Diagnoses: Sesmoids are bones in the body that are not connected to any other bones and are instead, imbedded in tendons. Two small sesmoids are found on the underside of the foot near the big toe, where they act as pulleys for tendons and assist with weight bearing. Like any other bone, the sesmoid or surrounding tissues can become injured, resulting in pain.
Symptoms: Sesmoid injuries typically result in:
- Pain under the big toe, on the ball of the foot
- Pain with motion of the big toe
Causes: Like any bone, pain can result at the sesmoid due to fracture. A person might also experience pain secondary to inflammation of the tendons surrounding the sesmoid. This is common with activities including repetitive activities involving the foot and ankle such as ballet and running.
Our Physical Therapy Treatment: Treatment will be dependent on the patient and their response to exercise. Treatment might include:
- Mechanical diagnoses/treatment
- Stretching exercises
- Strengthening of muscles surrounding the bones
- Manual mobilizations
- Soft tissue mobilizations
- Task specific performance analysis