Understanding.
The pain appears under the base of the big toe, often gradually. It may increase during propulsion.
The assessment.
The assessment specifically looks for a stress fracture before considering sesamoiditis.
Treatments.
Impact reduction, appropriate footwear, and targeted offloading with an orthotic are the initial measures. Surgery remains reserved for certain resistant cases.
Follow-up.
Activities are gradually resumed depending on the pain.
Relieving pressure on the painful area.
An orthotic can redistribute pressure around the sensitive area. Footwear and activities are adapted to minimize stress under the big toe.
Reassess persistent pain.
In case of failure, the diagnosis must be reviewed before considering a more invasive procedure. Surgery is not an automatic step.
Your questions.
Is it necessarily a fracture?+
No, but persistent pain warrants investigation.
Can I resume running soon?+
Resumption is gradual after improvement, while monitoring the foot's reaction.
Is rest alone sufficient?+
It can provide relief, but weight-bearing should also be adjusted to avoid repetitive strain.