A condition called Sesamoiditis affects the two small bones situated
under the big toe's joint, in natural terms these small bones are known
as sesamoid bones. Their purpose is to provide stability to the foot and
guard the tendons through weight bearing activities and walking. As a
matter of fact, these sesamoid bones are vital in the gait cycle for the
"push off" phase therefore its heavy usage is one reason which makes
them susceptible to irritation and overuse or sesamoiditis. Since the
cartilage that covers these bones becomes inflamed and irritated this
condition is seldom classified as a type of tendonitis.
Sesamoiditits
usually develops when excessive pressure is placed on the sesamoid
bones, or when there's an injury directly to the joints, bones or
tissues located in the sesamoid region of the foot, but this particular
kind of inflammation might also take place due to arthritis or fracture
in both or one bone. Generally, it is not an acute injury which leads to
the development of this kind of pathology but rather recurring motions
that exerts too much pressure on the front foot.
General
activities like jumping, running, participating in ballet or wearing
high heels all increase the possibility for developing sesamoiditis.
Feet which are bony or have high arches are more susceptible to this
condition as well. Also certain foot types exhibit exceptionally
prominent sesamoid bones, and this raises the probability that excessive
pressure will be exerted on the bones.
The first sign of
inflammation is normally a painful sensation which keeps on growing if
the level of activity is not reduced. Also there may be pain under the
big toe in the joint, swelling and redness in the troubled area and the
big toe might seem slightly deformed and may become stiff. If this
problem is not dealt with the condition will probably become worse with
time. It frequently happens that people ignore sesamoiditis till normal
gait patterns and activity levels are negatively affected.
Decreasing
the level of activity and making use of cold compresses will surely
help reduce discomfort and increase the process of healing. The shoes
must have proper cushioning and support, moreover wearing high heels
must be avoided as well. A protective pad must be used in the region of
sesamoid bones and orthotic devices must be used as required, and though
anti- inflammatory will help relieve the pain one must not depend on
them for continuing treatment.
When treatments are introduced at
early stages they are non-invasive and take much less time to bring
improvement in the condition. However, more advanced cases may
necessitate long -term therapy which addresses the underlying issues or
the usage of cortisone injections. Sesamoiditis developed due to
sesamoid fracture will need more aggressive treatment by a healthcare
professional or Podiatrist and a cast can be used to reposition and
protect the delicate bones. Surgery is used as the last resort when all
other options fail, as it can lead to many problems in itself.
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