Capsulitis refers to inflammation or irritation of the joint capsule surrounding one of the metatarsophalangeal joints in the forefoot. The condition most commonly affects the joint at the base of the second toe.
The joint capsule helps stabilise and support the joint during walking. When excessive strain is placed on this structure, irritation may develop, leading to pain in the ball of the foot.
Common Symptoms
People with capsulitis may experience:
Pain beneath the ball of the foot
Tenderness around the base of the affected toe
Swelling around the joint
Pain when walking or pushing off during movement
A sensation of instability in the toe
Symptoms often worsen during prolonged standing or walking
Possible Causes
Capsulitis typically develops when excessive pressure is placed on the forefoot. Contributing factors may include:
Altered foot mechanics affecting forefoot loadin
Longer second metatarsal bone
High arches increasing pressure beneath the forefoot
Tight calf muscles affecting gait mechanics
Inappropriate footwear
When excessive load is placed on the joint capsule, irritation and inflammation may occu
Assessment and Diagnosis
At Absolute Footcare, capsulitis is assessed through a detailed gait and biomechanical assessment.
This allows us to evaluate how pressure is distributed across the forefoot during walking and identify factors that may be contributing to increased stress on the affected joint
Treatments
Treatment depends on the underlying cause identified during your assessment.
Possible treatments may include:
Custom Orthotics
Rehabilitation exercises
Biomechanical and Gait analysis
Footwear Advice
Steroid Injection
Book a Gait and Biomechanical Assessment
If you are experiencing persistent pain in the ball of the foot, the best first step is to arrange a gait and biomechanical assessment.