Causes, Diagnosis and Treatments for Sesamoiditis & Sesamoid Tendinitis

What is Sesamoiditis?

Sesamoiditis is a general medical term used to describe any kind of injury that causes irritation in and around the sesamoid bones. This includes tendonitis (inflammation in the tendon tissue) surrounding the sesamoid bones and any kind of fracture or damage to the bone as well. Sesamoiditis may cause pain and inflammation in the sesamoid tendons that surround the sesamoid bones. This inflammation can spread further into more tendons and ligaments of the ball of the foot if not dealt with quickly.

Overall, this condition will make it extremely painful to walk, as fresh waves of pain can be felt every time the big toe moves or is stressed while walking or doing any other sort of activity. To reduce pressure on the big toe while walking, most people will try to walk while applying their weight only on the heel of their foot and turn the affected leg out to one side - creating a shuffling / limping type of movement.

Long-term changes in your gait (the way you walk) - such as shuffling to reduce pain on the ball of your foot - can impact other areas of your body and possibly result in something called 'over compensation pain'.

2 sesamoids are located in the ball of the foot right near the big toe

What Is Over Compensation Pain?

Everything in the human body is connected. A sesamoiditis injury can lead to other injuries over time if not treated properly. You might start shuffling on the heel of your injured foot and place more weight on your opposite, healthy foot. Shuffling your way around for a long period of time may lead to pain in the heel of your foot, knee, hip or lower back on your injured side because you are mis-aligning your entire leg (keeping it straight and off to the side) to compensate for the injury.

Long-term limping or shuffling with a sesamoiditis injury may lead to pain in the knee, hip and/or lower back.
Plantar Plate Injury Overcompensation Pain Limp

Symptoms of Sesamoiditis

If you have sesamoiditis you may experience:

  • Pain that will come and go in the ball of the foot just beneath your big toe joint.
  • A gradual onset of pain over time if you're still continuing on with the activity that has caused and/or worsens this condition.
  • There may not be a visible sign that you even have sesamoiditis - swelling of the ball of the foot and bruising may or may not be present.
  • Pain that increases when your big toe is stretched up (when your toes push off at the end of a step).
  • Limited range of motion in your big toe, especially when straightening it out.
  • Moderate or severe cases of sesamoiditis may result in a catching or popping of the big toe followed by increased pain.
  • Most people with sesamoiditis may notice the pain decrease as soon as the activity that caused the injury is reduced or stopped.
  • You're suffering from pain with no clear sign of an injury (no redness under your foot, bruising or swelling).
Sesamoiditis will usually present with pain in the ball of the foot.
If you suffer from pain under your big toe you might have sesamoiditis

If any of those statements are true for you or you're suffering from on-going pain under your big toe or at the front of your foot then you might have an injury called "Sesamoiditis". It's an injury that's not commonly heard - people are more likely to understand that they might have plantar fasciitis, tendonitis or some other injury in their foot.

If you have it, you know that sesamoiditis is a very painful injury affecting the soft tissue and bone in the ball of your foot. It happens mostly to those who regularly puts significant, recurring pressure on the front of their foot.

Sesamoiditis is one of those injuries that can really bring down the quality of your life. Anyone - young or old - can suffer from this injury, and if you're active this condition will keep you from doing the things you love to do. It will even start interrupting any of your normal daily tasks and make living life harder than it really needs to be.

What Causes Sesamoiditis?

Sesamoiditis can happen when you increase the pressure on the ball of your foot in activities like running, playing basketball, football, golf, tennis, taking a step class or ballet lessons. In activities like running, more than half of our weight-bearing travels through our big toe and sesamoid bones (reference: 1).

Any changes to the structure of your foot can also lead to sesamoiditis. This would include if you already have high arches, wear high-heeled shoes regularly, wear a new pair of shoes that don't give your toes enough room, naturally run or walk on the balls of your feet or have bony feet without enough fat to cushion your sesamoid bones.

Sesamoiditis is an overuse injury caused by the same toe movements that are performed over and over again.

With high arches more pressure is placed on the outer edge and ball of the foot.

