Sesamoiditis Big Toe Pain

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Non-surgical treatment for sesamoid pain and injuries include padding, off-loading, cortisone injections, oral anti-inflammation medications, and physical therapy. Custom orthotics with special padding are also needed so the pressure that caused the pain is eliminated. If the sesamoid is fractured or severely injured, the foot is placed in a removable walking cast with padding to immobilize the fracture. Crutches may also be used to prevent weight bearing. When sesamoid injuries fail to respond to non-surgical treatment, surgery may be required to remove the sesamoid, followed by custom orthotics to keep pressure away from the remaining sesamoid.