Sesamoiditis is an inflammation of the sesamoid bones in the ball of the foot and the tendons associated with them.


Sesamoiditis is usually caused by overuse of the tendons associated with the sesamoid bones. This is particularly common in athletes like runners & dancers. People who wear high heels, who have very high arches or very flat feet can also get this just from walking.


Symptoms often develop gradually and can include pain under the big toe and difficulty bending it, difficulty bearing weight or walking, bruising, swelling or redness.


Rest, pain relief and Physiotherapy are often the first course of action. If symptoms don’t resolve following these treatments, surgery is an option. Removing one (but not both) of the sesamoid bones can bring pain relief.

Ankle pain can be distressing, especially if you're not sure what options are open to you. If you're wondering if surgery could help you, book an appointment.

* Routine private appointments either face to face or remotely are available

Call the urgent appointments hotline 0333 050 8662

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Mr Ajis is a great surgeon, he listens to any concern you may have and explains what is going to happen also gives great care... He suggested a fairly new procedure that wasn't available on the NHS but he pushed me through and he and his team have worked wonders, I am now healing very well and pain-free in my ankle after 6 years!

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Mr Ajis was very informative and reassuring about my surgery. He was professional at all times and allowed time for me to have all my questions answered without feeling rushed.

Written by a patient at BMI Goring Hall Hospital

I saw Mr Ajis after sustaining a fracture of my 5th metatarsal which had not healed after a year. The pain was unbearable. He saw me promptly and took the time to explain my condition with the help of x-ray images with assurances that he could fix the problem. I was advised by other clinicians to be patient and wait for the fracture to heal on its own. Mr Ajis said that healing would be highly unlikely without intervention. After numerous emails and 'phone calls to him he constantly...

...spent the time reassuring me and patiently going over the intended procedure. To date after seeking advice and guidance from Mr Ajis, his secretary and the Physio Team and the insertion of a plate my fracture has united I walk well, without pain and I have joined a walking group.