Sesamoid Injury Physiotherapy Singapore.
Pain in the ball of the foot when walking or pushing off may be a sesamoid injury. Physiotherapy in Singapore helps relieve pain, restore movement, and prevent long-term complications.


What is a Sesamoid Injury?
A sesamoid injury affects the small bones under the big toe joint, located in the ball of the foot.
These two pea-shaped bones act like pulleys, helping tendons move efficiently and absorb pressure during walking and running.
When these bones or surrounding tissues become irritated, inflamed, or fractured, it leads to pain under the ball of the foot.
If you are looking for foot pain physiotherapy in Singapore, ACE Physio Sports can accurately diagnose and treat sesamoid injuries.
Learn more 👉 https://acephysiosport.com
How Does a Sesamoid Injury Happen?
Sesamoid injuries can develop either gradually (overuse) or suddenly (trauma).
Common causes include:
- Repetitive stress from running or jumping
- Sports with forefoot loading (e.g. running, netball, dancing)
- Sudden impact or landing on the forefoot
- Twisting movements on the ball of the foot
- Wearing high heels or tight shoes
- Poor foot biomechanics
Because the sesamoids take a lot of pressure, they are prone to overload and slow healing.
Symptoms (What People Often Feel)
Sesamoid injuries have very specific symptoms. Patients commonly describe:
- Pain in the ball of foot when walking
- Pain under big toe when pushing off
- Difficulty putting weight on front of foot
- Walking on outer edge of foot to avoid pain
- Pain when bending big toe upwards
- Swelling or tenderness under big toe
- Bruising in severe cases
- Pain worse in tight or hard shoes
Some people feel like they cannot push off properly when walking or running.
What Should I Do?
If you suspect a sesamoid injury:
- Reduce weight-bearing activities early
- Avoid running, jumping, or high-impact sports
- Wear cushioned and supportive footwear
- Get a physiotherapy assessment quickly
- Consider imaging (X-ray/MRI) if advised
Early treatment is crucial because sesamoid bones heal slowly due to limited blood supply.
Book your assessment 👉 https://acephysiosport.com
What Shouldn’t I Do?
- Do not continue painful activities
- Avoid tight shoes or high heels
- Do not ignore persistent forefoot pain
- Avoid pushing through pain during sports
- Do not delay diagnosis
Ignoring the injury can lead to long-term complications.
Physiotherapy Treatment for Sesamoid Injury
At ACE Physio Sports (Singapore, near East Coast Road), we focus on reducing pressure and restoring proper foot mechanics.
Your personalised treatment plan may include:
- Offloading pads to reduce pressure under the foot
- Taping techniques to support the big toe
- Manual therapy to improve joint mobility
- Stretching of calf and plantar fascia
- Strengthening intrinsic foot muscles
- Gait retraining to correct walking patterns
- Activity modification guidance
- Ice or heat therapy for pain relief
- Footwear advice and orthotics
We aim to restore pain-free walking and prevent recurrence.
Explore treatment options 👉 https://acephysiosport.com
Recovery & Long-Term Effects
Recovery depends on severity:
- Mild cases: a few weeks
- More severe or fractures: several months
Without proper treatment, it may lead to:
- Chronic foot pain
- Poor walking mechanics
- Non-healing fracture
- Bone damage requiring surgery
Early physiotherapy significantly improves recovery outcomes.
Why Choose ACE Physio Sports
- Expertise in foot and sports injuries
- Accurate diagnosis of forefoot conditions
- Personalised rehabilitation programmes
- Located near East Coast Road, Singapore
- Focus on long-term recovery and prevention
If you have pain under the ball of your foot that keeps coming back, we help you fix the real cause.
Book Appointment
If you are looking for sesamoid injury physiotherapy in Singapore, ACE Physio Sports can help.
📞 Call: +65 81535374 🌐 Book online: https://acephysiosport.com
Frequently Asked Questions
Why does my foot hurt most in the morning or when I first start walking?
First-step pain is a classic feature of many foot and ankle conditions, including Sesamoid Injury. It occurs when irritated structures are suddenly loaded after a period of rest. Physiotherapy addresses the underlying cause and provides strategies to reduce this painful cycle.
Can I keep walking or exercising with Sesamoid Injury?
In most cases, complete rest is counterproductive. Low-impact activity and physiotherapy-guided exercises maintain fitness while allowing healing. Your therapist will advise which activities are safe and how to progress load gradually through each stage of recovery.
How long does Sesamoid Injury usually take to resolve with physiotherapy?
Recovery typically takes 6–12 weeks, though chronic cases may take longer. Physiotherapy accelerates healing through load management, manual therapy, and progressive strengthening of the foot and ankle musculature.
Ready to start your recovery?
Our specialist physiotherapists are here to help. Book a consultation today.
Book an Appointment