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Capsulitis of the Second Toe

 

What is capsulitis of the second toe?

Capsulitis of the second toe is a condition that involves inflammation of the ligaments surrounding the joint at the base of the second toe.

What causes capsulitis of the second toe?

Abnormal foot mechanics, such as having a second toe that is longer than the big toe (known commonly as Morton’s toe), wearing ill-fitting shoes, or participating in activities which put excessive pressure on the ball of the foot, are all circumstances that can cause this condition.

What are symptoms of capsulitis of the second toe?

There are a variety of signs that may indicate capsulitis of the second toe, including:

  • Pain and swelling at the base of the second toe
  • Difficulty with weight-bearing on the affected foot
  • A feeling of instability in the toe joint
  • The development of a callus or corn on the bottom of the foot

Capsulitis of the second toe may cause worsening pain with walking, running, or wearing shoes that are too tight. It’s important to contact your doctor if you suspect that you have Capsulitis of the second toe to prevent long-term complications and receive the appropriate treatment. 

How is capsulitis of the second toe diagnosed?

An orthopaedic physician or foot and ankle specialist will be able to diagnose capsulitis of the second toe. In order to rule out other conditions that cause a similar pain in the ball of the foot, like a fracture, an MRI or ultrasound will likely be ordered to most effectively identify the origination of the swelling and diagnose capsulitis of the second toe.

What are treatment options for capsulitis of the second toe?

Treatment options for capsulitis of the second toe can include:

  • Rest, ice and elevation
  • Wearing supportive footwear that has a wide toe box and cushioned insoles
  • Taping or splinting the toe for additional support and stability
  • Physical therapy exercises to strengthen the muscles and correct foot mechanics

In severe cases, corticosteroid injections or surgery to repair the damaged ligaments may be required.