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Sesamoiditis

 

Sesamoid Injuries

What are sesamoids?

Sesamoids are bones that are only connected to the tendons or are embedded in muscle unlike most bones in the body that are connected by joints. The kneecap is the largest sesamoid in the body and there are two other much smaller sesamoids underside of the forefoot near the big toe. The sesamoids help absorb pressure under the foot when walking and standing and relieve friction in the soft tissue under the joint of the toe when the big toe moves.  Like other bones, sesamoids can fracture. Additionally, the tendons surrounding the sesamoids can become irritated or inflamed. This is called sesamoiditis and is a form of tendonitis.  

What are the symptoms of a sesamoid injury?

  • Pain caused by sesamoiditis is localized on the ball of the foot under the big toe
  • The foot pain usually begins as a mild ache and increases gradually if the aggravating activity is continued
  • Pain from a fracture in the sesamoid is felt immediately with swelling and bruising only being present in some cases.
  • It may be difficult and painful to straighten and bend the big toe.
  • Pain is reduced with rest and increases with weight-bearing activities

 

Treatment options

Treatment is usually non-surgical, however, surgery to remove the sesamoid bone may be recommended if the conditions do not improve with non-operative treatment.

  • Reduce physical activity, rest your foot and use an ice pack on the affected area but do not apply ice directly to the skin.
  • You will need to wear a stiff-soled shoe or a moon boot in serious cases
  • Your podiatrist may tape the joint to limit movement of the big toe.
  • J-shaped pad around the area of the sesamoid can relieve pressure as the area heels
  • Pain relievers such as aspirin or ibuprofen may be recommended.
  • It may take several weeks for the discomfort to subside if sesamoids are fractured
  • Cushioning pads or other orthotic devices are prescribed by your podiatrist and are often helpful if the cause is foot abnormalities
  • Occasionally, surgical fixation of a fractured sesamoid is needed.

 

Long term care

  • Wear cushioning pads in your shoes to relieve stress and use soft-soled, low-heeled shoes.
  • Resume physical activity gradually and continue wearing cushioning pads to support the sesamoids.
  • Avoid activities that are high impact on the balls of the foot or involve hyperextension of the big toe
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My Nails Are Cut Short. Can I Still Have An Ingrown Toenail?
Published June 23, 2021

My Nails Are Cut Short. Can I Still Have An Ingrown Toenail?

We had a patient come in to see us recently with the tip of her second toe being red, feeling tender and looking a little swollen. She had experienced ingrown toenails previously, and said it felt a little bit like that. Except this time, she had cut her toenails short a week or so prior […]




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Get Your Feet Ski Ready: Pre-Ski Skin & Nail Care
Published June 23, 2021

Get Your Feet Ski Ready: Pre-Ski Skin & Nail Care

With a great deal of uncertainty about where we can and can’t travel this winter, there’s one place that many families are excited about heading to – their snow trip! While there’s a lot of information out there on how to best prepare your body for the ski season to help minimise your risk of […]




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I Think My Toe Is Broken. What Should I Do?
Published June 3, 2021

I Think My Toe Is Broken. What Should I Do?

Excruciating pain in one of your toes? Wondering whether you’ve broken it – and if you have – whether you should go to the hospital or a doctor or a podiatrist and what they’ll do? Broken toes are more common than many people realise – and unfortunately, so is suspecting a broken toe, not doing […]




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Why Do Toenails Thicken?
Published June 2, 2021

Why Do Toenails Thicken?

A number of our patients with ingrown toenails find that their toenails have been thickening with age. For some, this thickness means that the nail is pressing against the top of their shoe, which is pushing the nail into the skin. For others, it’s very uncomfortable and they find their nails difficult to trim – […]




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Why Do My Feet Hurt In The Morning?
Published May 4, 2021

Why Do My Feet Hurt In The Morning?

