A sesamoid is a bone that is inside a tendon. The two oval shaped bones under the big toe joint (medial and lateral sesamoids) lie within the tendons that move the big toe, helping it to bend or straighten, and take a great deal of force during walking or sporting activities. Sesamoiditis is when the bones become inflamed, even when there is little arthritis around the joint.
If the symptoms are associated with a recent injury, seeing a specialist early on can make the condition more treatable. Longer term pain is also unlikely to improve without medical treatment.
The main symptom is pain, which sometimes comes and goes, under the big toe joint. Over time it may become more persistent, preventing you from carrying on with sporting activities.
If the symptoms are associated with an injury, it’s a good idea to seek medical advice as soon as possible to make sure you make a full recovery. If you have long term pain in the toe it’s likely that it will continue to be painful without some form of treatment.
A medical examination and discussion of your symptoms may help rule out other causes of pain and an X-ray can identify whether the bone is positioned incorrectly or fractured. You may also be offered an MRI or CT scan.
If the pain is due to injury, you may be offered treatment for turf toe.
For more chronic (long term) pain:
Important: This information is only a guideline to help you understand your treatment and what to expect. Everyone is different and your rehabilitation may be quicker or slower than other people’s. Please contact us for advice if you’re worried about any aspect of your health or recovery.