
Sesamoiditis and Bone Pain in the Feet

Sesamoiditis, a condition caused by inflammation of the sesamoid bones located beneath the big toe joint, can pose significant discomfort and mobility challenges. These small, pea-sized bones play a vital role in weight-bearing and stabilizing the foot during activities like walking and running. When subjected to excessive pressure or repetitive stress, the sesamoid bones may become inflamed, leading to symptoms such as sharp or dull pain beneath the big toe joint, and swelling. Sesamoiditis typically manifests as a gradual onset of pain, worsening with activity and improving with rest. Activities that involve pushing off the toes, such as jumping or running, may worsen symptoms. Diagnosis of sesamoiditis involves a comprehensive evaluation by a podiatrist, including a physical examination and possibly imaging tests such as X-rays or MRI scans. If you have pain under the big toe, it is suggested that you contact a podiatrist who can provide you with effective treatment solutions.
Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact one of our podiatrists of DeCaro Total Foot Care Center. Our doctors will treat your condition thoroughly and effectively.
Sesamoiditis
Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.
Causes of Sesamoiditis
- Sudden increase in activity
- Increase in physically strenuous movement without a proper warm up or build up
- Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible
Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.
If you have any questions please feel free to contact our office located in West Hatfield, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Sesamoiditis
Sesamoiditis is a condition in which the sesamoid bones in the forefoot become inflamed from physical activity. Sesamoid bones are bones that are not connected to other bones but are located in tendons or muscle. Two of these sesamoid bones are very small and located on the underside of the foot near the big toe. Athletes such as runners, baseball and football players, and dancers are likely to experience sesamoiditis. Those with high arched feet, flat feet, or runners who run on the ball of their foot are also prone to suffer from sesamoiditis.
Symptoms include pain or throbbing on the ball of the foot near the big toe. The pain generally starts with a mild throbbing but gradually builds up to shooting pain. Bruising, swelling, and redness are possible, but in most cases, these symptoms are not present. However, moving the big toe can result in pain and difficulty.
To conduct a diagnosis, the podiatrist will examine the ball of the foot and big toe. They will look for any outliers and check the movement of the toe. X-rays will be taken to rule out any other conditions and ensure that it is sesamoiditis.
Treatment for sesamoiditis is generally mild and includes rest, anti-inflammatory and pain medication, and ice treatments to deal with the swelling and pain. Orthotics may be needed with people who have flat or high arched feet to relieve pressure off the bones. In some cases the toe will be taped and immobilized to allow healing. The podiatrist may also decide to use a steroid injection to help with swelling as well. If you have sesamoiditis, you shouldn’t engage in any intensive activity, as it may inflame the area and worsen your pain. If the sesamoid bone has fractured, surgery may be required to remove the sesamoid bone.
If you are suffering from sesamoiditis or are experiencing symptoms similar to sesamoiditis, you should stop all physical activity that puts strain on the area. Furthermore you should see a podiatrist for a diagnosis to see if you have sesamoiditis.
Lower Limb and Foot Injuries in Athletic Children
Lower limb and foot injuries are common in athletic children, partly due to the vulnerability of their growth plates. Growth plates are the developing areas of cartilage at the end of the long bones in the legs where bone growth takes place. These plates are weaker than nearby tendons and ligaments, making them more susceptible to injury. This is especially true when under the stress of repetitive physical activities in sports. Movements like running, jumping, and quick pivoting can place excessive strain on growth plates, leading to conditions such as Sever's disease, or heel pain. Ankle sprains are also common because ligaments in children tend to be more elastic than in adults. The biomechanics of growing children, such as variations in gait, muscle strength, and coordination during growth spurts, can further predispose them to these injuries as their bodies adapt to rapid physical changes. A podiatrist, or foot doctor, can treat these types of injuries common in active children. They may suggest treatments ranging from rest and elevation to custom orthotics that support proper alignment and reduce stress on the growth plates. Treatments vary depending on the injury. If your child is struggling with a lower limb or foot injury, it is suggested you consult with a podiatrist for targeted care.
Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact one of our podiatrists of DeCaro Total Foot Care Center. Our doctors can provide the care you need to keep you pain-free and on your feet.
Keeping Children's Feet Healthy
Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...
Although babies do not walk yet, it is still very important to take care of their feet.
Avoid putting tight shoes or socks on his or her feet.
Allow the baby to stretch and kick his or her feet to feel comfortable.
As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’.
As your child gets older, it is important to teach them how to take care of their feet.
Show them proper hygiene to prevent infections such as fungus.
Be watchful for any pain or injury.
Have all injuries checked by a doctor as soon as possible.
Comfortable, protective shoes should always be worn, especially at play.
