Sesamoid Conditions

Treatment for Sesamoid Conditions in Dubai at Emirates Hospitals Group. We take pride in having the best foot and ankle surgeons in Dubai, specializing in the treatment of sesamoid conditions. Sesamoid bones, small bones embedded within tendons, play a critical role in the biomechanics of the foot, particularly in the big toe. Conditions affecting these bones can lead to significant discomfort and impact daily activities. Our expert team provides comprehensive care to address these issues, combining advanced diagnostic tools with personalized treatment plans to ensure optimal outcomes.

• About Sesamoid Conditions
• Types
• Causes & Treatment
• Treatment

About Sesamoid Conditions

Sesamoid bones are embedded in the tendons of the big toe and help with weight distribution and force generation during walking and running. They are critical in the function of the metatarsophalangeal (MTP) joint, where the big toe meets the foot. Sesamoid conditions refer to a range of disorders affecting these small, yet essential, bones. The most common sesamoid condition is sesamoiditis, which involves inflammation of the sesamoid bones or the surrounding tendons.

Types of Sesamoid Conditions

1. Sesamoiditis: This is the most prevalent sesamoid condition, characterized by inflammation of the sesamoid bones or the surrounding tendons. It is often caused by repetitive stress or overuse.
2. Sesamoid Fractures: These are fractures of the sesamoid bones, usually resulting from acute trauma or high-impact activities. Fractures can be partial or complete and may disrupt normal foot function.
3. Sesamoid Bone Disorders: This category includes various issues such as abnormal positioning or formation of the sesamoid bones, which can lead to discomfort and functional problems.
4. Sesamoid Bone Dislocation: Rarely, the sesamoid bones can become dislocated from their normal position, leading to pain and instability in the big toe joint.

Causes & Symptoms

Causes of Sesamoid Conditions:

1. Repetitive Stress: Activities involving repetitive pressure on the forefoot, such as running or jumping, can cause chronic stress and inflammation of the sesamoid bones.
2. Acute Trauma: A sudden impact or injury to the forefoot, such as dropping a heavy object or a sports-related accident, can lead to sesamoid fractures or dislocations.
3. High-Impact Sports: Sports that require frequent jumping or running can increase the risk of sesamoid injuries due to the excessive force placed on the sesamoid bones.
4. Improper Footwear: Shoes that do not provide adequate support or cushioning can exacerbate stress on the sesamoid bones and contribute to sesamoiditis.
5. Foot Structure Abnormalities: Structural issues such as high arches or flat feet can alter the distribution of forces across the foot and increase the likelihood of sesamoid problems.

Symptoms of Sesamoid Conditions:

1. Pain in the Big Toe: Persistent pain beneath the big toe, particularly in the area where the sesamoid bones are located. The pain may worsen with activity and improve with rest.
2. Swelling and Tenderness: Swelling and tenderness around the ball of the foot, especially near the sesamoid bones. This is common in sesamoiditis and fractures.
3. Difficulty Walking: Pain and discomfort may make it difficult to walk or bear weight on the affected foot, affecting daily activities and mobility.
4. Bruising: In cases of sesamoid fractures, there may be visible bruising or discoloration around the big toe joint.
5. Instability: A sense of instability or weakness in the big toe joint, particularly if the sesamoid bones are dislocated or fractured.

Treatment

Non-Surgical Treatments:

1. Rest and Activity Modification:
   • Reducing or avoiding activities that exacerbate symptoms can help alleviate inflammation and promote healing.
2. Ice Therapy:
   • Applying ice to the affected area can help reduce swelling and numb pain. This is often used alongside other conservative treatments.
3. Medications:
   • Nonsteroidal anti-inflammatory drugs (NSAIDs) can be used to relieve pain and reduce inflammation associated with sesamoid conditions.
4. Orthotic Devices:
   •  Custom orthotic insoles or pads can provide additional support and cushioning, helping to reduce pressure on the sesamoid bones and alleviate pain.
5. Physical Therapy:
   •  Physical therapy can help strengthen the muscles around the foot and improve flexibility. Therapy may include exercises, stretches, and modalities to support recovery.

Surgical Treatments:

1. Sesamoid Bone Removal:
   • In cases of severe sesamoiditis or persistent fractures, surgery may be necessary to remove the damaged sesamoid bone and relieve pain.
2. Fracture Fixation:
   • For sesamoid fractures, surgical intervention may involve fixation of the fractured bone using screws or other devices to ensure proper healing.
3. Repair of Dislocated Sesamoids:
   • Surgery may be performed to reposition and stabilize dislocated sesamoid bones, restoring normal function and alleviating pain.