Sesamoiditis
Sesamoiditis is inflammation of the small sesamoid bones located under the big toe joint. These bones act like pulleys to help the big toe move and absorb impact when you push off while walking. When they become irritated from repetitive pressure, sharp pain can develop in the ball of the foot beneath the big toe.
Common Symptoms
Pain beneath the big toe joint, especially when pushing off
Swelling or tenderness under the toe
Pain that increases during activity and improves with rest
Discomfort when wearing hard-soled or unsupportive shoes
A feeling like pressure is concentrated under the big toe
What Causes Sesamoiditis
Excessive pressure on the forefoot
High arches or foot shapes that shift weight forward
Sports involving jumping or pushing off the toes
Wearing thin-soled or inflexible shoes
Repetitive bending of the big toe
Without support, the sesamoid bones and surrounding tendons absorb too much strain with each step.
How Support Helps
Supportive insoles help redistribute pressure away from the sesamoid bones.
By stabilizing the foot and improving shock absorption, inflammation can calm and movement feels more comfortable.
Recommended Support
Orleans Arches support all four arches of the foot and help prevent excess pressure from loading into the big toe joint.
Proper Shoes Matter
Shoes with cushioning under the forefoot and protective support are essential.
A slightly stiffer sole can also help reduce bending through the big toe.
Shop Supportive Footwear:
New Balance 990 great toe room and stability for hammer toes.
Hoka Bondi great cushion and toe room.
SAS SHOES MADE IN USA AND MADE IN WIDE WIDTHS.
Related Conditions
Metatarsalgia
Turf toe
Big toe arthritis
Reduce Pressure and Keep Moving
With the right support and footwear, sesamoiditis can improve — allowing for more comfortable, confident steps.