Sesamoiditis: Explained

August 18, 2022

There are countless causes of foot pain. One cause not often discussed is a foot condition called sesamoiditis, a type of inflammation of the sesamoid bones.

A sesamoid is a type of bone embedded in a tendon; they’re in numerous body parts, such as the hands. Sesamoiditis targets the sesamoid bones in the foot, which look like two small, circular bones located beneath the big toe joint.

Today, we will discuss what sesamoiditis is, who is at risk, and how you can receive treatment for this painful foot condition.

What is Sesamoiditis?

Sesamoiditis is a type of tendonitis (tendon inflammation). Specifically, it is classified as inflammation of the sesamoid bones and tendons in the ball of the foot.

Sesamoiditis is a unique condition in that the sesamoid bones are the only bones in our body that are connected just to tendons – not other bones. Because of this, the sesamoid bones in our feet bear the brunt of insufficient shock absorption, causing inflammation and pain.

Other types of tendonitis in the foot include Achilles tendonitis (inflammation of the Achilles tendon) and extensor tendonitis (inflammation of the extensor tendons on the top of the foot).

Naturalistic visualization of foot with sesamoid bones. Anatomy of joints, human leg realistic black and yellow transparente skeleton. view. For medical orthopedic advertising. Vector illustration stock vector.

Symptoms of Sesamoiditis

Big toe pain, specifically pain under the big toe
Bruising
Difficulty bending the big toe
Pain on the bottom of the foot
Mobility issues: the inflammation of the sesamoid bones can make it difficult for the feet to bear weight
Redness and swelling on the bottom of the foot

Who is at Risk of Developing Sesamoiditis?

Sesamoiditis is an overuse injury, so physically active people are at risk. Since athletes, dancers and runners bear weight on the balls of their feet repeatedly, they often don’t get enough shock absorption and protection from the ground’s surface. This repeated stress is one of most common cause of sesamoiditis in young adults.

When it comes to older adults, those with osteoarthritis and bone spurs are prone to developing sesamoiditis. The sesamoid bones are already weak when you have these conditions, so they’re more susceptible to inflammation.

Additional risk factors include:

High arches
Wearing high heels
Having large sesamoid bones
Osteoporosis

Sesamoiditis Treatment and Prevention

Wearing custom orthotics can help unload the stress on the sesamoid bones by correcting any biomechanical abnormalities that are causing excessive strain on the sesamoid bones. Likewise, they’re a great way to relieve pain and also prevent the development of sesamoiditis. They provide both cushioning and the ability to correct the problem over time. These are a great option for severe pain since they fully conform to the unique shape of your foot. Superfeet insoles can also be a good option for cushioning, shock absorption and arch support if your case is mild.

Proper footwear with good support and cushioning is also essential for relieving (and even preventing) pain associated with sesamoiditis.

Your family doctor or foot specialist may also suggest non-steroidal anti-inflammatory drugs (NSAIDs), like ibuprofen, to help with the pain. A specialist, like a chiropodist, may be able to tape your big toe, so it slightly points downward, providing relief.

Sesamoiditis Treatment at Home

Rest and relaxation
Ice and elevation
Avoiding physical activity
Investing in well-fitted shoes with supportive and comfortable features. Specifically, soft soles and low heels are helpful, like the ASICS Gel Nimbus.

We're Here to Help You!

If you’re experiencing foot pain, our chiropodists can help. Call us at 416-769-3338 (FEET) or use our online booking form to schedule a foot assessment.

PrevPrevious What Causes Burning Feet?

NextNext What Does Foot Deodorant Do?

Related Services & Conditions

Newsletter Signup

Get biweekly health information and advice from our experts.

