NY Giants Player Fractures
By Dr. Bruce Theall
August 22, 2014
Category: Foot Injury
Tags: big toe   sesamoid   strapping  

Cooper Taylor could miss out on the upcoming season due to suffering from a serious foot injury that relates to the sesamoid bone in Taylor's toe. A sesamoid is a bone embedded in a tendon. Sesamoids are found in several joints in the body. In the normal foot, the sesamoids are two pea-shaped bones located in the ball of the foot, beneath the big toe joint.Acting as a pulley for tendons, the sesamoids help the big toe move normally and provide leverage when the big toe “pushes off” during walking and running. The sesamoids also serve as a weight-bearing surface for the long bone connected to the big toe. An injury here will cause many problems as 80% of foot propulsion is from the big toe.

Sesamoid injuries can involve the bones, tendons, and/or surrounding tissue in the joint. They are often associated with activities requiring increased pressure on the ball of the foot, such as running, basketball, football, golf, tennis, and ballet. In addition, people with high arches are at risk for developing sesamoid problems. Frequent wearing of high-heeled shoes can also be a contributing factor.

In order to diagnose a sesamoid injury, The doctor will examine the foot, X-rays will be ordered and in some cases advanced imaging studies may be ordered. There are several non-surgical treatments that can be applied such as padding, strapping or taping, physical therapy, steroid injections and orthotic devices. When sesamoid injuries fail to respond to non-surgical treatment, surgery may be required. The foot and ankle doctor will determine the type of procedure that is best suited to the individual patient. If you are experiencing foot pain of any kind contact  East Orange Podiatrist Dr.Bruce Theall at Gentle Touch Foot Care at 973 673-3668.