Expert Foot & Ankle Treatment from Michigan’s #1 Podiatrist - Balance Foot & Ankle Specialist
Board Certified Podiatrists
Expert Foot & Ankle Care
Expert Foot & Ankle Treatment from Michigan’s #1 Podiatrist - Balance Foot & Ankle Specialist
Expert Foot & Ankle Care
Relieve ball-of-foot pain with advanced podiatry care. Schedule your appointment today.
Tibial sesamoiditis is an inflammatory condition affecting the sesamoid bones, two small bones located beneath the big toe joint. These bones act like pulleys for tendons and help absorb weight-bearing pressure during walking and running. When the tibial sesamoid becomes irritated or inflamed, pain develops at the ball of the foot, especially under the big toe.
This condition is often caused by repetitive stress, overuse, improper footwear, high-impact activities, or abnormal foot mechanics. Runners, dancers, athletes, and individuals who spend long hours on their feet are particularly at risk. Symptoms may include localized swelling, aching or sharp pain, and discomfort that worsens with activity.
Early diagnosis is important to prevent chronic inflammation or stress fractures of the sesamoid bones.
Sesamoiditis is a generalized term for a painful inflammatory condition associated with a sesamoid complex devoid of radiographic changes.
Physical examination can reveal pain with direct palpation or passive distal push on the sesamoid apparatus, passive bending of the hallux, and pain along the tendons heading toward the big toe.
At Balance Foot & Ankle Specialist, we focus on reducing inflammation, offloading pressure, and restoring proper foot function.
Our treatment approach may include:
Recovery time varies depending on severity, activity level, and how early treatment begins. Most patients experience significant improvement with conservative, non-surgical care when treatment is started promptly.
The front of your foot is responsible for pushing off with each step! 95% of the time this is a condition called sesamoiditis!
• A bunion is a pre-dislocation of the big toe joint.
• Big toe joint arthritis is also known as hallux rigidus and can form a very large toe joint spur.
• A turf toe is the hyperextension and bending of the big toe joint. This can cause ligament and tendon damage.
• Sesamoiditis of the big toe joint is the inflammation and possible fracture of the two bones underneath your big toe joint.
So, check out the big toe diseases by clicking on the photo gallery for descriptions!
Highlighted are the fibular sesamoid on the right hand side, a tibial sesamoid on the left hand side.
The tibial sesamoid is the most likely injured sesamoid, because it is the one that we put most pressure on two.
On the other hand, the fibular sesamoid is most likely to squeeze out to the lateral side, or towards the fifth toe during the bunion dislocations.
Sesamoid Excision
This is an example of the fibular sesamoid dislocated between the big toe joint and the 2nd toe joint.
Physical examination
Diagnosis
X-rays views on weight bearing are usually enough & will show if there is a fracture, rarely is a CT scan needed.
The fibular sesamoid is the lateral sesamoid, the tibial sesamoid is the medial sesamoid
Our goal is not just pain relief, but helping you stay active safely and confidently.
Real Relief, Real Results
“I had severe pain under my big toe that made walking difficult. The doctors at Balance Foot & Ankle Specialist diagnosed tibial sesamoiditis and treated it without surgery. I’m finally pain-free.”
— Howell, MI
“Custom orthotics made a huge difference. The swelling and soreness in the ball of my foot improved within weeks.”
— Bloomfield Hills, MI
“Professional, knowledgeable, and caring. They took the time to explain my condition and treatment options.”
— Livingston County, MI
Bloomfield Hills, MI
Howell, MI
At Balance Foot & Ankle Specialist, we focus on reducing inflammation, offloading pressure, and restoring proper foot function.
Big Toe Join Home Treatment Infographic
Our board-certified podiatrists specialize in foot and ankle care.
Is a board-certified foot and ankle specialist with extensive experience in treating conditions such as ball of foot pain, bunions, nerve disorders, and sports-related injuries.
Specializes in both conservative and surgical treatments for a wide range of foot and ankle conditions.
Provides comprehensive foot and ankle care with a focus on nail conditions, sports injuries, and diabetic foot health.
