If you feel pain underneath the ball of your foot, you may be suffering from a condition called sesamoiditis. While sesamoiditis has a high complete recovery rate, it is critical to get the right diagnosis and treatment plan from a podiatric professional like Dr. Joshi. Many patients find that they are completely recovered in a few weeks and are able to return to their normal activities. However, poor diagnosis or treatment can keep patients sidelined indefinitely. 

Breaking Down Sesamoiditis

Sesamoids are bones in the body that are connected to other bones by tendons. Sesamoids differ from other bones because they are connected through joints. There are three sesamoids in the body. The kneecap, or patella, is the largest sesamoid in the body. It is possible to have sesamoiditis in the knee. However, it is much more common in the feet, where the two other sesamoids are located. 

The tendons that connect the sesamoids to other bones can become irritated and inflamed through overexertion of physical damage. Either of these injuries is typically met by pain and inflammation of the tendon. These swelling tendons cause sesamoiditis. 

Early Intervention

One of the most critical steps in diagnosing sesamoiditis at its earliest stages is recognizing that something is not right. If you feel that the pain continues to build under the ball of your foot, you may have sesamoiditis. In some instances, patients may also notice swelling and bruising. 

As sesamoiditis progresses, many patients find that it is difficult to move their big toe. Many patients report a painful “popping” sensation when they walk. This issue can help identify advanced stages of sesamoiditis.

Once you schedule an appointment, Dr. Joshi will want to look at the issue with medical imaging. This approach often utilizes x-rays of one or both feet, bone scans, or MRIs. Bone fractures can mimic sesamoiditis symptoms, so that issue will need to be ruled out right away. 


There are three common approaches to treatment that Dr. Anant Joshi may suggest. Those treatments may include: 

Lifestyle Changes: This approach requires patients to temporarily stop the behaviors that caused the injury. Dancing, running, and exercise that involve repetitive footwork will likely have to stop for a period of time. Patients will also be asked to wear only supportive and comfortable shoes. 

Medication: There are several over-the-counter and prescription medications that can help reduce the discomfort associated with sesamoiditis. Additional measures can include cortisone injections at the site of the injury to help reduce inflammation. In addition to medications, Dr. Anant Joshi may recommend custom orthotics to help support your foot during the healing process. Custom orthotics can often be used in your regular shoes. 

Surgery: Surgeries are used as a last resort option. Sesamoiditis surgeries target the removal of one of the sesamoid bones. Except in extreme cases, surgery will only remove one sesamoid bone. Removing both bones will impact how the big toe aligns with the foot.


If sesamoiditis is caught early, it can take just a few days of rest and ice therapy to recover and resume normal activities completely. In severe cases requiring surgery, the recovery period can take much longer. Recovery is dependent on the individual and their participation in a physical therapy program. 

Get the Help You Deserve

Sesamoiditis is a common condition that usually has an excellent recovery rate. However, ignoring the early warning signs can lead to permanent foot damage. Instead, call Dr. Joshi at Advanced Foot Care of NJ, LLC to get started on a comprehensive treatment plan today.