Condition

Sesamoiditis

Inflammation of the small bones under the big toe joint causing forefoot pain.

What It Is

Understanding Sesamoiditis

On the bottom of the Metatarsal Phalangeal joint or big toe joint are two pebble sized bones called Sesamoid bones. These are important bones that help guide proper big toe and overall foot biomechanics and help to stabilize and disperse forces during weightbearing activity. When the forces in and around the Sesamoids are excessive the soft tissues surrounding these little bones can become inflamed and painful. This is referred to as Sesamoiditis. We use Softwave – Extracorporeal Shockwave Therapy to reduce toe pain and inflammation at the cellular level and also to heal degenerative and weakened soft tissues. Equally important is identifying the underlying cause of the excessive loading under the big toe because unless the root cause is corrected it will continue to wreak havoc on the big toe joint and many other structures in the foot and ankle complex.

Symptoms

What You May Be Experiencing

The Problem

Why Traditional Treatments Often Fall Short

Rest, padding, and stiff-soled shoes can help reduce loading, but the area never gets enough opportunity to fully heal because we walk every day. Cortisone injections near the sesamoids carry real risk to surrounding tendon tissue, and surgical removal of a sesamoid is a serious procedure with long recovery.

Our Approach

How SoftWave® Helps Sesamoiditis

SoftWave® shockwave therapy stimulates healing of the inflamed soft tissue and bone interface around the sesamoids, improves circulation to a notoriously slow-healing area, and breaks the cycle of chronic irritation. Patients are commonly able to return to running, dancing, and full activity without invasive intervention.

FAQ

Sesamoiditis — Common Questions

We modify activity during the treatment series and progressively reintroduce loading as the tissue heals.
We’ll review imaging and adjust the protocol — SoftWave still has a role, but acute fractures need careful management.
Most patients feel meaningful change within 4–6 sessions, with full return to activity over the following weeks.
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