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It's no surprise that our feet often hurt considering that an average day of walking exerts a force on the feet that's equal to several hundred tons. All that rushing around makes our feet more prone to injury than any other part of the body. Your feet mirror your general health. Conditions such as arthritis, diabetes, nerve and circulatory disorders can show their initial symptoms in the feet - so foot ailments can be your first sign of more serious medical problems.

Studies show that 3 out of 4 Americans experience serious foot problems in their lifetime. Despite the millions of aching feet out there, many of us don't seek the medical attention we need for relief. Foot pain is never normal, and you shouldn't be resigned to teetering around on sore feet.

The conditions listed below and to the left are some of the most common foot ailments. No matter what causes your feet to ache, we can help.

The "foot conditions" section of this Web site is maintained to provide general information about foot health. The materials, information, and answers provided by and through this Web site are not intended to replace or to be a substitute for medical advice provided by a qualified physician or other appropriate health care professional based on individual patient evaluation. You should consult with our practice or other appropriate health care professional on specific medical questions, including matters requiring diagnosis, treatment, therapy or medical attention. click here for New Patient Form





Sesamoiditis

Sesamoiditis

Definition

Sesamoiditis is a common ailment that affects the forefoot, typically in young people who engage in physical activity like running or dancing. Its most common symptom is pain in the ball-of-the-foot, especially on the medial or inner side. The term is a general description for any irritation of the sesamoid bones, which are tiny bones within the tendons that run to the big toe. Like the kneecap, the sesamoids function as a pulley, increasing the leverage of the tendons controlling the toe. Every time you push off against the toe the sesamoids are involved, and eventually they can become irritated, even fractured. Because the bones are actually within the tendons, sesamoiditis is really a kind of tendinitis - the tendons around the bones become inflamed as well.

Cause

Sesamoiditis typically can be distinguished from other forefoot conditions by its gradual onset. The pain usually begins as a mild ache and increases gradually as the aggravating activity is continued. It may build to an intense throbbing. In most cases there is little or no bruising or redness. One of the major causes of sesamoiditis is increased activity. You've probably stepped up your activity level lately, which has forced you to put more pressure on the balls of your feet. Speedwork, hillwork, or even increased mileage can cause this. If you have a bony foot, you simply may not have enough fat on your foot to protect your tender sesamoids. Also, if you have a high arched foot, you will naturally run on the balls-of-your-feet, adding even more pressure.

Treatment & Prevention

Treatment for sesamoiditis is almost always noninvasive. Minor cases call for a strict period of rest, along with the use of a modified shoe or a shoe pad to reduce pressure on the affected area. This may be accomplished by placing a metatarsal pad away from the joint so that it redistributes the pressure of weight bearing to other parts of the forefoot. In addition, the big toe may be bound with tape or athletic strapping to immobilize the joint as much as possible and allow for healing to occur. It is recommended to decrease or stop activity for awhile. This will give your sesamoids time to heal. You should apply ice to the area for 10 to 15 minutes after exercise, or after any activity that aggravates the area. As with icing, anti-inflammatories will help the swelling go down so healing can begin. While the injury is healing, women should wear flat shoes on a daily basis. If home remedies do not work, see your doctor for a correct diagnosis.

If the problem persists, please call us to schedule an appointment.







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