Part of managing any complex feet is to first do what we can to prevent injuries or aggravate a past injury. For injury prevention, I always recommend going with ASICS football boots because of their HG10mm raised heel which assists with this.
When considering other factors such as accommodating an orthotic, check that the boot has a removeable sock liner. Taking the sock liner out will give you more depth to fit your orthotic. In addition, look for a boot with a more accommodating forefoot width such as the LETHAL TESTIMONIAL 4 IT, GEL-LETHAL 18 or the LETHAL ULTIMATE FF.
For the specific problem of Sesamoiditis there can be a variety of approaches. However, two factors to look for are:
- A full-length midsole which will provide more cushioning underfoot. Boots which include a full-length midsole are the LETHAL ULTIMATE FF and GEL-LETHAL 18.
- More studs to help spread the load and reduce pressure to the sesamoid site. Boots with high stud layout are the LETHAL ULTIMATE FF and GEL-LETHAL 18.
As a tertiary option, the LETHAL TIGREOR offers more studs, and a shortened stud over the sesamoid site to reduce pressure. In addition the Solyte Polymer outsole is more forgiving when compared to nylon outsole.