r/sesamoid

Sesamoiditis? Any insight is requested.
▲ 5 r/sesamoid+1 crossposts

Sesamoiditis? Any insight is requested.

I’ve been dealing with this pain for a little over a month at this point. I think it’s been brought on by rocking my 7 month old continuously on that side.

It’s hard to raise in my tip toes and my foot naturally wants to put pressure on the outside of my foot and ankle. Sometimes that big toe clicks when rocking. And pain gets worse after standing on it. Most of the time it is a constant pain, but at the end of the day it usually throbs.

Any suggestions on what this might be, or best way to go about potential treatment?

u/ees0437 — 1 day ago

More light hearted news: a discovery about my sordid sesamoid past

I thought this sub might appreciate this story.

Last night, while half watching a movie and half wallowing in despair of the unknowns with sesamoiditis, I started thinking to myself, “gosh, I wish I could be 12 again.” When I was 12, I broke my foot by stepping on a rock on the softball field, then I wore a little post op shoe type thing for a few weeks, kept going to school, and then returned to softball. At no time did I wonder what the rest of my life would look like, worry about whether I needed to wear the shoe to shower or not, go on the internet. I just wore my walking shoe until I was told to remove it, then returned to softball. No compensation pains. No anxiety. Just “ok!”

While trying to remember my state of mind then, and having an existential crisis about how I slowly grew from a carefree child into a neurotic adult, I remembered something the doctor said in the room when I broke it. He said, “you broke the smallest bone in your ___.” I couldn’t remember if he said foot or body.

My mom and dad are dead (RIP to some real ones), so I called up my best friend who has an amazing memory. I said, “hey bud, remember when I broke my foot as a kid?” She said, “yeah! Me and my mom were talking about this a couple weeks ago. We were trying to remember more about it and all we could remember is you broke the ball of your foot.” I said, “I don’t think someone can break the ball, but I think I broke a Sesamoid!” She said, “yeah! We wondered. Mom said she remembered it was some bone she’d never heard of, in the ball of your foot, and the doctor said it was very small.”

Well, hot damn! I broke one of these jokers 25 years ago.

No fracture lines on imagining so it definitely healed, but we both found it amusing that what I think is a new nemesis is more of a sequel. If I had Google when I was 12, I would have probably scared myself into a tizzy. Instead, I had all my friends at school sign my stinky canvas surgery shoe straps.

Oh, to have the healing powers of a child again.

(I don’t think breaking this bone back then caused my current problems; my sesamoids have been through a lot as I was a barefoot jumping workout fiend for, like, a decade and shoved my feet into too small shoes for 3.5 decades because I’m self conscious about my man feet)

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u/theprofessorisinsane — 4 days ago

Orthotics Question - Did they feel good on your sesamoid right away?

Hi all - when you got your custom orthotics did they feel good on your sesamoid right away? I tried and failed over a year ago with orthotics but am trying again now. Got a new pair last night - they feel good standing but definitely caused pain after not much walking

I’m not sure if the offloading is just not in the right spot, or if it’s just a matter of breaking? I’d love the convenience of not having to deal with dancers pads so much, but I don’t want to cause a flare with these

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u/sesamoidsufferer — 4 days ago

Sesamoiditis? Or something else

so I’ve had this pain before and they said it was gout- I wasn’t sure. this time it started after I walked around on my keens sandals for four days, not even super actively but it was the heatwave. started with only hurts a little while flexing the toe up, to only hurts when not standing directly on the forefoot, to hurting while resting, to thumping and swelling and turning my whole foot red. I’m now about a week out from when I first had symtoms, and even if I start the day relatively neutral after elevating all night, I will undoubtedly have throbbing pain at night. now elevating and I’m having nerve pain too in between the big toe and second. feels like my foot is getting crushed. no regular pain solutions help anymore. I’ve had an xray and no breaks, so the advice was to take advil and keep resting. for how long??

is this in line with what other people are experiencing? how long did it take to find any reloef? even scooting around to do a dish or a laundry load feels impossible, immediate swelling.

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u/Potential-Rock-6962 — 4 days ago

Sooo I didn’t modify the boot

I’m in a boot to see if I can heal my double injured sesamoids and get back to pain free.

It’s been two weeks now and I have not needed to modify the boot to keep pain below a 2 while walking mostly as needed. While walking, I get somewhere between 0-1 on the pain scale with some almost indiscernible tightness at rest (sometimes I have to check which foot I’m doing something on out of the boot because there’s no pain, so I’m like oops, which one is the injured foot?).

