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By Dr. Mayer Salama and Dr. Daniel Salama
September 20, 2017
Category: Foot Conditions
Tags: Orthotics   Sesamoids   sesamoiditis  

Sesamoids are bones that are embedded in a tendon. They are found in different areas of the body, including your foot. Specifically, there are two pea shaped bones located in the ball of the foot and also beneath the joint of the toe.

These little bones help the big toe move normally. They also provide leverage when the big toe pushes off the ground.  This is very beneficial when you are walking or running. These bones also help absorb shock and stress during activities such as running, jogging, hiking, and walking.

Sesamoid injuries can be very complex. They can involve not only the sesamoid bones, but also the surrounding tendons, muscles, ligaments, and joints. These injuries almost always stem from activities that put a lot of pressure on the ball of the foot or the tips of the toes. High heel shoes can also cause this condition.

Types of Sesamoid Injuries

  • Turf Toe – This directly affects the tissues surrounding the big toe. It usually occurs when the big toe is over stretched.  Immediate sharp pain will occur accompanied with swelling. It is usually hard to move the toe afterwards. Sometimes an injured person with this condition will hear a popping noise. This could be a sign of a sesamoid fracture and should be treated by a podiatrist such as Dr. Mayer Salama and Dr. Daniel Salama.
  • Fracture – A fracture of the sesamoid bone can either be mild or severe. It will cause immediate swelling at the sight of trauma. They typically heal with rest but sometimes require casting.
  • Sesamoiditis – This condition is due to overuse of the joint. Over time after a lot of pressure and use of the foot, a dull pain will begin. Usually the patient can feel it whenever they walk or move their feet. Sometimes poor fitting shoes will cause this intermittent and often reoccurring injury.


Overall, most sesamoid injuries have a good outlook. The use of padding, immobilization, oral medication, physical therapy, and orthotic devices can help the patient. If you suspect that you are suffering from a sesamoid injury in the foot, it is important to contact a podiatrist right away. Dr. Mayer Salama and Dr. Daniel Salama located in Dearborn, Farmington Hills, Clarkston and Trenton, Michigan can help you treat your sesamoid issue. Call 313-274-0990 or make an appointment online today.


Dr. Mayer Salama and Dr. Daniel Salama
3408 West Rd (In Grange Plaza)
Trenton, MI 48183 -(734) 676-4664

2200 Monroe
Dearborn, MI 48124 - (313) 274-0990

6770 Dixie Hwy. Suite 101
Clarkston, MI 48346 - (248) 625-1110

23800 Orchard Rd Suite 201
Farmington Hills, MI  48336 - (248) 474-0040