Tip for Sesamoid Problems: More Shoe Volume

     I do not think I have really focused on this aspect of sesamoid injuries but many of my patients say that the volume of the toe box area is crucial to feeling better. By this I mean less material in the orthotic near the big toe joint, more width and height of the toe box area, even skipping the laces above the first metatarsal to have more room. I am one that loves Hannafords with a lot of cush, but sometime that works against me. It requires me to experiment when patients can not maintain the required 0-2 pain level due to too much pressure.