Treatment for Sesamoiditis

Treatment for sesamoiditis is usually noninvasive. Minor cases require a strict period of rest and the use of a modified shoe or a shoe pad with a cutout to reduce pressure on the affected area. A metatarsal pad can be placed away from the joint to redistribute the pressure of weight bearing to other parts of the forefoot.

In addition, the big toe may be bound with tape or athletic strapping to immobilize the joint as much as possible and allow healing to occur. Oral anti-inflammatory drugs (e.g., NSAIDs) can be used to reduce swelling.

Severe cases may require a below-the-knee walking cast for 2 to 4 weeks and the injection of steroids into the inflamed first metatarsophalangeal joint.

Publication Review By: John J. Swierzewski, D.P.M.

Published: 31 Dec 1999

Last Modified: 05 Oct 2015