Before this, I had a very focal pain on the lateral edge of the joint. It pinched when walking before turning into a sort of tugging then pinpoint bruise feeling. That was my only symptom. The sesamoids were only directly painful sometimes like when the whole foot was swollen.

Now, in the boot, at worst I feel what I’d call general pressure in the area, but as much in the rest of the forefoot as the sesamoid area.

I’m probably wayyyyy overthinking this, and should say hey, if it ain’t broke! But I can’t help but wonder if I’m making a mistake by not modifying the boot with a cut out insole? Id really prefer not to, since I tried and failed at dancer pads before as the painful area is just too far into the center of my foot so then the 1st MTP just fell into the dancer pad hole, rendering it useless for lifting the joint. I worry that playing around with the insole I have in there might create new issues? So I just have a thick diabetic insole in there now and it’s going well, I assume?!

Should I just keep using the boot with the thick full insole until pain becomes like a 1-2 constantly or over a 2?

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u/moltplop — 5 days ago

Surgeon refused to do a sesamoidectomy

Hey guys. I have a medial sesamoid fracture (two halves). Initially I broke it 6 years ago (2020) and an unexperienced doctor ignored an X-ray that showed the fracture (she didn’t know this bone existed so she just blamed the pain on my Fila shoes) so I ended up with a non-fusion because of inexperienced doctors.

About a year after the fracture I managed to fuse to bones slightly but they broke again

Now I was seeing an orthopedic foot surgeon who prescribed a cortisone injection to bring down my inflammation. It helped. However, he said that the bone will never heal and I’ll rely on these injections for the rest of my life. He told me to forget about martial arts (I used to train Muay Thai) and said that he can’t do the surgery because

  1. it’s tedious
  2. it will bring more pain than I already have

After a year of walking in orthopedic soles I barely feel any pain and think of picking up martial arts again. I’m scared that I’ll mess up my foot. But being careful for the rest of my life also sucks because I want to be a normal human and enjoy stuff like running, dancing, and martial arts.

What do you guys think? Should I ask another specialist for a second opinion and try getting the bone removed?

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u/WrestlingB — 5 days ago

Is it normal for sesamoid pain to appear out of the blue with no trauma?

I have been to a handful of podiatrists already and none of which are able to identify the root cause to my sesamoid pain or provide any measures to ease it.

Like I mentioned I have zero trauma or injury history. It just happened out of the blue during a work trip where I walked a lot and my sesamoid never stopped hurting ever since.

It’s been close to 2 months now. The last podiatrist I saw offered cortisol injection but that does not sound like fun at all.

I have also tried and ordered custom orthotics experimented with a dozen or so shoes and nothing gives.

Is there light at the end of this tunnel? Can anyone comment on this? Did I develop arthritis before 40?

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u/mikey_87 — 6 days ago

Anyone else?

This is my latest MRI scan. Even walking to the clinic felt like walking on a broken toe. Given that I have failed a boot and a cast, what’s next to try?

u/Broken-Elevator — 6 days ago

Please give feedback on my Sesamoid Shoe Comparison Tool

Mods, I haven't seen anything like this before, so please let me know if it's not allowed. Since we don't have a Wiki, I have assumed this kind of thing is not encouraged in the sub but maybe a shoe guide is different as it's not medical advice.

**This is inspired by this post: this thorough post where someone is struggling with finding their sesamoid ruby slipper (as am I!). I liked the metrics that user gave to ask for shoe recommendations based on their own needs and their suggestion to have a shoe guide, so...

________________________________________________

I developed a Google Sheets document that details various shoes that have been recommended here.

>Google Sheets - Sesamoid Shoe Comparison

________________________________________________

This may be a starting point for someone overwhelmed by shoe options. It tracks features of shoes and ratings for specific issues we often encounter. Since everyone's anatomy, root cause, type of injury is different, I thought this might help identify individual needs and line up some of the more popular shoe recommendations with what you need (cushion vs. firm; high vs. low heel drop; etc).

This is a work in progress. I wanted to post it here and get feedback (and know if this is allowed) before continuing to add/edit. I still need to double-confirm some of the stats since I used a basic search for what's there now, and I have a few shoes I want to add (Topo Phantom, Oofos, Hoka recovery slides, for example).

______________________________________________

If this is allowed, I'd also request a collaborator for double-checking some info (someone who is thorough and has time on their hands) and ask that this post be where people continuously add new shoe recommendations for the document via comments section. Or correct info/add notes they think I should add for a certain shoe after they trial it.

