Capsulitis refers to a large group of conditions that is associated with inflammation of the joint capsule.  It is important to have a little bit background of anatomy in order to understand this pathology.  The joint is where 2 bones come together and these 2 bones are covered with articular cartilage and then these 2 bones are encapsulated by the joint sac that is full of fluid or hyaluronic acid.  These all work in tandem to provide functional smooth gliding joint.  There are many causes of capsulitis, basically it is just inflammation of the joint capsule itself.

In the foot, one of the most common areas to have capsulitis is the second toe.  A lot of times there is an underlying foot deformity like a bunion or a tight calf muscle that is contributing to the development of this capsulitis.  Additionally we do see trauma can sometimes induce capsulitis.  This condition can be quite painful and cause a significant amount of discomfort and swelling with exercise or walking.  I always recommend beginning with an x-ray in a thorough evaluation of the foot.

Treatment of capsulitis depends on the cause.  There are quite a few different options that are highly successful for the treatment of capsulitis.  In general icing and anti-inflammatory can help as well as offloading the joint itself.  However in order to treat capsulitis, it is really important to understand the root cause of the capsulitis and this is where it’s helpful to have a physician evaluate the foot structure itself.  If you're suffering from capsulitis, make an appointment today and I can help. Give us a call at 425-391-8666 or make an appointment online. 

Sincerely,

Board-Certified Foot and Ankle Surgeon and Physician