Sesamoiditis Diagnosis

First your Doctor will perform a physical exam of your foot.

The best way to diagnose this condition is with a quick visit to the your doctor for a physical examination of your foot. The doctor will be looking for tenderness at the sesamoid bones just below your big toe.

Are you having trouble bending and straightening your toe?

Range of motion movements / tests, will be done to see how much movement has been lost in the toe. Your foot might hurt from the doctor poking and prodding at it, but by doing this the doctor will know for sure the source of your pain, the level of tenderness in and around your sesamoids and how well your toe can move with this condition.

Your doctor may also consider any previous foot injuries or joint stiffness that you may have had in the past. This will help the doctor to determine if you have a more complex injury in your foot and rule out any other foot injuries that may be present.

An x-ray of the foot will ensure proper diagnosis, sometimes they will x-ray both feet looking for similarities in bone structure when comparing both of your feet. This x-ray will show your sesamoid bones and whether there is any separation in each bone. For approximately 10 to 30% of people the sesamoid bone closer to the middle of the foot (the medial sesamoid) will be naturally divided into 2 or more pieces (reference: 1, 2, 3).

The doctor will have to find out if you naturally have a divided sesamoid bone OR if you have a fracture in this bone. If you do have any evidence of separation it's likely your doctor will have to perform more tests to find out for sure if you have a fracture in these bones.

Usually if the x-ray shows the bone is jagged there may be a fracture in the sesamoid bone, and if the separation is smooth then this means you have a naturally separated sesamoid bone.

An x-ray will clearly show the sesamoid bones and any separation or fracture in those bones.

Other tests like a bone scan, MRI (magnetic resonance imaging) or blood tests may be done if an x-ray looks normal or the doctor is unsure whether you have a fracture or natural separation in your sesamoid. These tests will also rule out any infections of the bone or tissue and help to determine if you are suffering from other injuries around your sesamoids - like arthritis or gout.

What are Sesamoid Bones?

A 'sesamoid' bone is a bone that's not connected to any other bone. Sesamoids are connected to tendons or embedded in muscles. We have many sesamoids in the body - your knee cap being the largest sesamoid bone. They are also found in our hands and feet, and the sesamoid bones in the foot are where the most common sesamoiditis problems occur.

Sesamoids in the foot have three jobs, first they help the big toe move (providing a smooth surface for the tendons controlling your big toe to move) . Second, they provide you the leverage your need when you 'push off' with your foot (they act like pulleys helping to move other tissue that control your big toe). And third, they absorb the weight placed on the ball of your foot when you walk, run or jump.

Sometimes the tendons around the sesamoid bones will become inflamed and irritated.

Do You Really have Sesamoiditis?

Our feet are one of the most complicated joints in our bodies with 26 bones, 33 joints and more than 100 tendons, muscles and ligaments (reference: 1). Big toe pain can be from injuries to the sesamoid bones or the soft tissue in the foot, some of the more common injuries being:

  • Foot bursitis - Bursitis can occur in the toe joints, the side of the foot, the heel and around the ankle. As we walk, run or jump, the ground surface and the shoes we wear play an important role in how much trauma our feet experience. Every step can cause a small amount of damage to a particular area in the foot which can increase the risk of bursitis.
  • Morton's neuroma - This condition usually causes burning pain in the ball of the foot that may radiate into the toes. The pain generally intensifies with activity or wearing shoes. You may sometimes feel that you are "walking on a marble," and you have persistent pain in the ball of your foot. You may also have numbness in the toes.
  • Metatarsalgia - This condition can also cause pain in the ball of your foot, that area between your arch and the toes. Metatarsalgia is a common over-use injury, persistent stress can lead to chronic irritation and inflammation of the bone covering and surrounding tissues, such as ligaments and tendons.
  • Plantar Fasciitis - Pain associated with plantar fasciitis normally starts as a dull ache and then progresses to a sharp, knife-like pain or constant throbbing feeling that is worse when you put weight on your foot. The most tender areas tend to be in the center of your heel and along the inside and bottom of your foot towards your toes, where your heel and arch meet.
  • Turf toe - This can happen when the big toe joint is pushed beyond its' normal range (backwards or downwards). A 'pop' is felt at the moment the injury happens followed by sharp immediate pain. Symptoms include swelling in the foot, the entire big toe joint is affected and limits the motion in the toe.
foot or toe bursitis can be the cause of foot pain

What's the Difference Between Sesamoid Tendonitis, a Sesamoid Bone Fracture vs Other Sesamoiditis Pain?

