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Advanced Treatment for Forefoot Sesamoiditis

Sesamoiditis Relief for Young Athletes, Dancers and Gymnasts

Keep them training, performing and playing while the ball of the foot heals.

Sesamoiditis is one of the most common causes of ball-of-foot pain in active kids and young adults. Any sport with running, jumping, cutting or pushing off the toes puts heavy, repeated force on the sesamoids, two small bones under the big toe joint. When that force builds up, the sesamoids become inflamed and painful.

Dancers and gymnasts are especially at risk. Relevé, demi-pointe, tumbling passes and beam landings load the ball of the foot again and again. The same is true for soccer, football, basketball, track, tennis, volleyball and cheer, where quick starts, sprints and hard landings drive pressure straight into the big toe joint.

The Lilly Device Orthotic is a full-length insert made to take pressure off the sesamoids. It redistributes force away from the painful area so the bone and surrounding tissue can calm down and heal, and your child can stay active with a plan set by their foot specialist.

Is This Your Child?

  • Pain under the big toe joint, especially on relevé, jumps, sprints, landings or push-off
  • Tenderness or swelling at the ball of the foot
  • Pain that builds over a class, practice, game or competition season
  • Avoiding pushing off the big toe, or walking on the outside of the foot
  • A diagnosis of sesamoiditis or a sesamoid stress fracture

How the Lilly Device Helps

  • Targeted offloading: A relief zone under the big toe joint moves pressure away from the sesamoids.
  • Full-length support: Heel-to-toe alignment spreads force across the whole foot instead of concentrating it at the ball of the foot.
  • Supports healing: Lowers the repeated stress that keeps sesamoiditis flaring.
  • Made for kids: Designed by pediatric foot specialists for growing feet.

Clinically Used by Pediatric Foot Specialists

The Lilly Device Orthotic is used in clinical practice and dispensed by healthcare providers to treat sesamoiditis and sesamoid fractures in children, teens and young adults. Foot and ankle specialists recommend it to dancers, gymnasts, and soccer, football and basketball players because it offloads the sesamoids while letting patients stay active during recovery.

In our experience, patients commonly report less ball-of-foot pain and a smoother return to training and competition when the Lilly Device is part of their treatment plan.

Built for Every Active Kid

Field and court athletes: For soccer, football, basketball, track, tennis and volleyball players, the Lilly Device goes right into athletic shoes. It offloads the sesamoids during practice, games and everyday wear.

Dancers and gymnasts: These athletes often train barefoot or in slippers, so the Lilly Device is meant for the time they spend outside the studio or gym: school, warm-ups, conditioning, travel and everyday wear. Cutting down pressure on the sesamoids for the rest of the day gives the foot a better chance to recover between sessions.

How to Use

  1. Take the original insole out of your child’s athletic or everyday shoes.
  2. Place the Lilly Device Orthotic flat in the shoe, heel all the way back.
  3. Wear it every day for steady relief. It works best in full-length, closed shoes like sneakers, running shoes and basketball shoes.
  4. Follow your child’s specialist’s guidance on returning to dance, gymnastics or sport.

 

Why Families Choose the Lilly Device

  • Designed and clinically used by pediatric foot and ankle specialists
  • Dispensed by healthcare providers for sesamoiditis and sesamoid fractures
  • Helps relieve ball-of-foot pain so kids can return to the field, court, studio or mat
  • Trusted for dancers, gymnasts, and soccer, football and basketball players
  • Comfortable enough for all-day wear at school, practice and games

Don’t let ball-of-foot pain keep your athlete on the sidelines.

The Lilly Device Orthotic is not a substitute for medical diagnosis. Sesamoid fractures may need extra care, like rest or a walking boot. Talk with your child’s foot and ankle specialist about the right treatment plan.

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$437.00

Select your shoe size above so we can mail you the correct casting sock. You'll use it to cast your foot at home and mail it back to us, and our lab uses that cast to create your custom orthotic. Shipping: Your casting kit ships within 2 to 4 business days. Your custom orthotics ship about 2 weeks after our lab receives your foot mold.
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FAQ

The Lilly Device is a specialized pediatric orthotic designed to reduce pressure and pain from sesamoiditis—inflammation of the small sesamoid bones under the ball of the foot. It features targeted support that reduces stress on the affected area during activity and daily movement.

The Lilly Device is specifically engineered for pediatric feet with custom pressure-relief technology that targets the exact location of sesamoid bones. Its design supports proper foot mechanics while allowing children to remain active.

Yes, the Lilly Device comes in a range of pediatric sizes to accommodate growing feet. We recommend accurate foot measurements to ensure proper fit and maximum effectiveness.

The Lilly Device is designed for sesamoiditis management, but we recommend obtaining a formal diagnosis from a podiatrist or orthopedic specialist before use. They can determine if this orthotic is appropriate for your child’s specific condition.

Many children experience pain relief within 2-4 weeks of consistent use. However, recovery timelines vary based on the severity of the condition and activity level. We recommend 6-8 weeks of consistent wear for optimal results.

 

The Lilly Device is designed to fit in most children’s athletic and casual shoes with adequate depth. We recommend shoes with at least a half-inch of extra space for proper insertion. Ask us if you’re unsure about specific shoe compatibility.

No. The Lilly Device is designed to support continued movement and activity while reducing pain. Your child can return to age-appropriate activities gradually, but we recommend avoiding high-impact sports during the acute phase unless approved by their healthcare provider.

For best results, wear the device during most daily activities and any time feet will be active. Start gradually if your child is new to orthotics—begin with 2-3 hours daily and increase as comfort improves.

Proper fit should feel snug but not painful. Your child should have no pinching or rubbing. The device should sit securely in the shoe without sliding. If uncomfortable, contact us for sizing assistance.

 

The Lilly Device fits in most shoes, but shoe depth is important. If it doesn’t fit current shoes, it may work in deeper styles (athletic shoes typically work better than flat dress shoes). We can suggest compatible shoe options.

Check fit every 2-3 months or if your child complains of discomfort. Growing feet change rapidly, and proper sizing remains important for effectiveness.

The first week or two may feel slightly unfamiliar as your child adjusts to the orthotic. Pain from sesamoiditis should gradually decrease. If pain increases significantly, contact your healthcare provider.

Many children use the Lilly Device long-term for pain management and prevention. However, we recommend periodic check-ups with a foot specialist to ensure continued appropriateness as your child grows.

If sesamoiditis is fully resolved, gradual discontinuation under medical guidance is appropriate. Some children may need continued use for activities that previously triggered pain. Your pediatric podiatrist can recommend the best plan.

Yes, the Lilly Device is available for direct purchase. However, we encourage consulting with a pediatric podiatrist or orthopedic specialist before ordering to ensure it’s the right choice for your child’s condition.

Our team is happy to help! Contact us at 602- 245-7249 or info@pediatricorthotics.com with details about your child’s condition, and we can provide personalized recommendations.

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