
Bunions, Toes & Forefoot Conditions · Nashville
Sesamoiditis, Sesamoid Fractures & AVN treatment in Nashville, TN
Expert care for sesamoiditis, sesamoid fractures, and AVN at our Nashville clinic, 300 20th Avenue North, Suite 103.
Understanding sesamoiditis, sesamoid fractures, and AVN, and how we help in Nashville.
Looking for help with sesamoiditis, sesamoid fractures, and AVN in Nashville? Our Nashville clinic at 300 20th Avenue North, Suite 103 offers exams, treatment, and follow up close to home.
The sesamoids are two tiny bones under the big toe joint that act like pulleys for a tendon. Sesamoiditis means these bones and the tendon around them are irritated. A sesamoid can also crack, and in rare cases the bone can lose blood supply, which is called avascular necrosis (AVN).
These problems are common in runners, dancers, and people who spend time on the balls of their feet. Early care can protect the bones and help you avoid long-lasting pain.


Symptoms
Signs of sesamoiditis, sesamoid fractures, and AVN.
If you notice these signs and live near Nashville, an exam can give you clear answers.
- 01
Pain under the ball of the foot, below the big toe
- 02
Aching that gets worse when you push off or squat
- 03
Swelling or a sore spot under the big toe joint
- 04
Pain when bending the big toe up or down
Why it happens
What can cause sesamoiditis, sesamoid fractures, and AVN.
- 01
Repeated pressure from running, jumping, or dancing
- 02
Wearing high heels or thin, flat shoes
- 03
A high arch that puts weight on the ball of the foot
- 04
A sudden injury such as a hard landing
Diagnosis and care
How we treat sesamoiditis, sesamoid fractures, and AVN in Nashville.
Step 1 · Diagnosis
We press under the big toe joint and test how the toe moves against resistance. X-rays show the sesamoids and whether one is cracked. MRI or a CT referral may be used to look for bone stress, a loss of blood flow, or an injury not seen on X-ray.
Step 2 · Treatment
Taking weight off the sesamoids is the key. Cushioned shoes, a padded insert that gives the area a dip, and stiff-soled footwear help. A walking boot or taping may be needed for a period of time. Anti-inflammatory care, physical therapy, and an injection can also be part of the plan.
Surgery is not common but may be advised for a fracture that does not heal or for AVN. The procedure may remove all or part of the sesamoid.
Your visit
What to expect at our Nashville clinic.
Your visit for sesamoiditis, sesamoid fractures, and AVN in Nashville is simple and friendly.
- 1
Talk and exam
We listen first, then examine your feet and how you walk at our Nashville clinic.
- 2
Clear answers
X-rays or other imaging when needed, so you leave knowing what is wrong.
- 3
A plan for you
We begin with gentle options that work, with follow ups close to home in Nashville.
Recovery
What to expect over time.
Simple irritation often improves in several weeks to a few months. Fractures and blood flow problems can take longer, sometimes several months.
When to book
Do not wait it out in Nashville.
See a podiatrist if pain under the big toe lasts more than a week or two or came on after a fall or jump. Come sooner if you cannot bear weight or the joint swells.
Call 615-220-8788Related care
More in Bunions, Toes & Forefoot Conditions.
- Bunions in Adults & Adolescents in Nashville
- Hallux Limitus, Hallux Rigidus & Big Toe Arthritis in Nashville
- Hallux Varus in Nashville
- Tailor's Bunion in Nashville
- Hammertoes, Mallet Toes, Claw Toes & Curly Toes in Nashville
- Overlapping, Underlapping & Joint Contractures in Nashville
- Ball-of-Foot Pain, Metatarsalgia & Forefoot Overload in Nashville
- Capsulitis & Plantar Plate Injuries and Tears in Nashville
- Morton's Neuroma in Nashville
- Freiberg's Disease & Intractable Plantar Keratosis in Nashville
FAQ
Your questions answered.
How can I tell if it is sesamoiditis or a fracture?
The pain can feel alike, so an exam and X-ray are needed. MRI may be added when the answer is unclear.
What does AVN mean for the sesamoid?
It means part of the bone has lost blood flow and may weaken. It is uncommon and is watched closely with imaging.
Do you treat sesamoiditis, sesamoid fractures, and AVN in Nashville, TN?
Yes. Our Nashville clinic at 300 20th Avenue North, Suite 103, Nashville, TN 37203 treats sesamoiditis, sesamoid fractures, and AVN in children and adults. Call 615-220-8788 to book a visit.
How soon can I be seen for sesamoiditis, sesamoid fractures, and AVN in Nashville?
Call the Nashville clinic at 615-220-8788 or send a request online. Tell us about your pain and we will find the earliest time that works for you.
Nashville clinic
Get help with sesamoiditis, sesamoid fractures, and AVN in Nashville.
300 20th Avenue North, Suite 103, Nashville, TN 37203
Visit the Nashville clinic pageNearby clinics
Sesamoiditis, Sesamoid Fractures & AVN care near Nashville.
- HermitageAbout 11 miles away
- BrentwoodAbout 11 miles away
- GoodlettsvilleAbout 13 miles away
- Mount JulietAbout 17 miles away









