Sesamoiditis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

This book describes Sesamoiditis, Diagnosis and Treatment and Related Diseases
Sesamoiditis is the inflammation of the Sesamoid bones.
The sesamoids are small bones that are not connected to any other bone.
Instead, they are joined only to tendons or are embedded in muscle.
The kneecap (patella) is the biggest sesamoid bone in the body.
Sesamoids function like pulleys.
They supply a smooth surface over which the tendons slide, thus raising the ability of the tendons to transmit muscle forces.
The sesamoids in the forefoot also help with weight bearing and raise the bones of the big toe.
Similar to other bones, sesamoids can break (fracture).
Also, the tendons enclosing the sesamoids can become irritated or inflamed.
This is called sesamoiditis and is a type of tendinitis.
It is frequent among ballet dancers, runners and baseball catchers.
Cause
Sesamoiditis is normally produced by overuse of the foot in a plantar flexed position.
Cleats with little insole padding can direct excess stress on the 1st MTP or sesamoid and thus can activate this condition.
A depressed first bone, forefoot valgus, or pes cavus deformity can cause sesamoiditis as well.
1. Turf toe is produced by hyperextension of the first MTP joint beyond the normal 60° of dorsiflexion.
The incidence of the injury has risen with the widespread use of artificial surfaces.
Lightweight, poorly supported, flexible shoes can make the athlete prone to injury.
2. Sever disease is produced by excessive traction on the calcaneal apophysis by the Achilles tendon, particularly during running and jumping.
Inflexibility of the gastrocnemius, hamstring, quadriceps, and hip flexor muscles can aggravate this disorder.
3. Posterior tibial tendinitis is produced by repetitive trauma during the pronation phase of cutting, jumping, or running.
4. Pes planus is a risk factor.
5. Peroneal tendon subluxation/dislocation most often happens with powerful contraction of the peroneal muscles, normally in maximal dorsiflexion.
Symptoms
Pain is directed under the big toe on the ball of the foot.
With sesamoiditis, pain may form slowly; with a fracture, pain will be iinstant.
1. Painful/aching on walking.
2. Local tenderness to palpation.
3. Limitation of first MTP motion.
The joint may be painful on dorsiflexion against resistance.
4. Thickening or inflammation of a bursa on the plantar surface
5. Peroneal tendonitis may develop due to changes in gait from the pain.
6. Swelling and bruising may or may not be present.
7. The patient may have difficulty and pain in bending and straightening the big toe.
Diagnosis
During the examination, the doctor will examine for tenderness at the sesamoid bones.
Since the edges of a bipartite medial sesamoid are normally smooth, and the edges of a fractured sesamoid are normally jagged, an X-ray is useful in making a proper diagnosis.
The doctor may also order X-rays of the other foot to compare the bone structure.
If the X-rays seem normal, the doctor may order a bone scan.
Treatment
Treatment is normally non-operative.
If conservative measures fail, the doctor may advise surgery to remove the sesamoid bone.
Sesamoiditis
1. Stop the activity causing the pain.
2. Take aspirin or ibuprofen to relieve the pain.
3. Rest and ice the sole of the feet.
4. Do not apply ice directly to the skin, but use an ice pack or wrap the ice in a towel.
5. Wear soft-soled, low-heeled shoes.
6. Use a felt cushioning pad to relieve stress.
7. Return to activity slowly, and continue to wear a cushioning pad of dense foam rubber under the sesamoids to support them.
8. Avoid activities that put the weight on the balls of the feet
9. Tape the big toe so that it remains bent slightly downward
TABLE OF CONTENT
Introduction
Chapter 1 Sesamoiditis
Chapter 2 Causes

• Language: English
• Publisher: Kenneth Kee
• Release date: Oct 1, 2019
• ISBN: 9781370877614

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Sesamoiditis,

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2019 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Sesamoiditis, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What You Need to Treat Sesamoiditis)

This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Sesamoiditis

What is Sesamoiditis?

Most bones in the human body are joined to each other at joints.

There are a few bones that are not joined to any other bone.

Instead, they are joined only to tendons or are embedded in muscle.

These are the sesamoids.

The kneecap (patella) is the biggest sesamoid bone in the body.

2 other very small sesamoids (about