Dr. Jeff Chism, DPM

Dr. Sarah Thompson, DPM

Merrill - (715) 536-7444
Rhinelander - (715) 369-3691
Wausau - (715) 842-0800
Tomahawk - (715) 453-9661
 

Our team of specialists and staff believe that informed patients are better equipped to make decisions regarding their health and well being. For your personal use, we have created an extensive patient library covering an array of educational topics. Browse through these diagnoses and treatments to learn more about topics of interest to you. Or, for a more comprehensive search of our entire Web site, enter your term(s) in the search bar provided.

As always, you can contact our office to answer any questions or concerns.

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Advanced Foot & Ankle Center, SC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Advanced Foot & Ankle Center, SC does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Advanced Foot & Ankle Center, SC provides free aids and services to people with disabilities to communicate effectively with us, such as qualified sign language interpreters and witten information in other formats. We provide free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages

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Sesamoids are small bones that are connected only to tendons or are embedded in muscle. This structure appears in only a few places in the human body, one of which is the foot. Two very small sesamoids (about the size of a kernel of corn) are found in the underside of the forefoot near the big toe—one on the outer side of the foot and the other closer to the middle of the foot. Sesamoids provide a smooth surface over which the tendons slide, thus increasing the ability of the tendons to transmit muscle forces. In the foot, sesamoids assist with weight-bearing and help elevate the bones of the big toe.

Like other bones, sesamoids can fracture. Additionally, the tendons surrounding the sesamoids can become irritated or inflamed, which is called sesamoiditis and is a form of tendonitis. Sesamoiditis is a common condition among ballet dancers, runners, and baseball catchers because of the pressures placed on their feet.

Symptoms include:

  • Pain under the big toe or on the ball of the foot.
  • Swelling and bruising.
  • Difficulty and pain in bending and straightening the big toe.

Surgery is usually not required to treat sesamoiditis. Treatments generally include:

  • Discontinuation of the activity causing the pain and inflammation.
  • Over-the-counter pain medications and anti-inflammatories, such as ibuprofen and aspirin. Note: Please consult your physician before taking any medications.
  • Icing the sole of the foot.
  • Wearing shoes that are soft-soled and low-heeled.
  • Using cushioning in shoes to relieve stress.
  • Injection of a steroidal medication to reduce swelling.

If symptoms persist, you may need to wear a removable brace on the leg for 4 - 6 weeks to give the inflammation time to subside and the bones to heal.


Merrill - (715) 536-7444
Rhinelander - (715) 369-3691
Wausau - (715) 842-0800
Tomahawk - (715) 453-9661