What is Sesamoid Tendonitis

Sesamoid tendonitis (sometimes spelled tendinitis and pronounced 'tendinitus') is irritation and/or inflammation of the tendons surrounding the sesamoid bones. You will feel this irritation and/or inflammation when there is a strain, damage or micro-tearing in the tendon tissue.

Anyone can suffer from sesamoid tendinitis - for younger people it usually happens from repetitive movement of the toe in athletic activities like baseball and ballet. In adults, this injury can happen from over-use OR degeneration of the tissue as we age.

You could have different types of sesamoid tendonitis including:

  • Tendinosis - a condition caused by chronic degeneration (wearing away) of the tendon fibers over time.
  • Tendinopathy - chronic inflammation of the sesamoid tendon(s) that results from many small tears over from from over-use or repetitive movements.
  • Tenosynovitis - damage or micro-tearing to the sheath covering the sesamoid tendon(s).

It's possible to have tendonitis / tendinosis / tendinopathy AND tenosynovitis at the same time, creating a more complicated sesamoid tendon injury. In all these cases, however, you can treat these very effectively at home with a Sesamoid/Wrist Cold Compress or Ice Pack and Sesamoid/Wrist T•Shellz Wrap®.

Tendonitis is inflammation of a tendon from micro-tearing of the tissue.

The Sesamoid/Wrist T•Shellz Wrap® is a specialized treatment that will accelerate bloodflow (and therefore the rate of healing) both in the tendon sheath and the damaged tendon itself. This increased elasticity and flexibility of the tendon, thus helping to break the re-injury cycle common in chronic tendonitis cases. Chronic sesamoiditis is very real. The T•Shellz Wrap® will help get rid of it, as long as you are willing to treat yourself every single day.

What is a Sesamoid Bone Fracture

A sesamoid bone fracture causes many of the same symptoms as sesamoid tendonitis - with pain, irritation and/or inflammation in the ball of the foot. Unlike sesamoid tendonitis, an acute or traumatic sesamoid bone fracture can result in a lot of swelling in the front of your foot and possibly a bruise under the big toe. Your doctor will be able to tell if you have a sesamoid bone fracture by performing an x-ray.

There are 2 types of sesamoid bone fractures:

  • Acute ("Regular") Fracture - is caused by a direct blow or impact to the bone - like landing heavily on your feet from a fall / jump. An acute sesamoid fracture produces immediate pain and swelling at the site of the break, but usually does not affect the entire big toe joint.

    With a "regular" fracture the entire material of bone, including the outer lining of the bone (sometimes called the 'cortical') will crack. This fracture can be straight, diagonal, jagged, in several pieces, etc.
  • Chronic ("Stress") Fracture - is a hairline break usually caused by repetitive stress or overuse - like running regularly or jumping up and down from platforms all day. A chronic sesamoid fracture produces longstanding pain in the ball of the foot beneath the big toe joint. The pain, which tends to come and go, generally is aggravated with activity and relieved with rest.

    With a "stress" fracture the outer lining of the bone will be fine, but the inside of the bone will have hairline fractures (sometimes on a microscopic level).
Sesamoiditis can sometimes involve a break or fracture to your sesamoid bone.

"Stress" or chronic fractures usually take much longer to heal because they will often remain in a long-term state of non-healing. Treatment for both kinds of sesamoid bone fractures is basically the same as treatment for sesamoid tendonitis.

What if I Don't Have Tendonitis or a Fracture?

There are 3 more injuries that can happen in or around your sesamoid bones resulting in sesamoiditis pain:

  • Intractable Plantar Keratosis (IPK) - this is like a callus or corn that's formed on the ball of your foot under your big toe that can cause sesamoiditis-like pain. Over time this callus / corn can develop into a larger lesion with a very painful sore-spot in the center.

