Sesamoidectomy vs 1st Metatarsal Osteotomy for big toe joint pain

Sometimes runners have to do a whole lot of digging trying to figure out the difference between a couple of different surgical solutions for a recurring injury. 

Pain under the big toe joint can be because you are getting a stress reaction or a stress fracture in one of the two little sesamoid bones. It is pressure to that bone that is causing all the trouble. 

How can a doctor surgically reduce that pressure? 

What is the difference between a sesamoidectomy and a first metatarsal osteotomy for pain under the big toe joint? 

Well, if you are wondering, that is what we're talking about today on the Doc On The Run Podcast.