musculoskeletal and connective tissue disorders
Sesamoiditis
Treatment of Sesamoiditis
New shoes, orthotics, or both In patients with sesamoiditis, simply not wearing the shoes that cause pain may be sufficient. If symptoms of sesamoiditis persist, offloading pads as well as shoes with a thick sole and orthotics are prescribed and help by reducing sesamoid pressure. If fracture without displacement is present, conservative therapy may be sufficient and may also involve immobilization of the joint with the use of a flat, rigid, surgical shoe. Nonsteroidal anti-inflammatory drugs (NSAIDs) and injections of a corticosteroid/local anesthetic solution can be helpful (see Considerations for Using Corticosteroid Injections ). Although surgical removal of the sesamoid may help in recalcitrant cases, it is controversial because of the potential for disturbing biomechanics and mobility of the foot. If inflammation is present, treatment includes conservative measures plus local infiltration of a corticosteroid/anesthetic solution to help reduce symptoms. 