    If left untreated, this condition can lead to a more serious sesamoiditis injury, reduce range of motion / mobility of your foot and change the way you walk on your foot. Conservative treatment methods are used to treat this injury. Surgery is only ever recommended if you continue to feel pain and have reduced range of motion even after using conservative treatment methods.
  • Osteochondritis (Avascular Necrosis) of the Sesamoid Bone(s) - This is a condition where blood supply to 1 or both of your sesamoid bones isn't available. Over time reduced blood flow to your sesamoid bone can actually cause a portion of your bone to die (this is also called 'necrosis'). Your body will try to heal this injury by building up extra calcium (bone) around the dead spot.

    This can sometimes happen if you've suffered from a chronic ("stress") fracture in your sesamoid bone that hasn't healed properly. In most cases conservative treatment methods won't work to treat this condition and surgery will be needed to remove the sesamoid bone (reference: 1, 2). If surgery is required, conservative treatment methods can then be used during post-surgery rehabilitation.
  • Nerve Entrapment - There is a major nerve that runs near our big toe and second toe called the 'Medial Plantar Nerve'. Even though this nerve is usually not close to the sesamoid bones, nerves can sometimes naturally be in areas where doctors don't expect them to be. It's possible to be suffering from sesamoid pain, with the pain really coming from your medial plantar nerve if it's running under one of your sesamoid bones. If you've had an x-ray and multiple tests done to see if you have sesamoiditis or a sesamoid bone fracture and there is no definite result, you might be suffering from nerve entrapment in that area.

    Your doctor can see if you have nerve entrapment in this area by doing a test called 'Tinel's Sign'. During this test the doctor will lightly tap near the painful area to see if you feel any tingling or 'pins and needles' sensations. If you feel tingling that runs down your big toe, you might be suffering from nerve entrapment (reference: 1).
  • Sesamoid Arthritis - Sometimes you may have cartilage damage under your sesamoid bones between your sesamoids and the bones in your toes. This cartilage damage can lead to arthritis, a painful inflammatory condition causing stiffness and swelling in your joints. You could have sesamoid pain that is really a case of arthritis under your sesamoid bones. Any signs of arthritis around your sesamoid bones should show up in an x-ray.
Sometimes sesamoiditis pain is a nerve entrapment injury.
Sesamoiditis can sometimes involve a break or fracture to your sesamoid bone.

How Do I Fix My Sesamoiditis?

If you suspect you have sesamoiditis,

  • Usually conservative treatment methods are all that's needed to treat sesamoiditis, surgery is only ever used if long-term conservative treatment methods don't work or if you've suffered from a stubborn stress (chronic) sesamoid bone fracture. Conservative treatment options for sesamoiditis typically includes rest, icing of the injury, avoiding activities that cause or worsen the pain that you're feeling, wearing comfortable shoes that keep your big toe straight and anti-inflammatory over-the-counter medication (reference: 1, 2, 3, 4, 5).
  • Second, if your doctor has decided that your injury can be treated with conservative treatment options, then you'll find that many of our customers have had great success treating themselves with our powerful conservative treatment products - the Cold Compress or Ice Pack and T•Shellz Wrap®.
  • Or, if surgical intervention is required, talk with your doctor about using these same products for post-surgery recovery as you'll find them to be effective for reducing post-surgery inflammation, enhancing range of motion and reducing scar tissue growth.

No one is immune to sesamoiditis or tendonitis, but you can easily reduce your risk of further injury with consistent conservative treatments

First your Doctor will perform a physical exam of your foot.

The good news is that most cases of sesamoiditis can be cured using conservative treatments. Surgery is typically performed only as a last resort. Once you have undergone a course of conservative treatments recommended by your doctor for at least 3 months or more and have shown no improvement, they may consider it but it each case in unique to the individual.

