Is It a Bunion or Sesamoiditis? (2024)

Is It a Bunion or Sesamoiditis? (1)

Bunions are a common affliction of the foot in which the bones in the feet are misaligned, resulting in a bony bulge at the base of the big toe. The underlying causes of bunion might be genetic or related to some kind of injury to the big toe. It is common for some individuals with bunions to possibly mistake their bunion for another condition of the foot, such as sesamoiditis. However, the two conditions are importantly different. Although both bunions and sesamoiditis can affect the big toe, sesamoiditis is characterized by the inflammation of the two sesamoid bones that float below the big toe joint. This inflammation can occur as a result of overuse. Bunions, by contrast, are primarily characterized by the bony bulge at the sides of the big toes. If you are someone who believes that they may have bunions or a related condition, it is suggested that you contact a podiatrist to make an appointment.

If you are suffering from bunions, contact Dr. Joshua David Scoll of Pennsylvania. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

If you have any questions, please feel free to contact one of our offices located in Philadelphia, Bensalem, and Fairless Hills, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Is It a Bunion or Sesamoiditis? (2024)

FAQs

Is It a Bunion or Sesamoiditis? ›

However, the two conditions are importantly different. Although both bunions and sesamoid

sesamoid
In anatomy, a sesamoid bone (/ˈsɛsəmɔɪd/) is a bone embedded within a tendon or a muscle. Its name is derived from the Greek word for 'sesame seed', indicating the small size of most sesamoids. Often, these bones form in response to strain, or can be present as a normal variant.
https://en.wikipedia.org › wiki › Sesamoid_bone
itis can affect the big toe, sesamoiditis is characterized by the inflammation of the two sesamoid bones that float below the big toe joint. This inflammation can occur as a result of overuse.

What can be mistaken for sesamoiditis? ›

Sesamoiditis Diagnosis

Many conditions, such as turf toe or certain types of arthritis, can mimic sesamoiditis. To rule out these conditions, your doctor may request imaging tests. This also allows them to check to see if your sesamoiditis includes a stress fracture in the sesamoids.

What can be mistaken for a bunion? ›

One of the most common bunion look-alike foot conditions is arthritis of the big toe joint. Big toe joint arthritis causes swelling which resembles bunion on the side of your foot. It even causes foot pain when putting pressure on your foot or walking.

What does sesamoiditis feel like? ›

What might start as a mild ache, can quickly increase to an intense throbbing. As the severity of sesamoiditis increases, it can become difficult to put any weight on the big toe or walk comfortably.

How do you test for sesamoiditis? ›

They will gently check for tenderness in the ball of the foot and move your big toe in different directions to test your mobility. They might use a technique called the Passive Axial Compression test that manipulates the joint in a similar way to walking in order to reproduce the symptoms of sesamoiditis.

Is a bunion the same as a sesamoiditis? ›

However, the two conditions are importantly different. Although both bunions and sesamoiditis can affect the big toe, sesamoiditis is characterized by the inflammation of the two sesamoid bones that float below the big toe joint.

Should you massage sesamoiditis? ›

Is Massage Good for Sesamoiditis? While it is not advised to massage directly over the sesamoid bones, gentle massage of the area around the sesamoid bones can help to improve blood circulation to the sesamoid bones, which can help to speed up recovery time.

Are bunions hard or squishy? ›

The most noticeable bunion symptom is a hard bump at the base of your toe. This bump isn't movable and doesn't hurt in the early stages.

What do early bunions look like? ›

The signs and symptoms of a bunion include: A bulging bump on the outside of the base of your big toe. Swelling, redness or soreness around your big toe joint. Corns or calluses — these often develop where the first and second toes rub against each other.

Why is my bunion suddenly so painful? ›

A fluid-filled sac, called a bursa, cushions the bone near the joint on your big toe. When that joint gets bigger because of a bunion, the bursa can get swollen and painful -- that's called bursitis. This can make it hurt even more and may damage the smooth tissue that covers the joint, called cartilage.

What aggravates sesamoiditis? ›

The leading cause of sesamoiditis is repetitive pressure and stress on the sesamoids. Runners, dancers, and other athletes frequently develop sesamoiditis, but it can also result from factors like: High foot arches or flat feet. Poorly fitting shoes that cramp the toes (particularly high heels)

Is it okay to walk with sesamoiditis? ›

If you have sesamoiditis you should avoid doing any activity that causes pain for the first few weeks. It is important to remember that this sesamoiditis is caused by inflammation due to irritation of the tendons around the sesamoid bone and rest is the primary treatment.

What happens if you don't treat sesamoiditis? ›

If left untreated, this condition can lead to a more serious sesamoiditis injury, reduce range of motion / mobility of your foot and change the way you walk on your foot. Conservative treatment methods are used to treat this injury.

What mimics sesamoiditis? ›

What conditions are mimics of sesamoiditis? Conditions that have similar symptoms in the ball of the foot include neuroma and capsulitis, which is why you should see your foot doctor for the right diagnosis and proper treatment.

Does sesamoiditis ever go away? ›

Can My Sesamoiditis Be Fully Healed? It is possible to minimize the effects of sesamoiditis, but recovery can be a lengthy process with symptoms recurring every now and then. What's critical is treating the underlying causes and risk factors so the condition doesn't recur.

What is the pain pattern of sesamoiditis? ›

Clinical Presentation. In case of sesamoiditis, there are no bruises or redness visible, but this disorder is associated with local pain and swelling, which results in problems with the movement of the hallux . This pain can be a dull aching type or a sharp throbbing type.

What is the difference between metatarsalgia and sesamoiditis? ›

Metatarsalgia is a general term for pain in the area of the metatarsophalangeal joints. Sesamoiditis is an uncommon cause of metatarsalgia. It is pain at the sesamoid bones beneath the head of the first metatarsal with inflammation or fracture. The diagnosis is usually clinical, with localized tenderness on palpation.

What is bipartite sesamoiditis? ›

The sesamoid bones in the foot are two small bones located beneath the first metatarsal head, called the medial (tibial) and lateral (fibular) sesamoids. Bipartite sesamoids are sesamoid bones that are divided into two parts, usually as a result of incomplete fusion during development.

How to tell the difference between sesamoiditis and broken sesamoid? ›

Symptoms. Pain is focused under the big toe on the ball of the foot: With sesamoiditis, pain may develop gradually. With a sesamoid fracture, you will feel pain immediately after a hyperextension injury to the big toe (the toe is bent backward).

What is the alternative treatment for sesamoiditis? ›

Seven Ways to Treat Sesamoiditis at Home

Reduce or stop activities that are causing the pain, including sports and running. Take over-the-counter pain medication to reduce pain and inflammation. Apply ice for 10 minutes every 3 hours to reduce swelling. Wear low-heeled, soft-soled shoes.

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