If you have any questions please feel free to contact our office located in West Hatfield, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
What to Do to Keep Your Child’s Feet Healthy
Being a parent involves caring for your child in every way you can. You make sure they are eating the right food, being nice to others, and staying out of any trouble. However, it is also important that you are watchful of their health, more specifically their foot health. Maintaining good foot health in childhood is important in preventing later conditions in life from happening. As children continue to develop, their feet require different techniques of care. Here are some various ways in which you can help your child’s feet stay healthy.
A baby needs a lot of care and attention overall, but the importance of their feet should never be forgotten. Before a baby turns one, their feet change and develop greatly. It is important that during this time, a mother avoids putting tight socks on their child. She should also encourage movement of their feet so the baby can begin to feel more comfortable using them.
As a baby enters the toddler years of his or her life, they are begin to walk around. When your baby begins to take those first steps, it is crucial that they are wearing protective shoes on their feet. As a mother that is observant of your child’s feet, you may notice changes in them. This is completely normal as the feet are becoming susceptible to the activity of walking. It is normal for a toddler to be a bit unsteady or to “walk funny” at first.
When your child grows out of their toddler years, it is important that you begin to show him or her how to care for their feet on their own. Practice with your child proper hygiene in order to prevent foot fungus or infection. Since children are constantly on the move, it is crucial to be cautious of any accidents or injuries that might occur. If an injury occurs, it is advised that you take your child to be examined by a doctor immediately. Since your child is still growing, particular injuries can shift the way in which a bone or other important part of the foot is developing.
Babies and kids are always changing and growing. Your job as a parent is to make sure they stay healthy and making sure they are properly maintained. This involves proper foot care and making sure the feet stay healthy. Following this guide, your child can live a long and happy life.
How Heel Pain Can Be Treated

Heel pain, a common foot ailment, can disrupt daily activities and signal underlying issues. Typically stemming from conditions like plantar fasciitis, Achilles tendonitis, or heel spurs, it manifests as discomfort or tenderness beneath or behind the heel. Treatment often involves a combination of conservative measures, such as rest, stretching exercises, custom orthotic inserts, and supportive footwear to alleviate symptoms and promote healing. In some cases, nonsteroidal anti-inflammatory drugs or corticosteroid injections may be recommended for pain relief. However, if left unaddressed, heel pain can lead to chronic discomfort, mobility limitations, and even changes in gait. Additionally, persistent heel pain may indicate more serious conditions that require specialized intervention. If you have persistent or worsening heel pain, it is suggested that you schedule an appointment with a podiatrist for an individualized treatment plan that can expedite recovery and prevent complications.
Many people suffer from bouts of heel pain. For more information, contact one of our podiatrists of DeCaro Total Foot Care Center. Our doctors can provide the care you need to keep you pain-free and on your feet.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
- Wearing ill-fitting shoes
- Wearing non-supportive shoes
- Weight change
- Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
If you have any questions please contact our office located in West Hatfield, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Heel Pain
Have you ever gotten up from a chair or out of bed in the morning, and upon taking that first step, feel like your heel has stepped on a tack? Many people experience a feeling of sharp pain which radiates into their arch from their heel and which does not allow them to put their heel on the floor. Sometimes they need to sit back down, stand only on their toes and use the wall for balance. If you can take a few steps, it seems to go away and lessen, allowing you to then resume your activity. Later, throughout your day and after a period of rest, it can happen again. If this sounds familiar you may be suffering from your first attack of heel pain.
Heel pain is a debilitating condition that affects day to day activities. Running and walking both causes stress on the heel because the heel is the part of the foot that hits the ground first. This means that the heel is taking on your entire weight. Diagnosis and treatments for heel pain can be easily found through your podiatrist.
Plantar Fasciitis
One of the main causes of heel pain is a condition known as plantar fasciitis. The plantar fascia is a band of tissue that extends along the bottom of the foot, from the toe to the bottom of the heel. A rip or tear in this ligament can cause inflammation of these tissues, resulting in heel pain. People who do not wear proper fitting shoes are often at risk of developing problems such as plantar fasciitis. Unnecessary stress from ill-fitting shoes, weight change, excessive running, and wearing non-supportive shoes on hard surfaces are all causes of plantar fasciitis.
Achilles Tendonitis
Achilles tendonitis is another cause of heel pain. Similar to plantar fasciitis, inflammation of the Achilles tendon will cause heel pain due to stress fractures and muscle tearing. A lack of flexibility of the ankle and heel is an indicator of Achilles tendonitis. If left untreated, this condition can lead to plantar fasciitis and cause even more pain on your heel.
