Custom Orthotics For Sesamoiditis

Sesamoiditis can make every step uncomfortable by placing repeated stress on the small sesamoid bones and surrounding tissues beneath the base of the big toe. Because this area bears significant pressure during walking, running, and other activities, reducing excessive loading can be an important part of managing symptoms.

Custom orthotics for sesamoiditis can be designed to redistribute pressure away from sensitive areas of the forefoot while providing support based on the structure and mechanics of your individual feet. Rather than relying on a standard insert or cushioning pad, a custom orthotic can account for your foot shape, pressure points, footwear, activity level, and areas of discomfort.

What is sesamoiditis?

The sesamoids are two small bones located underneath the joint at the base of the big toe. Unlike most bones, they are embedded within tendons rather than directly connected to other bones. They help the tendons move smoothly, assist with weight bearing, and play an important role when the big toe pushes against the ground during walking and running.

Sesamoiditis occurs when the sesamoids and surrounding tissues become irritated from repeated stress or overuse. Pain typically develops underneath the big toe joint in the ball of the foot and may become more noticeable when walking, running, pushing off through the toes, or performing activities that place increased pressure on the forefoot.

Symptoms may include a gradual aching or sharp pain beneath the big toe, tenderness when the area is pressed, discomfort when bending the big toe, and pain that increases during weight-bearing activity. Dancers, runners, and people whose activities repeatedly load the ball of the foot can be particularly susceptible.

How do custom orthotics help with sesamoiditis?

One of the primary goals when managing sesamoiditis is to reduce the amount of pressure placed directly on the painful sesamoid area. Orthotics can help accomplish this by changing how forces are distributed underneath the foot rather than allowing the irritated area to absorb the same load with every step.

Custom orthotics for sesamoiditis allow this pressure relief to be tailored to the individual foot. The orthotic can account for your foot structure, mechanics, pressure distribution, footwear, activity level, and the specific location of discomfort rather than relying on a standardized pattern of cushioning and support.

This individualized approach can help offload the painful area beneath the big toe while supporting surrounding areas of the foot and distributing pressure across a broader surface. Depending on the person's needs, this may improve comfort during standing and walking and make it easier to gradually return to normal activities as symptoms improve.

Standard insoles vs custom insoles for sesamoiditis

Over-the-counter insoles and cushioning pads can be helpful for sesamoiditis by adding shock absorption and reducing pressure under the forefoot. The limitation is that OTC products use pre-made shapes and standardized cushioning. They are not designed around the exact location of your sesamoids, your individual pressure pattern, or the way your foot loads during standing and movement.

Custom orthotics for sesamoiditis can be designed to provide more targeted support and pressure redistribution. Because they are made from impressions of your feet, the orthotic can be tailored around your foot structure, mechanics, footwear, activity level, and the specific area of discomfort.

For someone with sesamoiditis, this may allow the orthotic to reduce pressure beneath the painful sesamoid area while supporting the surrounding foot more precisely than a generic insert.

How It Works

Step 1

Take our one minute quiz to help us understand your orthotic needs. You'll place your order directly after

Step 2

We’ll send you a foam impression box. Imprint your feet, then use the included shipping label to mail it back at no cost 

Step 3

If our specialists require more information, we'll reach out to you to schedule a free one-on-one consultation to make sure we understand your exact needs

Step 4

Your Stryder custom-fit orthotics will arrive at your door within 2-3 weeks after we receive your foam box impressions

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We've spent decades perfecting our orthotics in our physical clinics. Now we're bringing Stryder to the comfort of your home. Experience our online ordering process today!

Award Winning Podiatrist

Dr. Mansoor Virani, DPM, FACFAS

Medical Director at Bio Orthopedics Lab

Every orthotic is designed and manufactured by Dr.Virani alongside his team of expert podiatrists and pedorthists. With over 30 years of clinical experience, Dr.Virani has distinguished himself as a premier authority in podiatric care and orthopedics, having dispensed over 40,000 pairs of custom orthotics and pioneered innovative orthotics for various diagnoses.

90‑Day Guarantee

If you're not satisfied with your orthotics, you can initiate a return within 90 days of delivery for a full refund.

Frequently Asked Questions

How long does it take to receive my custom orthotics?

From the minute we receive your foam box impressions back from you, it will take 2-3 weeks for your custom orthotics to arrive at your door.

Do I have to break my custom orthotics in?

Yes, it typically takes 2-3 weeks to break custom fit orthotics in.

Will my custom orthotics fit all kinds of shoes?

The custom orthotics will fit most shoes, however some dress shoes or high heels may require a specific pair. For this reason, it is best to order a second pair for those specific shoes. You will also receive a discount when ordering multiple pairs at the same time.

If I don’t like my custom orthotics, can I return them?

Yes, you can return your orthotics within 90 days of delivery for a full refund.

How long will my custom fit orthotics last?

While your orthotic can last several years, we recommend getting them replaced every 1-2 years, as your foot health needs change over time.

Why choose custom orthotics?

Stryder custom insoles are made to provide support that matches the unique shape and structure of your feet. Standard orthopedic insoles and generic shoe inserts use pre-made shapes, while custom orthotics can be designed around your individual foot structure, mechanics, pressure distribution, and support needs.

Our custom-made insoles are created from impressions of your feet, allowing the orthotic to provide custom arch support while also accounting for factors such as footwear, activity level, and areas of discomfort. Each pair of custom molded inserts is reviewed by a licensed podiatrist and handcrafted to provide a more individualized fit and level of support than a one-size-fits-most insole.