- Sesamoiditis presents as a severe pain under the 1st metatarsophalangeal joint.
- Common in dancers and sports people.
- Tender sesamoid bones
- Pain intensifies on dorsiflexion.
Tests and Imaging
- X-rays of forefoot
- Bone scan, if the X-rays are normal
- Choose appropriate shoes: low-heel and soft-sole
- Podiatry for footwear advice, padding and splinting, possible orthoses.
- Sesamoidectomy after failiure of conservative treatment