The Sesamoid BonesThe sesamoid bones may only be small,
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The function of these small bones which are actually very hard cartilage is to help the tendons function more efficiently. The bones act as a fulcrum,
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In the foot these bones are located at the base of the big toe where the toe joins the ball of the foot; or underneath the metatarsal head to be more anatomically correct. Such a location means that these small bones have to wear some of the body weight,
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When these bones are damaged or fractured pain is most commonly experienced when the body weight is transferred to the toes,
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Sesamoiditis and Sesamoid Bone InjuriesDue to their location just behind the big toe,
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A far more common problem is a condition called sesamoiditis,
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Sesamoiditis causes are varied; however most frequently in younger adults the condition is caused by excessive forces applied to the bones over a period of time. Sufferers are frequently those people who exercise frequently such as runners,
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Sesamoiditis TreatmentSesamoiditis in the older age groups is usually the result of osteoarthirtis of the sesamoid bones,
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There is also a genetic component often at work,
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The condition is treatable at home in most cases and rarely requires surgical intervention,
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Inflammation,
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Sesamoiditis Risk FactorsSesamoiditis can be caused by the following conditions,
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High archesLow arches and flat feetGait irregularities which cause increased pressure on the forefootOther foot conditions which cause a transfer of the weight onto the inside of the footOsteoarthritisOsteoporosisHeavy lifting,
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Sesamoiditis Treatment Metatarsal Bars and Metatarsal PadsWhen you think about injuries to the sesamoid bones,
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Metatarsal pads and metatarsal bars can be inserted into most shoes,
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If you are on a really tight budget,
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Insoles with metatarsal pads are usually worth the extra cost,
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Supination and Pronation Control Running Shoes and InsolesRunners who overpronate are prone to develop sesamoiditis,
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The best way to prevent sesamoiditis caused by pronation and supination is to use orthotic insoles which correct the gait and guide the foot through a more healthy heel to toe roll. For runners and joggers the best bet is to purchase running shoes which offer a degree of pronation control. All of the major running shoe manufacturers such as Mizuno,
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Whilst pronation is a problem,
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Suppinating runners,
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Arch supports are also highly beneficial and ensure that the foot arches are well supported,
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