Capsulitis is a painful condition affecting the ligaments surrounding the toe joints, most commonly the second toe. If left untreated, it can lead to toe dislocation and crossover toe deformity. Therefore, seeking proper capsulitis treatment is crucial to prevent further complications.

At Northwest Extremity Specialists, our Portland-area podiatrists specialize in treating capsulitis and preventing long-term complications.

What Causes Capsulitis?

Capsulitis is primarily caused by abnormal foot mechanics that place excessive pressure on the ball of the foot. The following factors increase the risk of developing this condition:

• Bunion deformities that alter weight distribution
• Second toe longer than the big toe (Morton’s toe)
• Unstable foot arches that fail to absorb impact
• Tight calf muscles that increase forefoot pressure

For more information on foot biomechanics and injury prevention, visit the American Academy of Orthopaedic Surgeons. Proper knowledge of these can aid in effective capsulitis treatment.

Symptoms of Capsulitis

Early detection is crucial to prevent progression to crossover toe. Key symptoms include:

• Pain under the ball of the foot (feeling like a marble in the shoe)
• Swelling and tenderness at the base of the second toe
• Difficulty wearing shoes due to increased pressure
• Pain when walking barefoot

In advanced cases, ligaments weaken, causing the second toe to drift toward or cross over the big toe. Proper capsulitis treatment at early stages can prevent such progression.

Diagnosing Capsulitis vs. Morton’s Neuroma

Capsulitis symptoms can resemble Morton’s neuroma, another forefoot condition. Accurate diagnosis is crucial, as treatments differ significantly.

During a clinical evaluation, our foot and ankle specialists will:

• Examine the foot structure and stability
• Apply pressure to reproduce symptoms
• Use X-rays or imaging tests to rule out other conditions

For a detailed guide on foot pain diagnosis, visit the Cleveland Clinic. Differentiating between similar conditions is key for effective capsulitis treatment.

Non-Surgical Treatment for Capsulitis

Early intervention is key to avoiding toe deformity. Conservative treatments include:

1. Footwear Modifications

• Wear wide, supportive shoes with low heels.
• Use custom orthotics to relieve pressure on the toe joint, an essential aspect of capsulitis treatment.

2. Padding and Taping

• Toe taping techniques stabilize the toe position.
• Gel pads reduce pressure on the ball of the foot.

3. Physical Therapy & Stretching

• Calf and foot stretches relieve tendon tightness.
• Toe-strengthening exercises improve joint stability, crucial for capsulitis treatment.

4. Anti-Inflammatory Medications

• NSAIDs (e.g., ibuprofen) reduce pain and swelling.

For additional self-care techniques, visit the American Podiatric Medical Association.

When Is Surgery Necessary?

If the second toe begins to shift toward the big toe, surgery is required to restore its normal alignment. Surgical options include:

• Ligament repair to stabilize the toe joint.
• Osteotomy (bone realignment surgery).
• Tendon lengthening or transfer for severe deformities.

For severe bunions or hammertoes, corrective procedures may also be recommended as part of capsulitis treatment.

Find Relief From Capsulitis Pain in Portland

If you’re experiencing persistent toe pain, early treatment can prevent permanent damage. Getting capsulitis treatment early is thus beneficial.

Schedule an appointment with Northwest Extremity Specialists to explore effective treatment options for capsulitis.