450 Foot Pain & Inflammation: Could It Be Sesamoiditis?

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. Manukora Manuka Honey: During the winter months, I’ve been reaching for Manukora Manuka Honey daily. It’s rich, creamy, and contains 3x more antioxidants and prebiotics than regular honey, plus MGO for added support. I take one spoonful each morning. Try it at to save up to 31% plus $25 in free gifts . Strong Start: Interested in getting started with strength training? Tried starting, but have had aches and pains? Or just feel like you could use a form and technique tune up on your strength training lifts? I created this FREE Strong Start program to help guide lifters at any level in moving confidently and safely through the primary strength movement we should all be doing! Come join for free! We think you’ll love: Strong Start Program Free Week of Jen Health Jen’s Instagram Dom’s Instagram YouTube Channel For full show notes and resources visit 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... Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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450 Foot Pain & Inflammation: Could It Be Sesamoiditis? is an episode from The Optimal Body by Dr. Jen Fraboni & Dr. Dom Fraboni.

This episode is 00:22:27 long.

This episode was published on Mar 2, 2026.

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