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James McCormack is a Physical Therapist who specialises in knee, foot & ankle injuries. www.james-mccormack.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. The money earned from this helps us to create free educational content.
We recommend reducing your walking and step count as much as possible if you have Sesamoiditis to reduce the risk of further irritation of your symptoms. If you are keen to continue walking and you have mild symptoms we recommend shorter frequent walks of 15-20 minutes 2-3 times a day rather than a walk of 45 minutes.
Where possible to do cycling, drive or take public transport rather than walking. In severe symptoms of Sesamoiditis, a walking boot may be required to walk short distances.
Sesamoiditis is a complex condition to treat, but we have found that the Sidetkk Orthotic Insoles are highly effective at relieving pain from Sesamoiditis.
The Sidetek have a deep heel cup which controls the motion of the ankle joint and a moderate arch heigh to reduce pronation forces.
We particularly like the gel cushion that sits just under the sesamoid bones to provide adequate pain relief from Sesamoiditis.
We do not advise running with Sesamoiditis as the impact nature of the activity will worsen your symptoms.
If you have mild symptoms, the best running shoe for Sesamoiditis should have a low drop and plenty of cushioning. If you are a forefoot runner, consider transitioning to a heel strike.
We recommend the Hoka One Clifton for Sesamoiditis.
The Hoka One Clifton can be purchased in various widths, ensuring the toes are compressed in the shoe’s toebox.
The Hoka has a 5mm drop reducing the pressure on the forefoot and sesamoid when standing. They have ultra-responsive cushioning to reduce the vibration on the sesamoid bone when walking or running.
Cycling is one of the best forms of exercise to do with Sesamoiditis. We recommend maintaining a high cadence and remaining in the saddle throughout your cycle.
Consider wearing cleats and cycling on smooth flat surfaces or a stationary bike.
Swimming is the best exercise for cardiovascular fitness if you have Sesamoiditis. As there is no impact during swimming, it cannot irritate your symptoms.
If you want to be ultra cautious, don’t push off the wall in the pool with your affected foot.
The motion of playing golf can irritate your Sesamoiditis as the rotation in a swing pivots on the forefoot, placing extra stress on the sesamoid bone.
In addition, walking worsens Sesamoiditis’s symptoms, so we do not recommend playing golf with Sesamoiditis.