Abstract
Sesamoiditis is one of the most common pain syndromes that affects the forefoot. It is characterized by tenderness and pain over the metatarsal heads. Although the first sesamoid bone of the first metatarsal head is affected most commonly, the sesamoid bones of the second and fifth metatarsal heads also are subject to the development of sesamoiditis. Patients often feel they are walking with a stone in their shoe. The pain of sesamoiditis worsens with prolonged standing or walking for long distances and is exacerbated by improperly fitting or padded shoes. Sesamoiditis is most often associated with pushing-off injuries during football or repetitive microtrauma from running or dancing.
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