Sesimoiditis2019-09-03T11:03:34+00:00

Chartered Physiotherapists

Specialists in Musculoskeletal Physiotherapy

Sesimoiditis

This is inflammation of the sesimoid bones which results in pain behind the big toe of the foot. The sesimoid bones are extremely important functionally as they protect and serve as a fulcrum for the flexor hallucis longus tendon which bends the big toe. Additionally the seisimoid bones absorb most of your weight on inner aspect of the forefoot. Injury to the sesimoid bones can occur due to excessive force resulting from the sudden bending upwards of the big toe, landing from a height after a jump or repetitive forefoot weight bearing activities such as sprinting and dancing. Patients will complain of pain behind the big toe during weight bearing activity and will often walk on the outside edge of their foot to avoid placing pressure through the big toe.

Sesimoiditis Treatment

Physiotherapy treatment involves the use of orthotics, padding and/or tape to help redistribute weight away from the big toe. In cases where as sesimoid stress fracture is suspected it is important that an MRI is arranged immediately as these stress fractures are prone to non-union. If a stress fracture is confirmed by MRI a patient will be placed into a non-weight bearing cast or boot for up to six weeks. Depending on how well the fracture site is healing fixation of the bone with a screw may be necessary.

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Attended Portobello Physiotherapy Clinic for Lower back pain, physio service was excellent, they were able to explain to me in a clear manner the cause of my pain and what needed to be done to make it better. With a combination of hands on treatment and exercises my back has never felt better. I highly recommend Portobello Physiotherapy for anyone suffering with lower back pain.

Anthony Smith Long distance runner

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