The aforementioned conditions should be considered when presented with a patient who has pain in the sesamoid region. Back to index. A symptomatic foot upon close inspection may present with an increased amount of oedema in the sesamoid area in comparison to the asymptomatic foot. An enlarged sesamoid Inflammatory arthritis. Back to index.
Few authors tend to suggest an exact aetiology, instead suggesting associated conditions.
In order for sesamoiditis to occur there must be an overload. This overload may be due to a number of contributing factors. The patient may alternatively have a history of the use of high heel shoes, which place the sesamoids under excessive pressure. Back to index. Signs and Symptoms.