The sesamoids are two pea-sized bones located on the bottom of the big toe joint in the ball of the foot. They are actually embedded within a tendon and serve as “pulleys” so the big toe can move normally.
When the sesamoids or surrounding tendons become irritated and inflamed, the condition is called sesamoiditis. These bones are also vulnerable to fracture. Immediate pain and swelling underneath your big toe joint after a direct blow could mean you have a sesamoid fracture. Longstanding pain in this same area that comes and goes with activity and rest may indicate a stress fracture that has developed over time.
If you have these symptoms, we will most likely need to do an X-ray or other imaging to confirm a true fracture. If that is the diagnosis, we have several conservative treatment options to help resolve your pain and ensure the injury does not happen again. Contact Harvey R. Danciger, DPM with any concerns or more information at (760) 569-0108.