Capsulitis and metatarsalgia are generic terms for pain in the front of the foot or what we call forefoot pain. This pain is often described as burning tingling or numbness or stabbing pain that increases with activity or ambulation. There doesn’t have to be a history of any trauma or previous injury however there usually are other foot problems that are present. These other problems can include a bunion or a tight calf muscle or deviated toes. These can contribute to forefoot overloading which ultimately lead to capsulitis or metatarsalgia.
Capsulitis typically refers to inflammation of the joint for multiple joints in the front of the foot. Often times this joint is the second toe and can begin to swell increasing irritation around the joint. As the swelling gets worse it can begin to push on the nerves in the front of the foot and present with increased numbness and tingling that can often mimick neuroma. Neuromas are not typically in this location are more common in the third, however it is important to differentiate between the 2 as the treatment is different.
Metatarsalgia is more of a generic term for pain in the metatarsal bones. There are 5 metatarsal bones in the foot and typically the first metatarsal can cause pain and irritation. It is not uncommon to have arthritis in these joints that can also cause a great deal of pain.
I recommend anybody with forefoot pain make an appointment to decrease the likelihood of continued or progressive pain. Give us a call today at 425-391-8666 or make an appointment online.
Sincerely,
Board-Certified Foot and Ankle Physician