If this continues, I will also update this post periodically with a status update on the guide (like XYZ shoes or X column has been added since last update).

u/sesamoidwoes — 7 days ago

Tips for swimming

Hope everyone is doing well or improving today!

I’ve got bilateral sesamoiditis and have found I can do very short (10-25 min) low resistance stationary bike workouts with carbon fiber inserts and cushioning using a midfoot/heel stance. However, it’s really not enough to make me feel less crappy about laying/sitting 90% of the day.

I know how to swim, but I’ve never learning different swimming techniques etc. I imagine swimming could be better than biking, but I can also envision that the water resistance could aggravate the foot.

Can anyone share some swimming tips? Especially ways to help maintain some lower body fitness with swimming?

Other exercise I have tried includes floor mat Pilates and chair cardio. These are ok, but I still find I have to modify them a bit and they use the same moves over and over, which creates their own overuse issues (lower back, elbows and shoulders)

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u/helpmyhousethx — 8 days ago
▲ 5 r/sesamoid+1 crossposts

Recurring Big Toe Joint Pain For 2 Years – 3-Month Current Plateau After 8 Months Pain-Free. Suspect RDL Biomechanics.

Hey everyone, looking for some insight from physical therapists or anyone who has beaten a chronic forefoot/big toe tracking issue. It has completely halted my gym progress.

The Timeline & History:
The 2-Year Cycle: This big toe joint issue actually started 2 years ago. It has historically been a cyclical problem—it would flare up, heal completely, and then come back months later. It used to heal within just 3 days of resting.
The Last Gap: The last time it hurt was 8 months ago, after which it felt fine.
Current Flare-Up: This current flare-up has lasted almost 3 months now with zero improvement, completely breaking my usual recovery pattern.

My Build & Lifting:
I am in my early 20s, around 178 cm, and weigh 100 kg with a muscular build. Because of my weight combined with heavy lifting, my feet handle a lot of down-force.
The Suspected Trigger: I heavily suspect Romanian Deadlifts (RDLs) are driving this cycle. I think I might be shifting my weight too far forward onto the balls of my feet during the hinge, or my arch is collapsing inward, overloading the first metatarsal head under load.

The Symptoms:
The Pain: No sharp pain right now, but a deep, stubborn, localized ache and a persistent "awareness/tightness" on both the medial and lateral sides of the big toe joint (highlighted in my attached photo).
The Barefoot Trigger: I can walk comfortably with structured, cushioned gym shoes on. However, the second I walk barefoot on hard floors, I feel immediate discomfort and a mechanical restriction when stepping through the big toe.

What I’ve Done: I've done both Western and Traditional Chinese Medicine. I tried Western anti-inflammatories/painkillers (temporary relief, then returns) and traditional acupuncture (helped clear a massive protective muscle spasm in my foot arch, but the joint itself still aches). I've been doing basic toe mobility/rehab for 2 weeks on my own with no change.
Given the 2-year history, the fact that it only hurts barefoot, and that it presents on both sides of the joint capsule, is this chronic sesamoiditis, functional hallux limitus, or a tracking issue with the Flexor Hallucis Brevis/Longus from RDLs?

What specific biomechanical cues should I use to keep my big toe safe during hinges, and what progressive loading protocols (like the Rathleff protocol or targeted offloading) actually work to break a 3-month plateau? Thanks!

u/Johnny317u2 — 8 days ago

Shockwave therapy

Anyone with only severe inflammation (no fracture) have success with shockwave therapy? How many sessions did it take you to feel results?

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u/New_Industry1520 — 9 days ago

Having a bad day.. does it ever get better

I started with mild symptoms in my right foot, atypical pain location, but busy MRI results (chondromalacia between the sesamoids and joint, sclerosis of the sesamoids, some BME in both sesamoids, bursitis between every toe, possible emerging MN between first and second toe, etc). I desperately tried to avoid boot with various other offloading strategies, even making my own dancer pad to accommodate the interspace pain, but nothing worked and the pain was so immediate when anything even lightly touched the painful spot on my foot that I went NWB for 3.5 weeks and then transitioned to a boot, which I’ve been using for 1.5 weeks. I just stopped meloxicam.

The original foot is doing OK in boot. I had a couple days of real mental relief from this. I even stopped meloxicam two days ago.

However, the other foot and leg are failing me.

I started having sciatica pain when NWB. That comes and goes. It’s maybe improved a little.

I’ve developed actual pain on the medial sesamoid/where the joint meets the arch in the compensating foot. I started feeling this weeks ago but it would improve for days. Now leaning forward even a little or at the end of the day it’s painful. Even with limited walking. This is the first time I’ve felt sesamoid pain, and it’s totally different from what I felt on my other foot. Sigh.