If you’ve been waking up with sore feet, heels or arches in the morning, this is for you. There’s a very specific kind of heel pain with the following three symptoms that you may relate to: Pain at the bottom of the heel that radiates into the arch Pain when standing up first thing in […]




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Medical Pedicure: The Safe, Feel-Good Foot Care Mums Love This Mother’s Day
Published April 27, 2021

Medical Pedicure: The Safe, Feel-Good Foot Care Mums Love This Mother’s Day

Looking for a unique Mother’s Day gift in Auckland that your mum will truly appreciate? Our medical pedicures take care of mums feet – from her toenails to her corns and calluses, while giving her the assurance that her feet are being cared for by registered health professionals, safely and under strict hygiene and sterilisation […]




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Do Ingrown Toenails Cause Foot Pain?
Published April 19, 2021

Do Ingrown Toenails Cause Foot Pain?

So you currently have – or have recently had – an ingrown toenail. And now you’ve developed some foot or leg pain. What’s going on and could they be linked? How Ingrown Toenails Affect Your Feet First thing’s first: ingrown toenails typically do not cause foot pain. Their pain is usually limited to the toe […]




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Is My Ingrown Toenail Causing My Toe To Feel Numb?
Published March 27, 2021

Is My Ingrown Toenail Causing My Toe To Feel Numb?

While the most common descriptors of ingrown toenails from our patients include painful, frustrating, uncomfortable, annoying, excruciating, can’t-wear-shoes-anymore and can’t-sleep-at-night, we recently had a patient call in to book an appointment because he’d had an ingrown toenail for a couple of weeks now, and alongside some pain and discomfort, it was feeling quite numb. Meeting […]




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The Top Four Pains In Runners – And How To Treat Them
Published March 26, 2021

The Top Four Pains In Runners – And How To Treat Them

We ask a lot of our bodies when we run. The force through our joints and our legs easily exceeds three times our body weight – so it’s not all too surprising that a large portion of our patients are either regular runners, or developed their symptoms when wanting to get into running. Today, we’re […]




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Does Soaking Your Ingrown Toenail In Epsom Salts Fix The Problem?
Published February 25, 2021

Does Soaking Your Ingrown Toenail In Epsom Salts Fix The Problem?

A few times every year, we see patients who were under the impression that they could fix their ingrown toenail by doing regular Epsom salt baths. They will have usually tried 3-4 baths over a couple of weeks before they book in to see us because their ingrown toenail hasn’t gone away. This comes as […]




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Fixing Curly Toes: Hammertoes, Claw Toes & Mallet Toes
Published February 25, 2021

Fixing Curly Toes: Hammertoes, Claw Toes & Mallet Toes

So you’ve developed a hammertoe – or maybe you’ve noticed that your child’s toes are starting to curl. So what can you do about it? Should you do anything about it? What if there’s no pain – is it fine to leave them? Today, Auckland’s premier podiatry team, Perform Podiatry, talks about the causes and […]




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What Else Can The Auckland Ingrown Toenail Clinic Help You With?
Published January 8, 2021

What Else Can The Auckland Ingrown Toenail Clinic Help You With?

Ingrown toenails are our speciality. From one-off treatments to nail surgeries – and even removing the toenail entirely. We love helping patients finally get long-term relief from this painful and frustrating problem. But – are ingrown toenails all we do?  It’s a great question, so today we thought we’d fill you in on all the […]




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Why Won’t My Achilles Tendon Stop Hurting?
Published January 8, 2021

Why Won’t My Achilles Tendon Stop Hurting?

A one-off pain at the back of your heel at your Achilles tendon that starts but then shortly subsides for good is one thing. Ongoing Achilles pains and problems that keep reappearing – or even worse, never truly go away – takes the problem to a whole new level of discomfort, frustration and pain. Ongoing […]




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How Does Your Nail Look After Ingrown Toenail Surgery?
Published December 1, 2020

How Does Your Nail Look After Ingrown Toenail Surgery?

Partial nail avulsions are our most popular and effective solution to ingrown toenails – permanently. If you’re thinking about having this procedure and have heard that it involves removing a small part of the problematic edge of your toenail, you may wonder what your nail may end up looking like after it has healed.  The […]




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Helping Auckland Families With Growing Pains
Published December 1, 2020

Helping Auckland Families With Growing Pains

Growing pains are one of the most common pains that we see and treat in kids. While some mistake growing pains for when active kids overuse the muscles of the feet and legs to a point where they are very tired, achy and sore, this isn’t the case. Others have been told that growing pains […]




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Is My Ingrown Toenail Infected?
Published November 1, 2020

Is My Ingrown Toenail Infected?

