Dr. Theall's Blog

Posts for tag: big toe

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. 

By Dr. Samuel Adegboyega
March 06, 2013
Category: Deformities
Tags: footwear   big toe   flat feet   bunion   shoes  

Ever notice a bump sticking out of the side of your big toe joint? It could be a bunion. This bump is much more than what you see on the outside of your foot, inside is where the real damage is! So what exactly is a bunion?

A bunion gradually forms as your big toe moves out of place. The entire structure of the front of the foot is changed. The tendons near the big toe also become distorted as the bones shift out of the proper location. The bony bump on the joint of the toe grows larger the more the big toe bends toward the smaller toes. If it’s left untreated, the big toe could ultimately overlap the second toe.

This deformity can be very painful! Many people suffering from bunions experience pain from constant irritation, friction and rubbing of the bump against their footwear. This causes the skin over the toe to become sore and red. Your joint flexes with every step you take, so the larger the bunion becomes, the more it could hurt to walk.

So what are the causes? The main culprits are high heels, ill-fitting shoes, inherited foot type, foot injuries and deformities at birth. Bunions also develop frequently in flat feet.

If you think you have a bunion and want more information on treatment, take a look at our video library, or call Gentle Touch Foot Care at (973) 673-FOOT to schedule an appointment with Drs. Theall and Sam. Remember, never ignore a bunion, it won’t go away on it’s own!


By Dr. Bruce Theall
November 26, 2012
Category: Toe Pain
Tags: inflammation   big toe   sesamoiditis  

Houston Astros relief pitcher Francisco Cordero was placed on the disabled list during the last half of the season, after suffering painful inflammation on his big right toe that has been diagnosed as sesamoiditis.Cordero was only recently acquired after a ten man trade with the Blue Jays. Cordero is currently on the 15 day disabled list, but is scheduled to visit a doctor soon, who will determine if surgery is necessary, though Astros manager Brad Mills is hopeful Cordero will recover with conservative treatment.

Foot and ankle injuries like sesamoiditis are painful and may potentially require surgery, as Cordero has learned. If you are experiencing sesamoiditis or any other foot pain, it is important to speak to a podiatrist like Dr. Bruce Theall of Gentle Touch Foot Care to determine the appropriate treatment options for your condition.


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

If you have any questions, please visit our video library or contact our office located in East Orange, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

By Dr. Bruce Theall
September 15, 2010
Category: Toe Pain
Tags: gout   inflammatory arthritis   big toe  

FDA gives an ok to a new gout drug called Krystexxa that is given intravenously to patients who don't respond to traditional gout treatment. Three million adults are estimated to be affected by gout, and about 3 percent of them aren't being helped by the conventional therapy prescribed by many doctors today.

Gout is an inflammatory arthritis that presents with a red, hot, tender, and swollen joint, commonly in the big toe and ankle. Gout attacks happen suddenly, usually overnight and you present with severe pain and swelling of the joint. Gout occurs due to high levels of uric acid in your blood. The uric acid then turns into crystals which cause the inflammation and pain in certain joints. Always make sure to monitor your foot health.

If you have any additional questions about gout visit our video library, contact Gentle Touch Foot Care via our website or by calling (973) 673-3668 to see how you can change your diet and get treatment to help prevent that next painful gout attack.