And now I seem to have developed peroneal tendonitis. The outer lower calf has been on/off zingy, tight, or burning since I started limping before going NWB. Since that foot has started having sesamoidITIS pain, I must have changed my gait and now the pain extends to the outer edge of the bottom of my foot, from a couple inches below the pinky toe to mid foot toward the heel. It’s worse when I lift my foot toward my heel while the ankle pain is worsened when my foot is away from the heel. The calf/ankle pain has worsened. At night, my compensating foot and the calf pain keeps me from getting comfortable.

I’m just feeling like every time I have any minor improvements or stability with the original side, something new and somehow more disabling happens with my body.

I did not have aches and pains before this. I recovered from turf toe last year and was able to return to my usual, pain free self and never had any of these extra issues. It’s so concerning, debilitating, and making it really hard to feel hope that I’ll ever improve. Every issue I have now seemingly requires contradictory treatment.

I don’t even care that I can’t run and jump. I just want to know I’m not going to be so disabled, or increasingly disabled, over time.

I’m just so tired. Please, tell me this can all get better, even if it doesnt fully go away.

I don’t need to commensurate or add to the doom and gloom, I just need to know I can do this. I need to know I’ll be Ok. It’s been a hard few years for me otherwise and I’m not feeling up to the challenge right now.

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u/snaboopy — 9 days ago

Shoe choice - for orthotics, finding the Bondi is just too narrow

Help I have to make a decision about shoes over the next week or two so I can get fitted for my orthotics. My pedorthist makes them in house while I wait using a combination of a scanning machine and modifications . So she needs to know what shoe I am going to use. I don’t want her to make them for my current shoe, which is a Hoka Bondi, as I’ve developed sesamoiditis on my second foot and I think the Bondi having stuff that pushes aggressively into the ball of my foot is part of why.

My ultimate goal is Altra Olympus.
I found Altra FWD Via was actually a bit tight on the widest part of my forefoot (where a tailors bunion and bunion/medial sesamoid would hit on edges) but I’ve heard Olympus is a little less snug

I cannot immediately go zero drop though because I have peroneal tendonitis and calf pain right now so hoping to use a similarly shaped shoe with some drop and then transition my orthotics into it later OR do people find their orthotics give some heel drop even in zero drop shoes?

Obviously some things I’d like are stiff forefoot, rocker, wide toe box and really wide mid forefoot, maybe higher step to fit orthotic without pressure, cushion is tricky for me as I find that the Bondi cushion feels unstable

I have bilateral sesamoiditis.

The shoes I have seen as possible pros and negatives :

Hoka Bondi
+ rigid and high stack/roomy for my high arch + insoles
- basically everything else — too tight on forefoot, feels unstable, does weird things to my ankles (my ankles roll out majorly in the bondi idk why)

Topo Atmos
+ wide forefoot
+ I think they’re cute
+ less cushion than Bondi so maybe a little more stable feeling
- less aggressive rocker (idk how ppl feel about that)
- seems to have REALLY aggressive toe spring. Looks like your toes are always pulled up. This is my biggest concern since stretch hurts my new foot

New balance fresh foam
Don’t know much about this but seems to have very high heel drop?

Brooks Ghost Max
+ seems wider in forefoot
+ seems to have less of the toe lift/spring
- not sure if it has as useful a rocker
- slightly higher heel drop than Bondi and Topo but I want to eventually move to very low or no drop

Xelero Genesis (off table for me now as drop too high)
+ super rigid basically has plate inside it
+ seems to accommodate foot + orthotics
+ rocker
- very very high heel toe (I read 11mm!)
- looks like extreme toe spring

Altra Olympus (off the table for me right now but would like them eventually)
+ roomy forefoot
+ rocker
- seems bendier / less stiff
- zero drop (can’t do for now but I know many say this is the best!)

OTHER SHOES JUST PUTTING THESE OUT THERE FOR THE HOUSE

FitFlop
—not sure but honestly if I could get away with these more than running shoes I’d give it go any input? For early healing or late healing?

Birkenstocks
+ low or no drop
+ don’t bend much
+ no toe spring
+ very roomy forefoot
- a sandal so idk if good for early on (first few months, fresh from boot)

Anyone have any input experience on the list and pros/cons I provided above?