It's generally understood by doctors and surgeons, that surgery will introduce more scar tissue into the foot. This added scar tissue will be problematic, requiring PT and conservative treatment options post-surgery. When it comes to sesamoiditis and bone fractures there's only a few surgical options for treatment - removal of the sesamoid bone(s), scraping of the sesamoid bone(s) or a bone graft. This is why surgery is only performed as a last resort for chronic sesamoiditis injuries or a fractured bone that won't heal with conservative treatment methods.

Some conservative treatment methods recommended include:

  • Rest - This is important for initial recovery; rest and elevation will help reduce pain, swelling and inflammation in the early stages of injury. This can be difficult when you have to carry on with daily activities, but resting and elevating your foot whenever you can is recommended. During your recovery you will probably have to modify or avoid the activities that put stress on your calf, lower leg & foot until your pain and inflammation settles. However, too much rest can also be harmful to such injuries because knee, ankle and foot immobility can actually cause stiffening in the joints. This is why rest should be used when reducing initial pain and swelling, but should not be considered for more long-term conservative treatment.
  • Increase blood flow to your achilles tendon injury.
  • Avoid Activities that Caused Your Problem - While resting your foot it's also important to avoid all activities that may have caused or exacerbated the problem (especially any strenuous or repetitive movement). Continuing on with such activities will likely increase the severity of your injury (ie. wearing high heels or poor fitting footwear), turning a mild to moderate case of tissue damage into a downward spiral of worsening damage that may eventually severely impact your life. Also, trying to 'work around' your injury will eventually give rise to over-compensation injuries in other areas of your body.
  • Use a Cold Compress or Ice Pack - Cold is very effective at reducing pain and inflammation - use at the onset of the injury and during flareups. Immediate pain relief and reduced inflammation can also relieve some of the pressure that's being placed on an area although cold can also shorten tendons, causing more friction in the area. Generally, use cold when there is swelling but stop if you notice pain levels rising.
  • Use a Sesamoid T•Shellz Wrap® (Circulatory Boost device)- Once swelling has been reduced, you can use your own blood flow to maximize your rehabilitation. Improved blood flow and increased warmth to your foot in most cases will help improve recovery time while improving overall health of soft tissue in the area. Promoting blood flow and heat to the treatment area will help to minimize the growth of scar tissue, increase flexibility and reduce risk of further atrophy
  • Rehabilitative Stretching under supervision of a PT or doctor. The intent of this is to provide you with increased range of motion, pain relief and strengthening of the surrounding tissue of the joint. Doctors or surgeons typically won't perform a surgery until they feel that their patient has put effort into treating their injury with conservative treatment methods. This may include up to 4 to 6 months of visits to a PT clinic. If you haven't experienced any improvement in your condition during that time then surgery may be considered.
  • Stretching - Stretching your foot in PT and at home will help you to regain your range of motion much faster than not stretching at all. Stretching in many ways is key maintaining good Range of Motion (ROM) in your joint, and stretching can be made much easier with use of a T•Shellz Wrap® before to warm up soft tissue, and a Cold Compress or Ice Pack treatment after to prevent any return of swelling and inflammation.
Your doctor may want to cast your foot to heal a fracture in the sesamoid bones.

Restricted Movement Is Risky If It Goes On For Too Long

Resting too long, or using bracing to restrict movement for extended periods of time, can decrease mobility of your Achilles tendon and increase pain.

For acute (new or recent) Achilles tendon tears that have the ability to heal on their own - your doctor may even cast your foot in a toe pointed position (in something called a "hanging enquinus cast") or in a removable brace/splint. A removable splint can be very helpful to prepare you for PT sessions and mobility exercises.

Prolonged use of a cast, removable splint, or long-term rest (restricted movement) without proper exercise or stretching can make your Achilles tendon injury worse. If your Achilles tendon remains completely immobilized and at constant rest, the ends of the Achilles tendon (where it attaches to bone or other muscles) will begin to fill in with scar tissue as part of the healing process. You may also have on-going symptoms of pain, swelling and inflammation, and even poor blood flow circulation.

Lack of proper blood flow and growth of scar tissue will decrease the natural length of the tendon (atrophy) and tighten tissue, reducing the flexibility between your ankle and foot. Your ability to push off with your foot in certain activities such as running, jumping, or going up and down stairs all become compromised. You are also at an increased risk of re-rupture of the tendon, especially if the initial injury was large and required surgery in the first place.

