Sesamoiditis In Runners: When To Consider Sesamoidectomy

A Brief On Sesamoids And Sesamoiditis

Bones are usually attached to other bones, but some bones known as sesamoids are connected to the tendons. Sesamoiditis is the inflammation of the sesamoids seen in the ball of the foot. Sesamoiditis occurs due to overuse and is seen in runners, dancers, and athletes.

What does a patient feel?

The type and severity of signs and symptoms differ from person to person. The usual symptoms include pain beneath the big toe, swelling, bruising, redness, difficulty bending, and limited walking ability. There may also be limited ability to straighten the affected part. The pain is dull and slowly develops with restricted ability to walk. If there is a fracture, the pain will appear sooner.

Ways to relieve sesamoiditis

The common conservative treatments include rest, ice application, elevation, and restricting activities. Some therapies such as physical therapy and soft tissue therapy, may be helpful. Medications such as non-steroidal anti-inflammatory drugs (NSAID) and steroid injections may be recommended by the doctor. According to the patient’s condition, the healthcare provider would advise the suitable conservative treatment.

When to consider sesamoidectomy

In most cases, conservative treatment helps relieve the symptoms but surgery may be considered in a few cases. The doctor may recommend surgery when conservative treatments fail or with chronic cases. A study showed that surgery was helpful for most patients, which helped resume normal activity. However, there are risks to sesamoidectomy, such as claw toes deformity and cock-up deformity. Before considering an operation, the doctor will explain the procedure, associated risks, and benefits and answer any concerns.

Recovery time and prognosis

The recovery time depends on the severity of the sesamoiditis. The mild cases heal within a few days, while the severe cases take longer to heal, especially the operated ones. In most situations, sesamoiditis will recuperate quickly and also, keeping in mind to avoid activities for some time. There is a chance that sesamoiditis may recur or even cause lasting damage if ignored. The doctor will provide instructions during treatment and post-surgery, which are important to follow.

Are there any available preventive methods?

There are ways to prevent the risk of experiencing sesamoiditis. Some of these include wearing proper and comfortable shoes or wearing custom orthotics. Another way is not to overuse the feet and rest as soon as pain is felt. Applying conservative treatments such as ice without delay may help when pain is felt. Discuss with the healthcare provider about suitable preventive methods to avoid sesamoiditis.