Sesamoiditis & Sesamoid Fracture
The sesamoids are two small bones under the great toe joint that bear significant weight. Injury, overuse, or fracture causes pain beneath the ball of the foot.
Medically reviewed by Michael G. Lyons, DPM — Board-Certified Foot and Ankle Surgeon
Written and reviewed by the physicians of Foot Health Centers, Hernando & Southaven, MS. Meet our doctors
- Pain beneath the great toe joint with each step
- Pain that worsens with push-off
- Swelling under the ball of the foot
- Bruising in acute injuries
- Repetitive impact (running, dancing)
- Sudden injury
- High-arched foot mechanics
- Stiff-soled shoes and rocker bottoms
- Sesamoid-relief padding and orthotics
- Activity modification
- Boot immobilization for fractures
Surgery (sesamoidectomy) is reserved for chronic non-healing fractures or persistent symptoms after extended conservative care.
Stress fractures heal in 6–12 weeks with offloading. Post-surgery recovery is typically 6–12 weeks.
Frequently asked questions
Can I run with sesamoiditis?
Running on an inflamed sesamoid usually worsens it. Most patients need a break from impact activity to fully recover.
Related conditions
Schedule a consultation
Tell us about your sesamoiditis & sesamoid fracture — our team will follow up to schedule.
Ready to Get Relief?
Call Foot Health Centers to schedule your visit in Hernando or Southaven.