An ingrown toenail develops when a small piece of the nail, or nail spicule, pierces the surrounding skin and begins to grow into the skin, instead of growing out independently alongside the skin. It doesn’t take a big piece of nail to cause you tremendous pain and irritation – think of it like a sharp […]




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Our Patients: From Ballet Dancers To Soccer Stars
Published November 1, 2020

Our Patients: From Ballet Dancers To Soccer Stars

Recently, we shared all about the big range of problems that our podiatry team here at Perform Podiatry can help you with. From in-toeing to foot drop, to managing falls risk and instability on your feet, we’re trained to help you with it all – you can read all about it here.  Today, we thought […]




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Think Your Ingrown Toenails Are Worse In Winter? You’re Probably Right. Here’s Why
Published October 2, 2020

Think Your Ingrown Toenails Are Worse In Winter? You’re Probably Right. Here’s Why

The beauty of summer is that it allows us to get some relief from our ingrown toenails by wearing open-toed sandals and walk around with bare feet, which can also delay the onset of painful symptoms in the first place. In winter and the chilly NZ spring-time? Not so much. Our ingrown toenails can become […]




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Medical Pedicures: Why You Should Replace Your Salon Pedicure With A Medi Pedi
Published October 2, 2020

Medical Pedicures: Why You Should Replace Your Salon Pedicure With A Medi Pedi

Having your nails and the skin on your feet taken care of feels great. What feels even better is walking away feeling confident that your foot care has performed safely, under strict hygiene and sterilisation protocols, and by registered podiatrists that have dedicated their careers to learning everything there is to know about your feet […]




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Have Diabetes? Your Ingrown Toenails May Be Putting You At Risk. Here’s Why
Published September 12, 2020

Have Diabetes? Your Ingrown Toenails May Be Putting You At Risk. Here’s Why

When you have diabetes, your risk of foot problems increases significantly. This is because the effects of diabetes on your nerves and blood vessels damages two critical processes when it comes to the feet and legs: Your sensation – the ability to feel what’s happening to and around your feet Your circulation – the blood […]




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Preventing Falls With Podiatry
Published September 12, 2020

Preventing Falls With Podiatry

Having a fall, whether it’s in our own home or when we’re out and about, can change our lives entirely. The injury we sustain from a fall can affect our ability to not only walk and move but stay independent – it might mean we have to stop living independently within our home and instead […]




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Which Ingrown Toenail Treatment Is Best For You?
Published August 31, 2020

Which Ingrown Toenail Treatment Is Best For You?

So you – or your family member – has an ingrown toenail. And you’ve read conflicting information online that’s left you wondering whether you should be soaking your foot in salty water or having the whole nail removed completed. We get it – it can be confusing. So today, we thought we’d give you the […]




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Treating Foot Drop With A Brace
Published August 31, 2020

Treating Foot Drop With A Brace

Foot drop is the term given when weakness in one or both feet makes you unable to point your toes up towards the sky, otherwise known as dorsiflexing the foot. When this happens, your foot remains in a dropped position when you walk, with your foot pointing downwards. This makes it difficult for your foot […]




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Are Men Or Women More Likely To Injure Their Feet & Legs?
Published August 25, 2020

Are Men Or Women More Likely To Injure Their Feet & Legs?

We have the privilege of treating foot and leg injuries day in and day out. It’s very easy to pick up on patterns – like the shoes you wear into the clinic giving us the first hint of what your pain or injury may be, or your walking style giving away some biomechanical problems that […]




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Partial Nail Avulsion
Published July 12, 2020

Partial Nail Avulsion

Partial Nail Avulsion A partial nail avulsion (PNA) provides a professional, safe and effective solution to the problem of frustrating and painful ingrown toenails. This is one of the most common procedures carried out in our clinic. The procedure removes the small part of the toenail edge that is growing downwards/inwards, piercing the skin and […]




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Keeping you healthy and performing at your best

Keeping your family on their feet and helping them to walk, run, play and exceed their goals is why we love getting up in the morning.

We're located inside the One Health medical centre at Building 122 Remuera Rd, Remuera, Auckland 1050, New Zealand

MON - SAT 8:30am – 6:00pm
SUN Closed

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