When a patient arrives at Podiatry Foot & Ankle Institute in pain when standing or walking, custom molded orthotics are often used for treatment to correct posture or gait.

The unique characteristic of sesamoid bones is they do not have a direct connection to other bones. The largest sesamoid bone is the kneecap. There are also two small free-floating sesamoid bones located in the ball of the foot. They are about the size of a pea and help with toe movement, ambulation, and support. Pain and inflammation around these bones cause a condition called sesamoiditis that can make standing and walking painful. Orthotic inserts are an excellent treatment for this condition.