In this episode of the Optimal Body Podcast, physical therapists Doc Jen and Doctor Dom delve into sesamoiditis, an overuse injury that leads to pain in the sesamoid bones beneath the big toe. They discuss the risk factors and symptoms associated with sesamoiditis, highlighting the importance of an accurate diagnosis. The hosts detail conservative treatment options, including offloading, orthotics, medication, activity modification, and physical therapy, while emphasizing a holistic approach that considers the entire lower limb. Surgery is presented as a last resort. Additionally, they introduce their Foot and Ankle Plan, designed to help listeners improve foot health and prevent recurrence of sesamoiditis through targeted exercises and gradual progression.

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For full show notes and resources visit https://jen.health/podcast/450

What You'll Learn:

02:24 Discussion of risk factors, activities, and biomechanics that contribute to sesamoiditis.

05:02 Explanation of overuse, repetitive pressure, and specific activities that lead to the condition.

06:16 Details on foot structure, limited toe motion, and other anatomical risks.

08:15 Description of orthotics, rocker shoes, and walking boots for reducing toe pressure.

09:16 Discussion of NSAIDs, corticosteroid injections, and their short-term benefits and limitations.

10:24 Emerging evidence for extracorporeal shockwave therapy and its role in chronic cases.

10:53 Highlighting the need for targeted exercises and PT for long-term improvement.

12:48 Typical timeline and phases of...

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