Sesamoiditis and Chronic Sesamoid Fracture treatment in Orange County

 

Help from your Sesamoid Fracture Expert in Orange County

 

A sesamoid is a small bone on the bottom of the big toe joint (1st MTPJ). Sesamoids are found in several joints in the body. In the foot, the sesamoids are two pea-shaped bones located beneath the big toe joint.

Types of Sesamoid Injuries

 

Turf toe

This is an injury of the soft tissue surrounding the big toe joint. It usually occurs when the big toe joint is extended beyond its normal range. Turf toe causes immediate, sharp pain and swelling. It usually affects the entire big toe joint and limits the motion of the toe. Sometimes a pop is felt at the moment of injury.

Sesamoid Fracture treatment in Orange County

A stress fracture of the sesamoid is a hairline break usually caused by repetitive stress or overuse. A chronic sesamoid fracture produces longstanding pain in the ball of the foot beneath the big toe joint. The pain, which tends to come and go, generally is aggravated with activity and relieved with rest.

Sesamoiditis

This is an overuse injury involving chronic inflammation.
Sesamoiditis is caused by increased pressure to the sesamoids. Often,
sesamoiditis is associated with a dull, longstanding pain beneath the big
toe joint. The pain comes and goes, usually occurring with certain shoes
or certain activities.

Diagnosis of Sesamoiditis or Sesamoid Fracture

 

X-rays and in some cases, additional imaging studies-such as an ultrasound,
bone scan, or MRI may also be needed.

 

Treatment of Sesamoiditis or Sesamoid Fracture

 

Conservative

Padding, strapping, or taping
Immobilization or non-weightbearing with possible bone stimulator
Nonsteroidal anti-inflammatory drugs
Physical therapy.
Steroid injections
Orthotic devices

Surgery of Sesamoiditis or Sesamoid Fracture in Orange County

In most cases the sesamoid can be taken out to alleviate the pain. PRP does not usually work for chronic sesamoid fractures