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It is usually caused by repetitive stress, overuse, high-impact activities, poor footwear, or abnormal foot structure that places excess pressure on the sesamoid bone.
Diagnosis includes a physical exam, gait assessment, and imaging such as X-rays or advanced scans when necessary to rule out fractures.
Yes. Most cases respond well to conservative treatments like orthotics, activity modification, and inflammation management.
Recovery can range from a few weeks to several months depending on severity, activity level, and adherence to treatment.
Untreated inflammation can become chronic and may lead to stress fractures, prolonged pain, and difficulty walking.
Don’t let tibial sesamoiditis limit your mobility or lifestyle. Schedule an appointment with Balance Foot & Ankle Specialist in Howell or Bloomfield Hills, Michigan and take the first step toward lasting relief.
If you're wincing with your first few steps every morning, or dreading a night out because you know your feet won't cooperate — you already know how much foot pain quietly steals from you.
You brace yourself before your feet hit the floor. The sharp heel pain that greets you every single morning.
Nothing fits comfortably anymore. You've given up heels, your favorite sneakers, and any shoe that looks professional.
The trip you said no to. The walk you cut short. The grandkids you can't keep up with anymore.
Ibuprofen at breakfast. Ice packs at night. Temporary relief — but the pain is always back by morning.
Chronic foot pain doesn't just hurt — it quietly erodes the experiences that make life worth living. Here's what our patients tell us they've given up:
"If any of this sounds familiar — you don't have to keep living this way."
At Balance Foot & Ankle, we don't just mask the pain. We diagnose exactly what's driving it — then use the most modern, minimally invasive treatments available to fix it, permanently.
FDA-cleared dual-wavelength laser that penetrates deep tissue to reduce inflammation and accelerate healing at the cellular level. No surgery, no downtime. Patients often feel relief after the very first session.
Learn how it works →Non-invasive acoustic wave technology that triggers your body's own healing response — breaking up scar tissue and stimulating collagen production. 80%+ success rate for chronic plantar fasciitis.
See patient results →When conservative treatments aren't enough, our MIS techniques use pencil-thin instruments through micro-incisions. Faster recovery, less scarring, and back on your feet in days — not months.
Explore procedures →3D-scanned to your exact foot anatomy. Not the generic insoles from the drugstore — precision-engineered supports that correct the biomechanical issues causing your pain from the ground up.
How orthotics help →PRP (Platelet-Rich Plasma) therapy uses your body's own growth factors to heal damaged tendons and ligaments from the inside out. A powerful alternative to cortisone that promotes lasting recovery.
About regenerative care →Laser toenail fungus treatment, ingrown nail correction, wart removal, corn and callus care — all handled in our comfortable clinic setting with same-day appointments available.
View all conditions →We know starting with a new doctor can feel overwhelming. So we've made the path from pain to recovery as clear as three steps.
Online in 60 seconds, or call us. Same-day slots are available in Howell and Bloomfield Hills.
Digital X-rays, gait analysis, and Dr. Tom's 15+ years of expertise — we find exactly what's causing your pain.
A personalised treatment plan that works around your schedule and goals — not a generic protocol.
Dr. Tom doesn't just treat patients in the clinic — he's Michigan's most-watched podiatrist online, with a YouTube channel that has helped over a million people understand their foot health. That depth of knowledge comes to every appointment.
"After years of plantar fasciitis, Dr. Tom had me pain-free in three laser sessions. I genuinely cried when I walked to my mailbox without limping for the first time. Cannot recommend enough."— Sarah K., Bloomfield Hills
"I was terrified of foot surgery. Dr. Tom explained the minimally invasive procedure step by step. Six weeks later, I walked my daughter down the aisle. Best decision I ever made."— Robert M., Howell
"Same-day appointment, thorough diagnosis, and a treatment plan that actually worked. I'd been to two other podiatrists before. Wish I'd found Dr. Tom first. Already back on the golf course."— Jim P., West Bloomfield
Don't let another morning start with that sharp, grinding pain. Our team is ready to see you — often today.
Book My Appointment Now →Or call us directly: (810) 206-1402
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