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What causes pain at sesamoid bone?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a triathlete. Before six months, I suffered from a shin splint. I took a rest for five months. I am an under pronator runner. I consulted for gait analysis and then chose a new running shoe Nike Pegasus 31. I feel comfortable and feel less shin pain using it. But, when I run more than five miles, I feel pain in the sesamoid bone. How to cure and prevent it? Can I change the shoe? Will it help? Please suggest.
Answered by Dr. Sumit Chawla

Education:

MBBS

Professional Bio:

Dr. Sumit Chawla is a skilled Orthopedician and Traumatology specialist with extensive years of clinical experience. He specializes in managing musculoskeletal injuries, fractures, and joint disorders with precision. His expertise spans both advanced surgical techniques and effective non-surgical treatments. Dr. Chawla is committed to delivering personalized care that restores mobility, enhances recovery, and improves patients’ quality of life.

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Hello,

Welcome to icliniq.com.

Chronic irritation at the site of sesamoid can cause, which can be a chronic painful condition. There are a few points which I can recommend about the shoes. Narrow toe box predispose to hallux valgus (deformity of the big toe). Sesamoid pain and displacement can result on a long term basis. So, adequate toe box space is recommended. Second thing with shoes is it should have soft cushioned insoles especially at the level of forefoot and hindfoot to deal with the strain of weight bearing sites. Application of ultrasound by physiotherapist at the site of pain is an effective method for acute pain relief. A course of anti-inflammatory medication along with hot fomentation is also advised.

Thank you.

Medically reviewed by iCliniq medical review team
Published At March 22, 2016
Reviewed At February 13, 2024

Education:

MBBS

Professional Bio:

Dr. Sumit Chawla is a skilled Orthopedician and Traumatology specialist with extensive years of clinical experience. He specializes in managing musculoskeletal injuries, fractures, and joint disorders with precision. His expertise spans both advanced surgical techniques and effective non-surgical treatments. Dr. Chawla is committed to delivering personalized care that restores mobility, enhances recovery, and improves patients’ quality of life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Dr. Sumit Chawla
Dr. Sumit Chawla

Orthopedician and Traumatology

Education:

MBBS

Professional Bio:

Dr. Sumit Chawla is a skilled Orthopedician and Traumatology specialist with extensive years of clinical experience. He specializes in managing musculoskeletal injuries, fractures, and joint disorders with precision. His expertise spans both advanced surgical techniques and effective non-surgical treatments. Dr. Chawla is committed to delivering personalized care that restores mobility, enhances recovery, and improves patients’ quality of life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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