Heel Spur
A third cause of heel pain is a heel spur. A heel spur occurs when the tissues of the plantar fascia undergo a great deal of stress, leading to a separation of the ligament from the heel bone entirely. This results in a pointed fragment of bone on the ball of the foot, known as a heel spur.
Sever’s Disease Affects Young Feet

Sever's disease, also known as calcaneal apophysitis, is a common condition affecting children and adolescents, particularly those who are active in sports. Contrary to its name, Sever's disease is not a true disease but rather an inflammation of the growth plate in the heel bone. This inflammation occurs due to repetitive stress or tension on the growth plate, often during periods of rapid growth. As a result, the heel becomes painful and tender, especially during physical activities like running or jumping. Despite its discomfort, Sever's disease does not cause long-term damage and typically resolves once the growth plate closes. However, proper management is critical to alleviate symptoms and prevent recurrence. Treatment may involve rest, stretching exercises, wearing supportive footwear, and in severe cases, temporary activity modification. If your child has heel pain and enjoys participating in sporting activities, it is suggested that you consult a podiatrist who can accurately diagnose and treat Sever’s disease.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from DeCaro Total Foot Care Center. Our doctors can treat your child’s foot and ankle needs.
Sever’s Disease
Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.
Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.
Symptoms
Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
If you have any questions, please feel free to contact our office located in West Hatfield, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.
Sever's Disease
Sever's disease, also known as calcaneal apophysitis, is a medical condition that causes heel pain in children’s feet while they’re growing. Sever's disease occurs most commonly in boys and girls between the ages of 8 and 14.
Sever's disease occurs when the child’s growth plate, or the calcaneal epiphysis, an area attached to the Achilles tendon, is injured or when the muscles and tendons of the growing foot do not keep pace with bone growth. The result is constant pain experienced at the back of the heel and the inability to put any weight on the heel. This forces the child to bear weight on their toes while walking. When a toe gait develops, the child must change the way they walk to avoid placing weight on the painful heel. If this is not properly addressed, this can lead to further developmental problems.
The most common symptom of Sever's disease is acute pain felt in the heel when a child engages in physical activity such as walking, jumping or running. Children who are active athletes are among the group most susceptible to experiencing Sever's disease. This is due to the extreme stress and tension placed on their growing feet. The rolling movement of the foot during walking or running and obesity are both additional conditions linked to causing Sever's disease.
The first step in treating Sever's disease is to rest the foot and leg and avoid physical activity. Over the counter pain-relieving and anti-inflammatory medications can be helpful for reducing the amount of heel pain. A child with Sever's disease should also wear shoes that properly support the heel and the arch of the foot. Consider purchasing orthotic shoe inserts which can help support the heel and foot while it is healing. Most patients with Sever's disease symptoms report an eventual elimination of heel pain after wearing orthotic insoles that support the affected heel.
Sever's disease may affect either one heel or both. It is important for a child experiencing heel pain to be examined by a foot doctor who can apply the squeeze test. The squeeze test compresses both sides of the heel in order to determine if there is intense pain. Discourage any child diagnosed with Sever's disease from going barefoot as this can intensify the problem. Apply ice packs to the affected painful heel two or three times a day for pain relief.
Exercises that help stretch the calf muscles and hamstrings are effective at treating Sever's disease. An exercise known as foot curling has also proven to be very effective at treating Sever's disease. When foot curling, the foot is pointed away from the body, then curled toward the body to help stretch the muscles. The curling exercise should be done in sets of 10 or 20 repetitions and repeated several times throughout the day.
Treatment methods can continue for at least 2 weeks and as long as 2 months before the heel pain completely disappears. A child can continue doing daily stretching exercises for the legs and feet to prevent Sever’s disease from returning.
Types of Running Foot Strikes

In the world of running, your feet interact with the ground in various forms, each influencing performance and potential for injury. There are several types of running foot strikes, depending upon the biomechanics of your feet. One is the heel strike, where the heel makes initial contact with the ground. While common, excessive heel striking may lead to impact-related injuries. Next, the midfoot strike involves landing on the middle part of the foot. This type distributes forces more evenly and is often associated with a smoother gait. Finally, the forefoot strike, where the ball of the foot hits the ground first, reduces the impact on joints but demands greater calf strength. Each type has its merits and drawbacks, and finding the right one can vary depending on terrain and personal preference. If you are interested in a gait analysis performed to determine your running foot strike, schedule an appointment with a podiatrist.
If you have any concerns about your feet, contact one of our podiatrists from DeCaro Total Foot Care Center. Our doctors can provide the care you need to keep you pain-free and on your feet.
Biomechanics in Podiatry
Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.
A History of Biomechanics
- Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
- In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.
Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.
Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.
If you have any questions please feel free to contact our office located in West Hatfield, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.