If You Want to Effectively Treat Sesamoiditis With the Best Conservative Treatments, This is How You Do It

Step 1 - Reduce Pain & Swelling with Cold Compression

The 1st step for getting rid of sesamoiditis is to reduce the swelling. This is a necessary step that will also probably get eliminate most of the pain. This is due to in part to the compression but also the cold, slowing down the nerve and tissue function (at the microscopic level) ... Once swelling is reduced, your blood vessels are no longer blocked and the healing can begin. This is why for years doctors, trainers and other medical professional have recommended RICE (Rest, Ice, Compression, Elevation) to treat the pain and swelling of fresh injuries, chronic pain, and after any re-injury.

Use a Cold Compress or Ice Pack:

  • 24 to 72 hours after your initial injury or when you first notice pain and swelling in the ball of your foot to stop tissue damage at the microscopic level, relieve pain, and decrease swelling.
  • After exercise, workouts or activity of any kind to prevent re-injury of your sesamoids.
  • Before and after surgery during rehabilitation to control pre and post-surgery pain and swelling.
  • Anytime you feel your sesamoiditis has made your foot tender, painful or you're having a flare-up of an old sesamoiditis injury.
  • Anytime you have swelling, sharp throbbing pain or inflammation in the ball of your foot.
  • Any other situation where you need to draw the pain and inflammation out of your foot.

Step 2 - Improve Circulation, Soften Scar Tissue & Prevent Re-Injury with Circulation Boost

After the inflammation in your foot has been reduced, providing extra blood flow and strengthening the tissue around your sesamoid bones is recommended.

A T•Shellz Wrap® application is intended to produce the following results:

Enhance blood circulation and
increase the levels of oxygen within your blood.

This, in turn, improves function of the immune system which increases the body's ability to eliminate toxins and other waste by-products resulting from damaged tissue at the injury location. This allows the body to more easily stimulate the self healing process.

Stimulate the production of collagen,
which is a building block for human tissue.

Many soft tissue injuries are the result of trauma to a tendon or muscle, usually causing the tissue to tear. As a result of the tear, your body triggers a natural healing process resulting in pain, inflammation, and the creation of scar tissue, then eventually reinforcing that band-aid solution with flexible tissue (proliferation). Increased blood flow will make this process more quick and efficient in the majority of cases.

Enhance the extensibility of soft tissue.

It is generally accepted that heat will enhance both the flexibility and the extensibility of soft tissue. This is an important point. Many people with achilles, knee and back conditions (to name a few of many) often experience re-injury due to the fact the damaged muscle or soft tissue is tight and the range of motion is restricted. Even the most minor of activities can cause recovering tissue to strain, sprain, or even tear. Every time this happens, your recovery is delayed. This is why using the T•Shellz Wrap® not only now, but also into the future, is wise. The T•Shellz Wrap® warms tissue, and thereby increases it's elasticity...all without risk of causing further harm - greatly reducing your chances of re-injury.

It is also intended to provide relief to some who are dealing with nerve related issues.

T•Shellz Wraps® applied to muscles and soft tissue that surround the nerves should help them become more loose, as heat is known to increase the flexibility and extensibility of soft tissue. You may find this will alleviate tightness which may have led to nerve compression and the subsequent pain it produces.

Intended to reduce stiffness in joints.

Osteoarthritis occurs when cartilage and meniscii degenerate. Over time, two bones in the joint rub together with little or no protection from cartilage. This leads to pain and inflammation in the joint as the space within the joint starts to decrease without the cushioning, and stiffness starts to become a bigger and bigger problem. The T•Shellz Wrap® is intended to generate warmth and an increase in blood flow - resulting in less stiffness and better range-of-motion.

Contribute to your overall well-being.

Increased blood flow should result in a stronger immune system and an ability for you body to recover from soft tissue injuries more quickly.

