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.


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.


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 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.


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.

*For products to decrease stress and inflammation on and inflamed joint we recommend

*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.


I suffered with chronic heel pain for over a year. I finally went to see Dr. Fritz who examined me and performed X-rays on the same visit. He diagnosed me with plantar fasciitis. After a course of physical therapy, a cortisone shot and a pair of custom orthotics I’m able to walk pain free again.

- Jeff C.

Read More Testimonials

* Indicates a required field

* Neustra equipo habla Espanol

* Nossa equipe fala Portugues

Primary Service Areas

Minimalist Running Shoes Vs. Neutral (Old School) Running Shoes

Minimalist Running Shoes Vs. Neutral (Old School) Running Shoes

By now you have probably seen people running in these glove like sneakers creations and wondered should I try them? Minimalist and barefoot running shoes have become very popular recently. A barefoot shoe is a shoe that really only provides protection from debris. They are very flexible and allow full

The Future of Running Shoes

The Future of Running Shoes

We all know the benefits of running. Improved endurance, weight loss, and stress reduction just to name a few. With these benefits also comes risk of injury. Each foot is a complex structure that has 28 bones, 33 joints, and 112 ligaments. Needless to say there are a lot of

Are Muscle Cramps Cramping Your Work Out? Watermelon Juice May be Your Answer

Are Muscle Cramps Cramping Your Work Out?  Watermelon Juice May be Your Answer

Prevention of muscle cramps can be achieved by warm up and stretching of your muscles before and after any work out activity. Proper hydration and replacement of electrolytes is also important. Appropriate shoe gear for the activity you are participating in is also key to preventing cramping. A gradual increase