An irritation, mal-alignment or fracture of the sesamoids, the small free-floating bones at the distal end of the 1st Metatarsal.
Sesamoids can be injured from blunt trauma, or overuse. Conventional footwear plays an important role in aggravating the sesamoids. Shoes with tapered toe boxes and toe spring cause the sesamoids to deviate from their aligned grooves, causing dysfunction. (Click here for a video demonstration of this phenomenon). When your Hallux, or big toe, is properly aligned with your first metatarsal bone, your sesamoids are also properly aligned and function as they’re intended to.
Signs and Symptoms
Some of the most common signs and symptoms associated with sesamoiditis include:
Injured or inflamed sesamoid bones are difficult to heal as sesamoids are under pressure throughout standing and gait. Conservative treatment techniques include: