Sesamoid injuries can cause significant complications that restrict movement and lead to frustration. However, they don’t have to define your life. Imagine a future where you’ve overcome your sesamoid injury and enjoy full freedom to engage in your favorite activities. Our medical experts at New Jersey Foot Surgeons conduct a comprehensive assessment of your needs and utilize advanced surgical techniques to develop an optimal treatment plan for your feet.
Schedule an appointment with us by calling our customer service number at (732)-320-9173. Don’t let sesamoid injuries worsen; our specialists are here to help you restore the strength and function of your toes.
Understanding Sesamoid Injuries
Sesamoid bones are small, round bones embedded within tendons. In the foot, they are located under the ball of the foot, near the big toe, playing a crucial role in weight-bearing and toe movement. They act as pulleys for tendons, enhancing leverage and facilitating smooth motion. Due to their location and function, they are susceptible to injury, leading to pain and mobility issues.
Causes of Sesamoid Injuries
- Repetitive Stress: Activities like running, dancing, basketball, and tennis place excessive pressure on the ball of the foot, leading to inflammation or fractures over time.
- Trauma: Direct injury from falls, dropping heavy objects, or awkward landings can cause fractures or inflammation.
- Footwear: High heels or shoes with inadequate support can force the ball of the foot to bear excessive weight, increasing the risk of sesamoid injuries.
- Foot Structure: High arches (pes cavus) place more stress on the ball of the foot, while flat feet (pes planus) can lead to uneven weight distribution, both contributing to sesamoid strain.
Symptoms of Sesamoid Injuries
Symptoms of Sesamoid Injuries
- Pain under the big toe: Worsens with movement like walking, running, or jumping.
- Swelling and bruising: Inflammation or trauma may cause visible changes.
- Difficulty bending and straightening the big toe: Limited motion due to pain and swelling.
- A “pop” or “snap”: A fracture may present with a sudden sensation and acute pain.
Diagnosis of Sesamoid Injuries
- Physical Examination: Checking for tenderness, swelling, and range of motion.
- Imaging Tests: X-rays detect fractures, while MRI and CT scans identify soft tissue inflammation and tendon involvement.
- Medical History: Evaluating activity level, footwear, and past foot injuries to determine contributing factors.
Treatment for Sesamoid Injuries
Most cases do not require surgery. Treatment includes:
- Rest, ice, and anti-inflammatory medications to reduce swelling and pain.
- Immobilization with braces or specialized padding to relieve pressure on the sesamoids.
- Physical therapy to restore function and prevent future injuries.
- Custom orthotics to provide proper foot support.
Surgical Treatments for Sesamoid Injuries
When conservative treatments fail, surgical intervention may be necessary. At New Jersey Foot Surgeons, we offer advanced surgical options, including:
- Sesamoidectomy: Removal of one or both sesamoid bones if pain persists despite treatment. Recovery involves wearing a protective shoe or cast and undergoing physical therapy.
- Bone Grafting: For non-healing fractures, a bone graft (from the patient or a donor) is placed at the fracture site to stimulate healing. Limited weight-bearing and follow-up imaging monitor recovery.
- Tendon Repair: If associated tendon damage occurs, surgical repair restores function. This may involve removing damaged tissue, suturing the tendon, or performing a tendon transfer.
Conclusion
Sesamoid injuries can significantly impact your mobility and quality of life. However, with the right diagnosis and treatment, you can achieve effective pain relief and a full recovery. If you are experiencing foot pain or suspect a sesamoid injury, contact us today to schedule an appointment and take the first step toward recovery. Call us at (732)-320-9173 to speak with our specialists and begin your journey to better foot health.
