Kendall Park Office
3228 Route 27, Suite 1B
Kendall Park, NJ 08824
Ph: (732) 297-3002
Fax: (732) 297-3004
 
 
Holmdel Office
719 N. Beers St, Suite 2A
Holmdel, NJ 07733
Ph: (732) 739-3230
 
West Orange Office
1500 Pleasant Valley Way, Suite 204
West Orange, NJ 07052
Ph: (973) 731-1266

  

Our team of specialists and staff believe that informed patients are better equipped to make decisions regarding their health and well being. For your personal use, we have created an extensive patient library covering an array of educational topics. Browse through these diagnoses and treatments to learn more about topics of interest to you. Or, for a more comprehensive search of our entire Web site, enter your term(s) in the search bar provided.

As always, you can contact our office to answer any questions or concerns.

Sesamoids are small bones that are connected only to tendons or are embedded in muscle. This structure appears in only a few places in the human body, one of which is the foot. Two very small sesamoids (about the size of a kernel of corn) are found in the underside of the forefoot near the big toe—one on the outer side of the foot and the other closer to the middle of the foot. Sesamoids provide a smooth surface over which the tendons slide, thus increasing the ability of the tendons to transmit muscle forces. In the foot, sesamoids assist with weight-bearing and help elevate the bones of the big toe.

Like other bones, sesamoids can fracture. Additionally, the tendons surrounding the sesamoids can become irritated or inflamed, which is called sesamoiditis and is a form of tendonitis. Sesamoiditis is a common condition among ballet dancers, runners, and baseball catchers because of the pressures placed on their feet.

Symptoms include:

  • Pain under the big toe or on the ball of the foot.
  • Swelling and bruising.
  • Difficulty and pain in bending and straightening the big toe.

Surgery is usually not required to treat sesamoiditis. Treatments generally include:

  • Discontinuation of the activity causing the pain and inflammation.
  • Over-the-counter pain medications and anti-inflammatories, such as ibuprofen and aspirin. Note: Please consult your physician before taking any medications.
  • Icing the sole of the foot.
  • Wearing shoes that are soft-soled and low-heeled.
  • Using cushioning in shoes to relieve stress.
  • Injection of a steroidal medication to reduce swelling.

If symptoms persist, you may need to wear a removable brace on the leg for 4-6 weeks to give the inflammation time to subside and the bones to heal.


Questions or Comments?
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Kendall Park Office

3228 Route 27
Kendall Park, NJ 08824
Ph: (732) 297-3002
Fax: (732) 297-3004

Holmdel Office

719 N. Beers St, Suite 2A
Holmdel, NJ 07733
Ph: (732) 739-3230

West Orange

1500 Pleasant Valley Way Suite 204
West Orange, NJ 07052
Ph: (973) 731-1266

Podiatrist Douglas N. DeLorenzo, DPM, -  South Brunswick Office 3228 Route 27 Suite 1B, Kendall Park NJ, 08824 (732) 297-3002

Podiatrist - Holmdel Office 719 N Beers St, Suite 2A, Holmdel NJ 07733 (732) 739-3230

Podiatrist - West Orange Office 1500 Pleasant Valley Way, Suite 204, West Orange, NJ 07052 (973) 731-1266