June 5, 2023

Cold Sweats: Causes, Symptoms, and How to Manage Them

Cold sweats are episodes of excessive sweating involving feelings of coldness, clamminess, and a drop in body temperature. Our feet are particularly prone to cold sweats due to their position (away from the heart) and function. This blog post discusses the causes, symptoms, and ways to manage cold sweats. Causes of cold sweats There are several possible causes of cold sweats, including medical conditions, medication side effects, and emotional triggers. Learn more about the common cause of cold sweats in feet below: Hyperhidrosis Hyperhidrosis is the common term for excessive sweating. If you experience cold and sweaty feet without exercising or temperature changes, you may have hyperhidrosis. The underlying cause is an overreaction of your body's sweat glands. Stress and anxiety can also disrupt your body's sweat glands. There is an overall increased risk of infection in the presence of hyperhidrosis, including fungal, bacterial, and viral infections Peripheral Arterial Disease (PAD) Peripheral Arterial Disease is a condition of the body's lower extremities. The leg's blood vessels become blocked or narrowed, restricting blood flow between your lower legs and heart. Fatty plaque in the arteries is often the culprit. You may be at greater risk of PAD if you have diabetes, are over 60, or have elevated blood pressure and cholesterol. Menopause A common cold sweats culprit is menopause. Blood circulation can increase or decrease based on hormonal changes, triggering sweats. Overactive thyroid A thyroid disorder can cause plantar hyperhidrosis (excessive foot sweat) while deregulating body temperature. An overactive thyroid also messes with our blood circulation, giving the feet and skin only a quarter of the blood supply they usually need. Raynaud's disease Raynaud's disease causes cold hands and feet and numb toes. The condition decreases blood flow in certain body parts because of the blood vessels spasming in the area. Body temperature Sudden changes in core body temperature can trigger cold sweats. For instance, when sleeping, you may want to experiment with adjusting the room temperature up or down or even sleeping with your feet outside the blankets to thermoregulate your core body temperature. Other causes of cold sweats Wearing small shoes or shoes without proper ventilation: Shoes without proper breathing properties may trap in heat and cause your feet to sweat or have a cold sweat sensation. Neuropathy: Nerve damage, typical in diabetes patients, can cause excessive sweating and disrupt your average body temperature. Exercise: If you exercise and your feet continue to sweat or be moist afterwards, you may experience cold feet. Symptoms of cold sweats The top symptoms of cold sweats in the feet include Excessive sweating Feeling cold or clammy Shivering Paleness In addition to the symptoms in your feet, you may also experience these bodily feelings: Dizziness or lightheadedness Nausea or vomiting Weakness How to manage cold sweats The management of cold sweats will depend on the underlying cause. Here at Feet First Clinic, we recommend several treatment options, including: Foot deodorants, creams and sprays. Talk to your doctor about taking certain types of medications. For instance, antidepressants may lower triggers like stress and anxiety, which cause you to sweat more. Manage stress. Practice stress-reducing techniques such as deep breathing, meditation, or yoga. Ensure you're getting enough rest. A lack of sleep can trigger cold sweats, so try to get enough restful sleep. Daily foot hygiene practices. Keep feet clean and dry, regularly change socks, etc. Regularly air out your feet. Breathable footwear. Dress in layers. Removing or adding layers will stabilize your core body temperature and prevent significant shifts. Moisture-wicking socks. Schedule regular foot assessments to check for conditions that thrive in moist environments, like athlete's foot.

June 1, 2023

The Benefits of Custom Orthotics for Women

When it comes to custom orthotics for women, improved foot health is just around the corner. These days, women from all walks of life are enjoying the benefits of orthotics, from foot pain management to better posture and mobility. These perks combined reduce the average woman's chance of developing a painful foot condition. Let's look at how orthotics are becoming one of the best ways to support women's health. The Benefits of Custom Orthotics for Women Foot pain management Better posture Improved mobility Foot Pain Management Many women spend most of their time on their feet and use custom orthotics to relieve and prevent pain. WebMD notes top orthotic features that accommodate pain: Alignment and support: This corrects imbalances and abnormalities, distributing weight more evenly and reducing strain on the areas of the feet that need a break. Shock absorption and cushioning: Orthotics with shock absorbing qualities reduce the harsh impact of walking on the pavement and ground. Offloading, protection and injury prevention: Orthotics can offload specific areas of the foot or relieve pressure on injured or sensitive areas. This promotes healing and prevents irritation. Women with plantar fasciitis and sore spots on their feet (like blisters, painful corns, etc.) should try "soft orthotics" that have extra cushioning. "Rigid orthotics" are best for daily walking and working on your feet as they prevent strain and the resulting domino effect (pain throughout the lower extremities, hips, knees and back) that comes with wear and tear. If you're interested in orthotics, ask your chiropodist what type are best for your lifestyle. Posture Standing tall and maintaining good posture is important to a lot of women. It can boost self-confidence and mental well-being, but most importantly, it works wonders for your health by keeping your bones and muscles in proper alignment. Since orthotics address the misaligned position of your feet, they are a successful method of improving posture. According to the Journal of Applied Biomechanics, wearing custom orthotics over a certain period can support postural stabilization. This can help women by preventing circulation issues and the vast array of other problems that stem from poor posture. Better Health notes back pain, spinal dysfunction, joint degeneration (which can exacerbate osteoarthritis), rounded shoulders, headaches and muscle fatigue as side effects of bad posture. Improved Mobility For women struggling with daily movements, orthotics can make a world of difference. Many women adopt poor walking gaits to accommodate pain, but don't realize the long-term effects this can have. Moreover, issues like overuse injuries or arthritis can negatively impact quality of life. Luckily, orthotics enhance stability and provide more control with every step, mainly due to the support they give your foot arches. They reduce excessive motion or overpronation (inward rolling of the foot) during walking and ensure each movement has a purpose.

