Some of the most common signs and symptoms associated with sesamoiditis include:

• Pain localized under the big toe, or ball of foot
• Swelling or bruising
• Impaired ability to bend or straighten your big toe

Injured or inflamed sesamoid bones are difficult to heal as sesamoids are under pressure throughout standing and gait. Conservative treatment techniques include:

• Naturally shaped footwear that is flat, widest at the ends of the toes, and flexible. Flat footwear will decrease ball of foot pressure, allowing for natural alignment of the toes.
• Correct Toes, a toe spacer for sesamoiditis to help naturally position the Hallux, pulling the sesamoids back into their natural grooves.
• Drastic cases may require immobilization of the affected foot in a cast or removable walking boot.