Capsulitis is a generic term for inflammation of a joint or the joint capsule. A joint is where two bone come together and are covered with cartilage and surrounded by a joint sac filled with fluid. This allows the joint to glide smoothly and motion to occur. Joints can become painful, especially with abnormal movements or increased pressures. Capsulitis of the second metatarsal is a common condition in the foot.

Capsulitis of the second metatarsal or toe typically presents with pain or swelling under the second toe. Patients often describe a burning or tingling sensation that is worse with walking. The majority of people that experience this type of condition will have other foot and ankle pathologies that are contributing to the capsulitis.

Contributing factors for capsulitis can include a tight calf muscle or a bunion deformity. A tight calf muscle can cause increased pressure to the forefoot. A bunion can create instability and again overload the second metatarsal. Other factors that can play a role in the development are a flatfoot or even shoe gear and exercise patterns.

Second metatarsal capsulitis can be very challenging from a treatment standpoint. It is important to evaluate both feet and all presenting pathologies. An x-ray is a great place to start the evaluation and look at the generalized foot structure. If you believe you have capsulitis schedule and appointment today so we can help. Give us a call at 425-391-8666 or make an appointment online today.