May 29, 2023

Running with Ingrown Toenails: How to Manage Discomfort and Avoid Infection

Ingrown toenails are the most common nail problem. And with toenails being put under pressure when running, combining the two can be challenging, but not totally out of the question. Although running with ingrown toenails can be uncomfortable and increase the risk of infection, it is doable. There are steps you can take to manage the discomfort and reduce the risk of complications. This article discusses tips on managing the pain associated with running with an ingrown toenail and ways to prevent infection. Don't let an ingrown toenail stop you from your running routine; read on to learn more! Can I run with an ingrown toenail? Yes. If the ingrown toenail is mild, and you take the proper precautions, you can safely run. The key is to manage discomfort and do your best to reduce the risk of complications or infection. However, there is a difference between whether you can run versus should run, and you should weigh the pros and cons outlined below. First, it's important to note that running with an ingrown toenail can worsen the condition and increase the risk of complications. If the pain is severe or you experience signs of infection, like redness, swelling, or discharge, seek medical attention immediately. If the ingrown toenails worsen, see a chiropodist or other healthcare professional. They may recommend antibiotics, specialized treatment or surgery to remove part of the affected nail. How to manage discomfort when running with an ingrown toenail To enjoy running with ingrown toenails, you must take steps to control the discomfort, reduce the risk of complications and keep the pain at bay. Here are some tips: Monitor pain and symptoms: There's no denying that physical activity can aggravate ingrown toenails. Sports with ground forces due to athletic activity, obesity or constricting footwear aid overlapping lateral nail fold penetration. Trim the toenail properly: If the ingrown toenail is mild, you can trim it yourself. Use a clean pair of nail clippers and cut the nail straight across without rounding the edges. Cutting straight across prevents the nail from growing into the adjacent skin. If your ingrown toenail is more persistent, inflamed or painful, you should see a chiropodist for treatment to prevent any risks and complications. Trim the toenail using toenail clippers: Avoid using fingernail clippers for your toenails. The strength and thickness of our toenails demand a more rigid tool to trim effectively. Wear proper shoes: Wear shoes that fit correctly and provide enough room for your toes to move freely. Tight or narrow shoes can crowd the toes and increase the risk of ingrown toenails. Take pain medication: Pain relievers can help to manage the discomfort associated with ingrown toenails. See a chiropodist for professional treatment: If your ingrown toenail is painful, inflamed, or has persisted for a long time, you should book an appointment with a chiropodist to have it properly and safely treated. This will reduce the risk of infection and allow you to resume running pain-free. How to avoid infection when running with an ingrown toenail? To prevent your ingrown toenail from worsening while running, taking the proper measures to avoid infection is vital. You can take steps to manage the discomfort and reduce the risk of complications when running with ingrown toenails. Here are some tips: Keep the affected toenail clean: Wash the affected toe with soap and water daily, and keep it dry. A clean and dry site will help to prevent the spread of bacteria and reduce the risk of infection. Apply topical treatments: You can use over-the-counter antiseptic or antibiotic ointments to the affected area to help prevent infection. Use clean toenail clippers (and maybe one from our top picks): Don't use someone else's nail clippers; clean them off before use. Bacteria are invisible to the eye, so be safe with what you put your feet in contact with. For instance, you wouldn't want to risk catching the fungus that causes athlete's foot. Apply a bandage over the ingrown toenail: Once you've cleaned the affected toenail, apply a bandage over the toenail before starting your run. This will help prevent any outside bacteria from penetrating the nail and surrounding skin.