——

Also I don’t think we should offer medical advice via a sub wiki but I’d love to get a shoe guide since everyone seems to need something a little different and shoe choices seem CLUTCH. What do we think of that? Mods? Maybe a sticky post just about shoes and everyone goes to same post weekly with their shoe requests lol

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u/Hey_internet — 10 days ago

New injury

Hi!
I have been having foot pain off and on for a couple months but within the past week developed swelling, redness and more constant pain. It is to the point where I feel like I can’t put any weight on the ball of my foot below my big toe.

I went to urgent care yesterday for an X-ray and it did not show a fracture. The doctors advice was to try to stay off of it as much as possible for the next week.

After doing some research online, it seems like I am likely experiencing sesamoiditis (I’m guessing because I have been taking more intense dance classes).

My main concern right now is a trip that I have coming up next weekend. We are supposed to do a fair amount of walking and right now I feel like I can’t put any only put weight on the side of my foot.

Can anyone share what was helpful for walking after injury? Were you in a boot, or was a walking shoe with dancer pads a better option.

Thanks so much!

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u/catcrafter1 — 9 days ago

Sesamoiditis Long Term Recovery

Hi sesamoid friends! I’m curious if anyone has experience with sesamoiditis and healing from it long term.

I just saw a new doctor this week (I’m on my 5th doctor now 🥲) who shared that long term healing is possible with orthotics but I would never fully get back to “normal” e.g. wearing whatever shoes I want and not thinking about my feet all the time.

Is this true? It’s so devastating to think I’ll be stuck in orthotics and sneakers for the rest of my life when I’m only 30…

Looking for some hope 🤞

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u/weaselkween — 11 days ago

Need advice...

Long story short I (20F) just found out that I have a broken lateral sesamoid. I'm very active, work out most days a week, play a sport in college, enjoy hiking and backpacking, etc. It's very unclear when the injury happened, as I have been rehabbing from an acl surgery for the past 8 months, and my PTs and I all thought the pain in my foot was from a minor wound in the same spot that I had a few years ago. The pain is tolerable, on good days I barely even notice it. Running generally hurts (4-5/10ish) though. The entire situation is very strange and my dr says he's never seen anything like it. He is pretty convinced that the bone will never heal on its own and nothing I can do will make it worse, and because I am still rehabbing from my acl reconstruction I should just suck up the pain until I can have it removed. Offloading would cause me to loose most of my rehab progress, which would be absolutely devastating. Because I just can't get it done right now I don't have time for another surgery until next summer, but I might put it off until after college. I'm an athlete and I think I have a better chance to play my sport in the fall of 26 and 27 by sucking up the pain rather than voluntarily taking myself out for for surgery summer 2027. This seems like a very unusual way to handle this though. I was just really hoping to be cleared to play from my acl by the fall 2026 semester, as that was my third major orthopedic injury in two years. I have yet to try any insoles or orthotics, which I'm optimistic will help. But there's also a chance my foot pain continues to get worse until it's unbearable... any advice is welcomed. My ultimate goal is to be able to live a very active life. For my own sanity I don't have a choice.

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u/grayyspace — 12 days ago

Swollen toe and bulges I cannot step on

Hi, last Saturday I woke up with painful foot. I did not fully realize it until I went out for a walk on Sunday, when I had woeful pain. The part below my MTP joint is swollen alslo the bulges of my foot. they are not painful to touch or press (I am on naproxen) but it is very difficult to walk, I am gaiting. I cannot press the toe on the floor. This morning I was able to bend my toe from the MTP joint, but after doing it for a few times, it has now become rigid again.. I am having a xray tomorrow.. but this is norway- it takes 1-2 weeks for the reports to come. :( My GP thinks rest will heal it and has suggested full offloading and rest for few days.. I am very anxious as we are moving in 3 weeks to our new apartment and my wife will be strssed out.. will I be in a position to walk in a couple of weeks?
in this subredit I am seeing posts on extreme cases, is my situation similar to one of those?

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u/Ok-Peace4040 — 11 days ago

Steroid injection for a fracture?

I’ve been lurking in here since I injured myself back in April, and have only recently seen an advanced podiatrist who thinks I’ve either fractured my sesamoid or injured a bipartite sesamoid (not sure which one). Either way, it hurts to walk, even with some insoles I’ve been given.

I was told that if the pain didn’t die down in 6 weeks that the next step would be a steroid injection, has anyone had experience with this? If that doesn’t work, I’ll apparently need surgery as I still can’t push off the toe joint without acute pain. I’m not sure how a steroid shot is supposed to fix a fracture, but would love to hear some people’s experiences if possible (a tad hope would be nice about now).

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u/pencil-witch — 14 days ago