 weeks to give the injury time to heal and the inflammation a chance to subside. If you are experiencing pain on the ball of your foot or anywhere else on your foot or ankle, make an appointment at either our Clinton or Waldorf office to start on your way to pain relief.