May 25, 2023

The Best Compression Stockings for Varicose Veins: How to Choose the Right Pair

Compression stockings are very popular amongst people with varicose veins. As the veins become painful and your legs feel heavy and tired, wearing them every day is often one of the only ways people feel comfort and relief (don't worry, most types are stylish or discrete). Finding the best compression stockings for varicose veins involves visiting a doctor and then attending a fitting at a foot clinic where you will discover: The type of compression stocking you need The right level of compression Your size According to the National Library of Medicine, doctors and chiropodists recommend compression stockings not only because they help patients manage pain, but they're also easier to use than bandages and pneumatic devices. Let's discuss everything you need to know about varicose veins and compression stockings. Types of Compression Stockings for Varicose Veins Varicose veins often develop in the calf area towards the back of the leg. This is because walking and standing tend to put more pressure on the leg veins closer to the feet. As a result, knee-high compression socks are often the best type of compression stockings to invest in for varicose vein treatment. However, any vein in the leg can become varicose, so you may need thigh-high or pantyhose compression hosiery. Compression Levels for Varicose Veins Compression stockings have different compression levels, and stockings with more compression are tighter. You can often buy stockings in the 8-15 or 15-20 mmHg range at drug stores, but someone with varicose veins will need more compression from medical-grade stockings. To adequately support blood flow and circulation and provide comfort and support, Sigvaris recommends a compression level of 20-30 mmHg for varicose vein treatment. However, if your varicose veins are severe, you should look into graduated compression in the 30-40 mmHg range. Lastly, compression levels should always be the highest in the area with the varicose veins. While this should give you a general idea, your family doctor will know the right level of compression you need. Once you've gone to your family doctor and received your compression stockings prescription, you can then bring the prescription to your local foot clinic to get measured and fitted. Note: only a medical doctor can issue a prescription for compression stockings with the appropriate level of compression. Compression Stocking Sizes During your compression stocking fitting, a certified fitter at your foot clinic will determine what size you need and order the stockings after selecting from a size chart. Sizes for medical grade compression stockings (20-30 mmHg and above) are quite specific and require measuring; compression stockings will not work if they don't fit well. To ensure they order the right size, your fitter will measure your calf circumference, calf length, and ankle circumference. They may also need to measure your hip circumference, leg length, and thigh circumference. Your fitter will also go over the various style and material options and help you select the option that works best for your activities.

May 22, 2023

Custom Orthotics and Shoe Inserts: Which One Is Right for You?

Custom orthotics and shoe inserts (i.e.: over-the-counter insoles) have a lot in common. Both inserts provide support and cushioning to your feet and aim to correct the biomechanics that can lead to certain foot conditions. Custom orthotics and over-the-counter shoe inserts also have their differences. So, how do you know which one is best? Well, the most appropriate option depends on your specific feet, the foot condition, the issue you're trying to correct, and more. This article discusses the differences between custom orthotics and shoe inserts to help you choose the best option. What are custom orthotics? Custom orthotics are shoe inserts designed to fit you. The personalized fit comes from a mould of your foot, meaning the orthotic matches the foot's unique size and shape. Custom orthotics aim to address structural issues like flat feet or high arches, which, if left untreated, can cause a wide range of foot and lower limb conditions. There are four stages to getting orthotics: The orthotic assessment Casting Fitting Repairs What are Over-the-Counter Shoe Inserts? Over-the-counter shoe inserts (or off-the-shelf insoles) are pre-made insoles for your footwear which add cushioning and support. Shoe inserts are available in various materials, including foam, gel, and cork. They can relieve foot pain caused by plantar fasciitis, heel spurs, and metatarsalgia. The critical difference with shoe inserts is they are pre-fabricated and sold as-is. One of the most common brands of over-the-counter shoe inserts is Superfeet. Which one is right for you? Custom orthotics vs. over-the-counter shoe inserts The choice between custom orthotics and over-the-counter shoe inserts comes down to your specific needs and the nature of your foot or lower limb condition. The case for off-the-shelf shoe inserts If you have a mild foot condition, such as flat feet or plantar fasciitis, over-the-counter shoe inserts may provide sufficient support and cushioning to alleviate your symptoms. They are also a more affordable option compared to custom orthotics. If you prefer multiple pairs of shoe inserts, for instance, for your hiking boots, skates, or ski boots, shoe inserts may be a better option as they are more disposable. Shoe inserts can also be beneficial for lower-impact activities like walking as they provide additional support to your feet. The case for custom orthotics If you have more severe foot or lower limb conditions, such as severe flat feet, bunions, or diabetic foot conditions, custom orthotics may be the better option. They provide a higher level of customization and support and can address the specific needs of your feet to help alleviate pain, improve gait, and prevent further damage. Custom orthotics can also be beneficial for higher-impact activities like long-distance running.