Believe me when I say this; words alone cannot accurately describe what the T•Shellz Wrap® can do for you. It truly is something you need to experience first-hand.

healing sesamoiditis with help from tshellz

Increased Blood Circulation = Increased Healing Capability

T•Shellz Wraps® contain a unique Carbon Fiber Energy Pad which is flexible and will shape to conform to your body. This Energy Pad emits a uniform wave of perfectly safe energy over its entire surface. This energy is absorbed by soft tissue in the treatment area, opening blood vessels, resulting in an increase in blood flow. Increased blood circulation is what your body needs to accelerate the healing of soft tissue and this is why we recommend the T•Shellz Wrap®.

The T•Shellz Wrap® is an FDA Registered Medical Device and is suitable for use in therapeutic clinics and FROM HOME. It is completely safe for people and patients to use for themselves.

The technology found in a T•Shellz Wrap® has been used for decades in the worlds of professional and amateur sports - a contributing factor as to why athletes seem to recover from injuries so quickly.

Have you ever wondered by an athlete can return to activity after 3 or 4 weeks following a soft tissue injury - while your average person takes much longer to return back to normal? The secret isn't really that much of a secret - it involves consistent treatments (meaning multiple times a day) using a treatment like the T•Shellz Wrap® to stimulate blood flow to the injured tissues. Most athletes have the luxury of using in-house facilities many times per day.

How many us can afford the time and money to visit a clinic multiple times a day? Very few indeed. This is how you can gain some of the advantages that athletes enjoy in their injury recovery - by using a device like the T•Shellz Wrap® two or three times a day on a consistent basis.

T•Shellz Wrap back of shoulder coverage

Consistent Treatments = Consistent And Long Term Improvement

What Else Makes the T•Shellz Wrap® So Special?

We believe the T•Shellz Wrap® to be one of the most effective home treatments to increase localized blood flow in and around the treatment area.

We can promise that you will receive a product that is designed to be safe and does what it is supposed to do... reduce pain (as stated in "Therapeutic Heat and Cold", 4th edition. - Ed. Justus F. Lehmann, M.D., Williams, and Wilkin) temporarily increase length & flexibility of soft tissue (as stated in "Therapeutic Heat and Cold", 4th edition. - Ed. Justus F. Lehmann, M.D., Williams, and Wilkin) and aid your body in recovering from tendon, muscle and other soft tissue injuries via enhanced blood flow.

The unit plugs into a standard wall outlet to get its power. The nice thing about the power supply is that the same unit can be used in North America and overseas as well. It has the capability to operate between 110v and 230v.

The T•Shellz Wrap® has a special signal controller that can be set for 3 different power levels of application (3=High, 2=Medium, 1=Low). The cord is long enough that you can sit or lie comfortably and watch TV, read or surf the net while you're using it.

Treatments are max 30 minutes in duration and the device can be worn over clothing. This allows you to use the device at work, at home, or really anywhere you have access to an electrical outlet.

common areas for knee bursitis

Who Should Use the T•Shellz Wrap®

We recommend the use of a T•Shellz Wrap®:

  • If you have injured tendons, ligaments or muscle, then the T•Shellz Wrap® will provide the all-important function of boosting blood circulation where it is needed most.
  • If you are dealing with soft tissue conditions affecting your range of motion.
  • If you have a chronic tendon condition that has lasted for years- this device is intended to kick start the recovery process and help strengthen surrounding and supporting tissues.
  • If you are still working with a tendon injury, the T•Shellz Wrap® will help relax injured soft tissue prior to work and after a day at the job.
  • If you are still trying to enjoy your favorite activities such as gardening, tennis, golf, etc - use the T•Shellz Wrap® prior to activity to help reduce chances of re-injuring or re-aggravating those targeted tissues.
  • If you are suffering from tendonitis and want to treat a major source of it Through trauma, overuse or degenerative changes, soft tissue in the affected area will tighten and constrict. The application of a T•Shellz Wrap® to the area is intended to relax tendons and muscles, reduce pain and inflammation. It is our position that relaxed and more flexible soft tissue will help reduce risk of further damage.
  • If you have been to a clinic for some form of massage or stretching and your PT or physician has recommended conservative treatments, stretching and/or conservative treatments for home.
  • If you have upcoming surgery scheduled for your soft tissue injury, then you will find a blood circulation booster to be a powerful tool after surgery to help surgically repaired tissues recover for long-term health. (once the surgery wound has healed and your physician has given the ok - minimum 6 weeks after surgery)
  • If you are experiencing atrophy in your joint and want to reduce the risk of re-injury (or further injury) while stretching - we recommend its use every time before you stretch.

