
Sesamoiditis is a common foot condition that can cause significant discomfort and hinder your daily activities.
At Watsonia Podiatry, we understand the impact of sesamoiditis on your foot health and overall well-being.
In this comprehensive guide, we will delve into the intricacies of sesamoiditis, explore its effects on your feet, and provide detailed insights into the crucial role that appropriate footwear plays in effectively managing this condition.
What is Sesamoiditis?
Sesamoiditis is a condition characterised by inflammation or irritation of the sesamoid bones, which are small bones located beneath the big toe joint in your foot.
These bones play a vital role in weight-bearing and provide stability to the foot. Sesamoiditis typically develops as a result of excessive pressure or repetitive stress on these bones.
Common symptoms include localised pain, swelling, difficulty in bending the big toe, and discomfort when walking or running.
Impact of Footwear on Sesamoiditis
Choosing the right footwear is essential for effectively managing sesamoiditis. Here are key considerations when selecting shoes:
- Cushioning and Shock Absorption: Go for shoes that offer generous cushioning in the sole. This feature helps absorb shock and reduces pressure on the sesamoid bones, providing relief from pain and inflammation. Look for shoes with supportive midsoles or specialised cushioning technologies to enhance shock absorption.
- Arch Support and Stability: Adequate arch support is crucial in managing sesamoiditis. It helps distribute body weight evenly across the foot, reducing strain on the sesamoid bones. Look for shoes with built-in arch support or consider adding custom orthotics or arch inserts for additional support. Stability is also vital to prevent excessive foot motion that can exacerbate sesamoiditis. Look for shoes with a firm heel counter and a supportive, well-structured design.
- Toe Box Design and Flexibility: Shoes with a spacious and accommodating toe box are beneficial for sesamoiditis management. This design allows for natural movement of the toes and helps alleviate pressure on the sesamoid bones. Additionally, shoes with good flexibility promote proper foot mechanics and reduce strain on the affected area. Look for shoes made from flexible materials and with sufficient toe box room to facilitate comfortable toe movement.
It is important to avoid certain types of footwear that can worsen sesamoiditis symptoms. High heels place excessive pressure on the forefoot, including the sesamoid bones, leading to increased discomfort. Narrow shoes compress the toes, exacerbating pain and inflammation. Rigid-soled shoes restrict natural foot movement, potentially increasing stress on the sesamoid bones.

Custom Orthotics and Inserts
In addition to selecting appropriate footwear, custom orthotics and inserts can significantly aid in managing sesamoiditis. These devices are custom-made to suit your foot’s specific needs, providing targeted support, cushioning, and relieving pressure on the affected area.
Custom orthotics are designed based on a thorough assessment of your foot structure and biomechanics, ensuring optimal alignment and comfort. At Watsonia Podiatry, our experienced podiatrists can evaluate your condition and recommend the most suitable orthotics or inserts to effectively manage your sesamoiditis.
Considerations in Footwear Management
To optimise sesamoiditis management, consider the following factors:
- Gradual Transition: If you have been accustomed to wearing unsupportive or ill-fitting shoes, it is essential to transition gradually to more supportive footwear. This allows your feet to adapt to the change, reducing the risk of discomfort and injury. Gradually increasing the duration of wearing supportive shoes and decreasing the time spent in unsupportive footwear can help your feet adjust.
- Rest and Stretching: Incorporating regular rest periods and specific stretching exercises can help reduce stress on the sesamoid bones and promote healing. Consult with your podiatrist for appropriate stretching techniques tailored to your condition. Gentle stretches targeting the calves, Achilles tendon, and plantar fascia can provide relief and improve overall foot flexibility.
- Healthy Body Weight: Maintaining a healthy body weight is crucial for managing sesamoiditis. Excess weight places additional strain on the feet, including the sesamoid bones. By adopting a balanced diet and engaging in regular exercise, you can manage your weight effectively, alleviate pressure on the affected area, and enhance your overall foot health.
How Watsonia Podiatry Can Help
At Watsonia Podiatry, we are dedicated to providing comprehensive foot and lower limb care, including specialised management of sesamoiditis.
Our team of experienced podiatrists combines their expertise with advanced diagnostic tools to assess your condition accurately. We offer personalised treatment plans that encompass appropriate footwear recommendations, custom orthotics, and other evidence-based interventions.
During your visit to Watsonia Podiatry, our podiatrists will conduct a thorough evaluation, considering your symptoms, medical history, and lifestyle factors. We will provide tailored advice on footwear selection, taking into account your specific needs and preferences. Additionally, our skilled podiatrists can prescribe custom orthotics or inserts to provide optimal support and relief.
Take the first step towards optimal foot health by scheduling a consultation with Watsonia Podiatry in Melbourne. Trust us to deliver exceptional care, enhance your foot health, and improve your overall well-being.
You can book online to see us or call us on 03 9432 2689.