Unraveling the Top Culprits Behind Persistent Foot Pain
11. Sesamoiditis – The Big Toe’s Hidden Ache

Beneath your big toe joint lie two tiny, pea-shaped bones called sesamoids, embedded within tendons, much like your kneecap. Sesamoiditis is the inflammation of these bones or the surrounding tendons, often caused by repetitive pressure from activities like running, dancing, or wearing high heels. Symptoms include persistent pain directly under the big toe, especially when pushing off the foot or bending the toe. Unlike bunions, there's no visible bump. Treatment involves rest, special orthotics to offload pressure, and anti-inflammatory measures, crucial for restoring this small but mighty joint's function.
12. Tarsal Tunnel Syndrome – The Foot’s Carpal Tunnel

Similar to carpal tunnel syndrome in the wrist, Tarsal Tunnel Syndrome involves the compression of the tibial nerve as it passes through a narrow passageway (the tarsal tunnel) inside your ankle, near the heel. This often leads to burning pain, tingling, or numbness on the sole of the foot, toes, or even up into the calf, worsening with activity. Causes include flat feet, ankle sprains, or inflammatory conditions. Diagnosis requires careful nerve examination, and treatment focuses on reducing nerve compression through orthotics, physical therapy, or, in severe cases, surgical release.
