Capsulitis

Capsulitis is the inflammation of the joint capsule. The soft tissue that surrounds the joint becomes inflamed due to excessive pressure. It is most commonly affects the joints in the ball of the foot.

Causes

Capsulitis occurs when excessive pressure is placed on the ball of the foot. This usually occurs as a result of a biomechanical abnormality of the foot. A bunion deformity causes excessive pressure to be placed on the 2nd metatarsal phalangeal joint and can result in capsulitis. Hammertoe deformities also cause excessive forces to be placed on the base of the toe resulting in inflammation. An abnormally long second toe can also put increased pressure on the joint.

Symptoms

Capsulitis usually presents in pain and swelling of a joint in the ball of the foot. The pain typically increases with prolonged walking or standing. Pain is often worse when barefoot. With prolonged inflammation the joint can become weakened and deformed.

Diagnosis

Diagnosis is typically made with a detailed history and physical exam. X-rays may be performed to identify biomechanical abnormalities and rule out a stress fracture. Symptoms of capsulitis are often similar to a Mortons Neuroma. Additional diagnostic testing may be required to differentiate.

Treatment

Conservative Treatment
The goal of conservative treatment is to decrease the excessive pressure on the joint and decrease inflammation. Inflammation can be reduced with rest, ice and elevation. Anti-inflammatories are often used. Pressure on the joint can be reduced with foam or silicon padding and innersoles. Custom made orthotic devices can also be fabricated to reduce pressure on an inflamed joint.

Surgical Treatment
Should conservative care fail to alleviate the condition surgery is an option. The goal of surgery would be to correct the biomechanical abnormality of the foot that is causing excessive pressure to be placed on the joint.

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*If you are suffering with an inflamed joint we can help. Please call our office (numbers below) or fill out the contact form and we will contact you.