Sometimes known as the "ball bearings of the foot," the sesamoids are two small bones found beneath the first metatarsal bones. They can inflame or rupture under the stress of exercise.
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Sesamoiditis

There are a few bones in the human body that are connected only to tendons or are embedded in muscle. These are the sesamoids. Two very small sesamoids (about the size of a kernel of corn) are found in the underside of the forefoot near the great toe - one on the outer side of the foot and the other closer to the middle of the foot.

Sesamoids provide a smooth surface over which the tendons slide, thus increasing the ability of the tendons to transmit muscle forces. The sesamoids in the forefoot also assist with weight-bearing and help elevate the bones of the great toe. Like other bones, sesamoids can fracture. Additionally, the tendons surrounding the sesamoids can become irritated or inflamed. This is called sesamoiditis and is a form of tendonitis, and is common among ballet dancers, runners and baseball catchers.

Symptoms include:
  • Pain under the big toe or on the ball of the foot.

  • Swelling and bruising.

  • Difficulty and pain in bending and straightening the big toe.

"Surgery is usually not required to treat sesamoiditis," says NJ podiatrist, Dr. Peter Wishnie. Over-the-counter anti-inflammatory medications, as well as rest and ice the sole of your feet, usually relieve the pain. Consult your physician before taking any medications.



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Family Foot & Ankle Specialists
250 Old New Brunswick Road
Building 12
Piscataway, NJ 08854
Phone: 732-968-3833
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Hillsborough Office
Central Jersey Medical & Prof. Park
349 Route 206, Suite J
Hillsborough, NJ 08844
Phone: 908-874-8030
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Offices

Family Foot & Ankle Specialists
250 Old New Brunswick Road
Building 12
Piscataway, NJ 08854
Phone: 732-968-3833

Hillsborough Office
Central Jersey Medical & Prof. Park
349 Route 206, Suite J
Hillsborough, NJ 08844
Phone: 908-874-8030

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