This is a common combination.

Capsulitis of the second toe is inflammation of the capsule and the structures of the second metatarsal phalangeal joint (or second MTP joint). This condition often occurs in combination with a bunion. When there’s a bunion deformity the whole first metatarsal and the first MTP joint are out of alignment.

When this happens in the first metatarsal does not carry its fair share of weight.  It is common, for the next in line 2nd metatarsal to develop a stress overload. We can evaluation both conditions with an x-ray.  We sometimes use an MRI to evaluation the extent of the 2nd toe capsulitis including for a capsular tear or plantar plate tear. Both the bunion and the 2nd toe capsulitis can be a difficult combination to treat. 

The best bunion treatment can involve shoes and orthotics can also help with non-invasive bunion treatment. Bunion treatment options may be limited in severe cases and often need surgical treatment.