Conservative Treatment Tools Our Clients Have Used to Help
Limit Damage In Toes/Metacarpals/Sesamoid Area & Boost The Body's Soft Tissue Repair Process at Home:

  • A Cold Compress or Ice Pack to reduce inflammation wherever there is pain and/or swelling (as soon as possible).
  • A Sesamoid TShellz Wrap to increase blood-flow to the end of foot treatment area (Circulatory Boost).
  • MendMeShop Arnica Pain Cream for temporary relief of pain due to sore muscles and joints.
  • An Exercise & Stretching Plan to maintain/increase flexibility in the toes/metacarpals and strengthen this area of the foot.

Conservative treatment tools just like these have been used successfully by thousands of tendon injury sufferers - just like you.

T•Shellz Wrap® = Enhanced Blood Flow in the Treatment Area

We believe the use of T•Shellz Wraps® for boosting blood flow to soft tissue in the area of application is one of the most under-utilized home treatment options available on the market today. We have client after client that have tried many options out there and have been amazed at how effective and fast the TShellz Wrap treatment can relieve pain and increase blood flow in the treatment area.

With regular use of the TShellz Wrap:

  • Your pain will be reduced*.
  • Due to increased blood flow, tissue in the treatment area (anywhere on the end of foot/ankle/wrist) will be expected to recover at an accelerated rate with reduced potential for re-injury*.
  • Tissue in the treated area should experience a larger range of motion and increased extensibility of collagen tissue* due to the heat effect on soft tissue. This should translate into a reduced rate of re-injury occurrence as soft tissue is known to lengthen and become more flexible when exposed to warm temperature. (*Chapter 9 of "Therapeutic Heat and Cold", 4th edition. ( link - Ed. Justus F. Lehmann, M.D., Williams, and Wilkin)

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An effective treatment alternative to plantar fasciitis surgery

...A Quick Recap of Benefits That Can Be Achieved Via the T•Shellz Wrap®..

  • We have T•Shellz Wraps® that can fit on the back, hip, leg, arm, shoulder, knee, foot, toes, wrist and ankle
  • It can be used before exercise to warm up the problematic joint to reduce the risk of injury (heat elongates soft tissue and makes it more flexible)
  • FDA Registered medical device for use in home or clinics - high quality, 1 year warranty, 60 day trial period (100% refund guaranteed)
  • Increases temporary flexibility and length of tissues (reducing the re-injury factor)
  • It soothes pain and whisks away toxins
  • Carbon fiber Energy Pad is strong, lightweight, and flexible - contours very easily
  • A boost in blood flow helps maximize the body's ability to recover from soft tissue damage. This can be beneficial in saving time and money when associated with doctor or physical therapist visits
  • A boost in blood flow will maximize the body's ability to recover quickly. This can be beneficial in post-surgery rehabilitation, getting you back to work faster. Do not use until at least 6 weeks after surgery, and only after approval from your doctor.

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Use a T•Shellz Wrap®:

  • After swelling and inflammation have been reduced with cold compression.
  • Before exercise or workouts to warm up your foot & prevent re-injury.
  • Before and after surgery during rehabilitation to warm up your tissues before exercising or stretching.
  • Anytime you feel the area in and around your injury has stiffened up, is tight and your mobility is reduced.
  • Anytime you have sore or aching tissue.
  • Any other situation where you need to increase blood flow to your injury to relax your tendons, ligaments & muscle, prevent re-injury and enhance flexibility of your tissue.
Plantar Plate Tear Pain Pattern

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During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort at the location of your soft tissue injury until the pain and inflammation settle. Always consult your doctor and/or Physical Therapist before using any of our outstanding products, to make sure they are right for you and your condition. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!


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