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Sesamoiditis - Causation and prevention

Sesamoiditis is a prevalent foot care problem that affects the forefoot. Dancing and running are common physical activities that can put pressure on the forefoot can cause Sesamoiditis. A common complaint of those afflicted is pain of the forefoot just behind the toes. The term refers to inflammation of the bones of the sesamoid. The sesamoid bones are tiny bones and ligaments that run up the big toe. When walking, the sesamoid joint structure acts as a lever when the foot pushes off the ground, propelling the body forward. Sometimes the sesamoid bone and joints can wear down and become inflamed. Because the sesamoid bones are within tendons, the tendons around the bones can also become irritated.

Sesamoiditis is caused by a gradual irritation of the affected bones and joints, as opposed to traumatic injury. The pain can start as a dull throbbing and later become much more painful. One major cause is excessive physical activity that puts too much pressure on the joint structure at the front of the foot. A rapid increase in physical activity can put too much added pressure on the joint structure. Running up hills and long distances can also cause added pressures. Also, if the bones on your foot and forefoot do not have adequate fat pads, this lack of cushioning puts the foot at an increased risk. Also, people with high arches have added pressures on the balls of their feet while running.

There are many effective treatments for Sesamoiditis, and surgery is rarely necessary. Minor cases involve rest, and orthotics and other shoe products designed to take some of the pressure off the forefoot. There are specialized foot pads designed to redistribute pressure away from the Sesamoiditis joint structure to promote healing. The big toe may be bound with medical tape to immobilize and take pressure off the joint. Ice the forefoot after exercise and at least twice daily until inflammation has decreased to comfortable levels. Inflammatories will also help reduce the swelling. While the injury is being treated, women should avoid wearing any footwear with high arches. Contact your physician if these conservative therapies don't produce healthier results.
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