Is That Pain Under Your Big Toe More Than Just Soreness? It Could Be Sesamoiditis

June 30 2025

If you’re feeling pain under your big toe when walking, running, or even standing, it might not be just a sore foot. That discomfort could be caused by a condition called sesamoiditis—a commonly overlooked source of foot pain that can seriously affect your mobility and quality of life.

What Is Sesamoiditis?

Sesamoiditis is the inflammation of the sesamoid bones—two small bones located under the joint of your big toe. These bones act like pulleys, helping tendons move smoothly and efficiently. When they become irritated or inflamed, they can cause persistent pain in the ball of the foot, especially beneath the big toe.

This condition is most often seen in:

Runners and athletes
Dancers (especially ballet)
People who wear high heels or tight shoes frequently
Individuals with high arches or abnormal foot mechanics

Signs and Symptoms of Sesamoiditis

Sesamoiditis can develop gradually and is often mistaken for a simple bruise or general soreness. Look out for:

Pain under the big toe that worsens with activity or pressure
Swelling or bruising in the ball of the foot
Difficulty bending or straightening the big toe
Aching pain that increases when walking, especially on hard surfaces

What Causes It?

Several factors can contribute to sesamoiditis, including:

Repetitive stress on the forefoot from sports or high-impact activities
Improper footwear that doesn’t cushion or support the ball of the foot
Foot structure issues, like high arches or bunions
Sudden increase in activity level

Ignoring the symptoms can lead to more serious complications, including fractures of the sesamoid bones or long-term joint damage.

How Is Sesamoiditis Treated?

The good news is that sesamoiditis can often be treated without surgery. Early intervention is key. Treatment options may include:

Rest and ice to reduce inflammation
Anti-inflammatory medications
Wearing cushioned, supportive footwear
Custom orthotics to relieve pressure on the sesamoid bones
Physical therapy
In some cases, immobilization or injection therapy

If conservative methods don’t work, advanced treatment from a podiatrist may be needed.

Don’t Ignore That Foot Pain

Foot pain—especially in the big toe area—is not something to brush off. If you’re experiencing symptoms that sound like sesamoiditis, it’s time to get answers and relief.

👣 Get expert podiatric care at Family Foot & Leg Center
📍 Visit NaplesPodiatrist.com
📞 Or call 239-430-3668 (FOOT)

Your feet keep you moving. Let us help you keep them healthy.

Tags: #Sesamoiditis #FootPain #BigToePain #PodiatryCare #NaplesPodiatrist #FFLC #WeKeepYouWalking #FootHealth #Orthotics #SportsInjuries

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