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Video: Sesamoiditis

This video explains sesamoiditis, a source of pain beneath the big-toe joint involving the small sesamoid bones. The doctor discusses possible contributing factors, several conservative treatments, and an orthotic modification intended to reduce pressure on the painful area. The terminology and treatment recommendations require podiatrist review.

Video transcript

This transcript has been lightly edited for clarity.

This morning we are talking about sesamoiditis. The sesamoids are two small bones beneath the big toe that help the toe flex. Sesamoiditis is a condition that can cause pain beneath the big-toe joint. The doctor associates it with overuse, prolonged standing, weight gain, and trauma.

Treatment options discussed include injections, orthotics, and physical therapy. Some people may have a sesamoid that is divided into two parts. In that situation, the doctor recommends an orthotic with a dispersion pad to offload the sesamoid area.

Key takeaways

  • The sesamoids are two small bones located beneath the big-toe joint.
  • The video associates sesamoid pain with overuse, standing, weight gain, or trauma.
  • Injections, physical therapy, and pressure-relieving orthotics are discussed as treatment options.

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