CHERYL REED wrote:
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I ALSO AM SUFFERING FROM THIS SESIMOIDITIS I HAVE HAD IT FOR ABOUT 9 MONTHS WHAT IS IT AND HOW IS IT CAUSED?
I DO KNOW IT IS VERY PAINFUL !!!!
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Sesamoiditis is a non-specific terminology for pain and inflammation of the sesamoid sac, which, in the foot is located beneath the head of the first metatarsal. A sesamoid bone is a bone which naturally forms within a tendon. The largest such bone in the human body is the patella or knee cap.
There are two regularly occurring sesamoid bones in the foot, and one each is invested within the one of the two tendons of the flexor hallucis brevis. This is the tendons of a muscle which helps the great toe to flex and stabilizes the great toe in the push-off phase of gait. Sesamoiditis can occur for various reasons, but mainly from some sort of trauma, either overt or chronic.
Treatment generally involves relative rest, anti-inflammatory medications either NSAIDS by mouth or local corticosteroid inject and shielding with cut-out padding. If after a reasonable trial of conservative treatment the symptoms persist, surgical removal may be consider. It is generally the medial (also know as the tibial) sesamoid which is involved in sesamoiditis.
Sesamoiditis symptoms should be differentiated from a fracture of the sesamoid by x-ray examination before a treatment plan is instituted.
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