Sesamoiditis Treatment

Symptoms, Causes and Treatment of Children's sesamoiditis

Sesamoiditis in Children

When the small bones under the big toe joint (called sesamoids) become irritated or inflamed, it causes a painful condition known as sesamoiditis. This problem can affect active kids who run, jump, or play sports.

What Is Sesamoiditis?

Sesamoiditis happens when the tendons and bones beneath the big toe joint become overused or strained. These tiny sesamoid bones help with balance and push-off during walking or running. Repeated stress or tight footwear can cause inflammation and pain in the ball of the foot.

Common Symptoms

Pain under the big toe joint
Swelling or redness on the ball of the foot
Pain that worsens when walking, running, or jumping
Trouble bending or straightening the big toe

Causes in Children

Sesamoiditis often develops in children who:

Play sports like dance, basketball, or soccer
Wear shoes with minimal padding or high-pressure soles
Have high arches or an abnormal gait pattern
Recently increased physical activity or training intensity

Diagnosis

Dr. Mikkel Jarman performs a detailed foot exam, gait analysis, and may use digital X-rays to confirm the diagnosis and rule out fractures or other conditions.

Treatment Options

Early treatment helps prevent long-term pain. Our pediatric foot specialists may recommend:

Rest and activity modification
Supportive or cushioned shoes
Custom pediatric orthotics to offload pressure
Physical therapy and stretching exercises
Anti-inflammatory treatments or immobilization when needed

REcovery and prevention

Most children recover fully with proper rest and supportive footwear. Custom orthotics and gradual return to activity help prevent recurrence of sesamoiditis.

Not everything is sesamoiditis. Some differentials can be turf toe, hallux limitus, metatarsalgia. Initially treated similarly with a Lilly device.

When to see a specialist

If your child complains of pain beneath the big toe joint that doesn’t improve in a few days, schedule an evaluation. Early diagnosis ensures faster recovery and helps your child return to activities pain-free.