Houston Methodist. Leading Medicine

Foot FAQ


My doctor diagnosed the pain under my big toe as sesamoiditis. She said it has something with two small bones under the joint. What is sesamoiditis? Will I need surgery?


There are two pea-sized bones in the soft tissues under the main joint of the big toe. These tiny bones are called the sesamoids. The condition called sesamoiditis develops when the soft tissues around these bones become inflamed.

Doctors usually don't recommend surgery for sesamoiditis, at least not right away. They usually recommend anti-inflammatory mediations, rest, and ice. Special shoes or padding inside your regular shoe can keep the big toe from bending as you walk. This gives your painful toe a chance to heal. Your doctor may suggest a steroid injection if your pain continues. Doctors usually recommend surgery only if the problem is severe or doesn't get better with other kinds of treatment.

*Disclaimer:* The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.
All content provided by eORTHOPOD® is a registered trademark of Medical Multimedia Group, L.L.C.. Content is the sole property of Medical Multimedia Group, LLC and used herein by permission.

Our Specialties

Where Does It Hurt?

Our Locations

  Follow Us

Follow us on Facebook Follow us on YouTube
Follow us on Twitter