Understanding and Treating Sesamoiditis in Runners


What is Sesamoiditisin Injury?

Sesamoiditis is a common injury among runners, characterized by pain in the ball of theSesamoiditis foot. It is an overuse injury caused by putting too much pressure on the bones known as “sesamoids”. These bones are found in the ball of the foot underneath the large bone of the big toe. The sesamoids act as a shield to protect the large tendons at the bottom of the foot when it comes in contact with the ground. Sesamoiditis can be incredibly painful and often occurs in runners who have increased the intensity, duration, or frequency of their exercise. Symptoms include pain whilst running, aching pain at the base of the big toe, and pain when pressing on the area. It is important to recognize the symptoms and get treatment early on to prevent long-term damage. If medical treatment is needed, it usually involves rest and pain relief medication. To prevent the injury from reoccurring, it is important to wear the right footwear, stretch frequently, and to avoid running too much on hard surfaces.


Types of Sesamoiditisin Injury in Runners

Runners are prone to various types of injuries, including sesamoiditis, an inflammation of the sesamoid bones in the foot. Sesamoiditis can occur due to overuse of the foot, caused by a high mileage running program, or as a result of a high-impact start or stop while running. The discomfort and pain of sesamoiditis can be felt through the bottom of the foot and is usually described as a sharp stabbing sensation when putting pressure on the sesamoid bones. Without proper care and treatment, this painful condition can worsen, resulting in long-term pain associated with running.

For a runner to successfully treat and recover from sesamoiditis, it is vital to first gain a clear understanding of the condition. Knowing which type of sesamoiditis a runner has is the first step to recovery.

There are two types of sesamoiditis: traction and compression. Traction types involve micro tears or ligament pulls when extra force is placed on the sesamoid bones. Compression types are caused by changes to the soft tissue that surrounds the sesamoid bones. Both types of sesamoiditis involve the surrounding connective tissue in the foot, resulting in sometimes severe pain and inflammation.

In order to properly manage and prevent sesamoiditis in runners, it is important to understand preventative measures that can be taken. Strengthening the arch of the foot, stretching the tissues surrounding the sesamoid bones, and when running, avoiding abrupt starts and stops can be imperative in preventing this painful injury. Change of running surface, shoe choice, and throttle speed back can be beneficial in relieving and preventing sesamoiditis in runners. If the pain persists, consulting a medical professional will ensure proper diagnosis and treatment to restore the health of the sesamoid bones.


Signs and Symptoms of Sesamoiditisin Injury in Runners

Runners should be aware of the signs and symptoms of sesamoiditis injury, as this condition can have a significant impact on their performance.  Symptoms of sesamoiditis can include pain and tenderness (usually from a sudden increase in activity), swelling, and decreased flexibility in the foot and ankle. Runners may also experience a burning sensation in the foot as well as radiating pain during activity.

It is important for runners to be aware of the risk factors associated with sesamoiditis. These include overexertion due to running or exercising too much, wearing ill-fitting shoes, or having a high or low arch. Additionally, runners who have recently lost or gained weight, have weak foot muscles, or have suffered repetitive trauma to the foot may be more susceptible to this injury.

It is important to take sesamoiditis injury seriously, as it can have a major impact on a runner’s performance. By understanding the risk factors and being able to identify the signs and symptoms of sesamoiditis, runners can be proactive in preventing this injury. If symptoms of sesamoiditis are present, they should also seek medical advice, as early diagnosis and treatment are necessary to ensure a prompt and full recovery.


Assessment and Treatment of Sesamoiditisin Injury in Runners

Understanding and accurately diagnosing sesamoiditis is crucial for proper management. This typically begins with a physical examination and review of the individual’s symptoms and medical history. Imaging techniques, such as an ultrasound, X-ray or MRI, may also be used to identify possible sources of pain and determine the extent of the damage. It is important to note that sesamoiditis can be difficult to differentiate from other conditions, so a consultation with a foot and ankle specialist is often necessary to rule out other disorders. It is also important to ensure that any footwear is, providing sufficient support and cushioning. It is typically recommended that runners with sesamoiditis wear shoes that have removable insoles for better support and cushioning. In some cases, an orthotic device may be required to reduce pressure and provide added stability.

The primary goal of treatment is to reduce the inflammation and alleviate the pain. This can include rest, icing the affected area, and the use of non-steroidal anti-inflammatory drugs (NSAIDs). Physical therapy and activities to help improve flexibility and the range of motion of the ankle and big toe are also often recommended. If the condition persists, the doctor may consider other treatments such as injections, steroid medications, or splints.

In order to resolve sesamoiditis, runners must address the root cause of the problem. Identifying and avoiding any activities that may be causing the pain can be helpful in reducing further injury. Wearing appropriate footwear and adhering to well-designed strength and stretching programs can also be beneficial. With the right approach and timely assessment and treatment, sesamoiditis can be effectively managed, allowing the return to physical activity.


Exercises for Recovery and Prevention of Sesamoiditisin Injury

Sesamoiditis is a common injury experienced by runners but with the right exercise plan, it can be prevented or treated. Prevention and treatment of Sesamoiditis requires targeted exercises designed to strengthen the muscles and tendons surrounding the sesamoid bones, enabling them to better withstand the repetitive stress associated with running. By engaging in a tailored exercise program, runners can limit the risk of suffering from Sesamoiditis or reduce discomfort and delay recurrence if they have already suffered from the injury. This guide outlines a range of exercises for the recovery and prevention of Sesamoiditis injury, providing runners with the knowledge they need to maintain optimal performance.