May 18, 2023

How to Choose the Best Insoles for Your Foot Type

Choosing the best insoles for your foot type can be a tricky endeavour. You want to make sure you're making a smart investment while fighting foot pain and reducing your chances of developing a foot condition. One of the best over-the-counter insole brands is Superfeet, a well-known company that consistently produces insoles for people from all walks of life. Let's look at some classic Superfeet features and what type of insole is best for your foot type. Today's blog will discuss the following: Superfeet insoles: classic features Best insole for flat feet Best insole for high arches Best insole for normal arches / high-impact activities Superfeet Insoles: Classic Features Superfeet insoles are made with high-quality materials and features that support foot health, including: High-density foam: One of the best materials for insoles, it offers a firm foundation, comfort and sufficient shock absorption. Heel cup: This can help stabilize the foot for those who need it. It also helps properly align the foot. Odour control: Some Superfeet insoles feature an odour-control coating that helps prevent bacteria growth and keeps the insoles smelling fresh. Contoured shape: All Superfeet insoles come with a shape that accommodates various foot types. Superfeet insoles are a great alternative to custom orthotics - and not just financially. Buying them from your local foot clinic can also save you time, as you can wear them the same day you buy them. Now that you know the basics, let's consider what version best compliments your foot type. Best Insoles for Flat Feet: Superfeet Blue Some of the best insoles for flat feet are Superfeet's Blue inserts. The deep heel cups stabilizes the flat foot and prevents it from rolling inward, also known as overpronation. Individuals with this foot type often experience plantar fasciitis over time, and wearing Superfeet Blue can be preventative and, according to Mayo Clinic, reduce symptoms like foot pain. Superfeet Blues also have a medium arch shape. This allows you to get the arch support you need, without being too aggressive and putting too much pressure along the arch. It's also important to note that despite their thin appearance, Superfeet Blues are firm and highly durable. The thinness lets you use them in various footwear, making them one of the most popular over-the-counter insoles. Best Insoles for High Arches: Superfeet Green Choosing insoles with high arches can seem like a lost cause, but Superfeet Green is some of the best for this foot type. In fact, Superfeet Green is Superfeet's flagship product, and it's most popular. One of the reasons why is its high arch support, which helps them stand out from the Blue and Orange insoles which fall in the medium range. This high arch support helps alleviate foot pain and ankle, back, and knee pain by properly distributing pressure along the foot. Superfeet Green also provides the most support and stability among all Superfeet's insoles. It's also beneficial for a variety of other foot conditions, such as plantar fasciitis and even flat feet (albeit with a break-in period). Best Insoles for Normal Arches / High-Impact Activities: Superfeet Orange Superfeet Orange is a good choice for people with a normal to slightly pronounced arch. However, whether its brisk walking or playing sports, Superfeet Orange is great for physically active individuals. The heel cup perfectly cradles the foot during exercise, providing maximum control and optimal positioning of the soft tissue beneath the heel. Superfeet Orange also stands out with its extra high-impact foam on the forefoot, where the ball of the foot generally withstands the most pressure. It's important to note that many Superfeet varieties complement a normal arch. Furthermore, flatter and more pronounced arches may also be able to mix and match different insole types. Superfeet Orange, Green and Blue are simply some of the company's best sellers. To learn about the various types of Superfeet insoles, click here.

Our simple to use, online booking process makes it easy to book an appointment with a chiropodist for any of our services. No referral needed!

Book an Appointment

Book an Appointment

Book an Appointment

Share:

What is Sesamoiditis?

Symptoms of Sesamoiditis

Who is at Risk of Developing Sesamoiditis?

Additional risk factors include:

Sesamoiditis Treatment and Prevention

Sesamoiditis Treatment at Home

We're Here to Help You!

Related Services & Conditions

Newsletter Signup

Related Posts

Cold Sweats: Causes, Symptoms, and How to Manage Them

The Benefits of Custom Orthotics for Women

Running with Ingrown Toenails: How to Manage Discomfort and Avoid Infection

The Best Compression Stockings for Varicose Veins: How to Choose the Right Pair

Custom Orthotics and Shoe Inserts: Which One Is Right for You?

How to Choose the Best Insoles for Your Foot Type

Useful Links

About Us

Our Newsletter

Useful Links

About Us

Our Newsletter

Emily

Administrative Assistant

Erica Halpern

Marketing and Administrative Assistant (She/Her)

Sophie Rudahigan

Clinic Administrator (She/Her)

Bianca Carter

CEO (She/Her)

Carolina Charles

Patient Relation Coordinator (She/Her)