Beyond Metatarsalgia: Recognizing and Treating Sesamoid Pathology in Active Patients

Course overview

*Identify the anatomy, function, and degenerative mechanisms of foot sesamoids, including how biomechanical faults and poor vascularity contribute to first MTP sesamoid pathology. *Describe the plantar plate's composite anatomy and apply ultrasound, x-ray, and clinical exam findings to distinguish sesamoiditis from similar conditions. *Differentiate bipartite sesamoids from fractures using x-ray views and clinical signs, and apply foundational conservative treatments like intrinsic strengthening, offloading, and taping. *Evaluate orthotic modifications, needling approaches, and sesamoidectomy options, and demonstrate a postoperative rehab progression toward sport-specific return.