Pain to either the tibial or fibular sesamoid bone on the bottom of the foot related to excessive pressures or injury to the big toe joint region.

Symptoms

• Pain without swelling to the bottom of the first metatarsalphalangeal joint on the noted during walking activity

• Pain typically worse with lifting the heel off of the ground during the normal walking cycle

Treatment

• Anti-inflammatory medications like Ibuprofen or Naproxen

• Ice daily to twice daily

• Removing pressure at the bottom of the sesamoid region with the use of temporary orthotic with dancers padding modification

• Compliant use of shoe with over the counter or custom orthotic to offload the sesamoid region

• No barefoot walking until symptom-free

Click to read full article >>