The joint capsule is the protective covering around the joint. It contains the ligaments that hold the joint together. Capsulitis is when the protective covering around the joint gets inflamed. The capsular ligaments that surround the joint help keep the two bones of the joint lined up. The ligaments are very strong but if they get stretched or irritated too much, they get inflamed. This happens most often at the base of the second toe either on the top or bottom of the foot.
What Causes Capsulitis in the Second Toe?
Capsulitis can be caused by abnormal walking, chronic irritation – for example, from a bad fitting shoe, or from an injury. People who have severe bunion deformities, longer second toes and tight calf muscles are more apt to get capsulitis in the second toe.
What Are The Symptoms of Capsulitis?
The early signs of capsulitis in the second toe is pain on the ball of the foot or top of the foot as the base of the toe. People commonly describe the feeling like walking on marbles. They usually have swelling at the base of the toe, trouble wearing shoes and have pain when walking barefoot. When the symptoms worsen the second toe starts to drift toward the first toe and you might even see the second toe overlapping the big toe.
Correct Diagnosis Is Important
Capsulitis symptoms can have similar symptoms to a neuroma. The doctor will arrive at a diagnosis by pressing on the area to reproduce the symptoms and test the stability of the joint. The doctor may also have to take x-rays to see if the capsule is inflamed.
If Caught Early Surgery Can Be Avoided
Nonsurgical treatments include, rest and ice, medications, taping or splinting, stretching, or orthotic devices.
If you are having any of these symptoms treating it early will help to avoid surgery. Give our office a call at (845) 298-9074 or request an appointment.
If you are in a lot of pain we have same day appointments and are now open Tuesday and Thursday evenings.
Hollowbrook Foot Specialist serving the Hudson Valley from Wappinger Falls.
by David Schlam
