Again, I have had this problem before and as mentioned in prior blogs I did many of the appropriate initial treatments listed in my previous blogs.  The next step to consider is some of the other alternative treatments.  We used to do cortisone injections for this, and we do that very rarely now.  There is a non-cortisone anti-inflammatory called Injectable Sterile Traumeel that has much decreased potential risk for damaging the capsule (unlike cortisone).  There is also PRP–platelet rich plasma.  This can be very effective especially when combined with shockwave treatment.  Shockwave treatment can also be done as a stand-alone procedure.  The problem with some of these additional treatment options is that they often take several months to really be effective.  That's where it's hard to do this but one needs to have patience.  Again, that's where cross training can be helpful such as cycling or aqua jogging.  For my capsulitis as mentioned, I did the typical initial treatments.  I wore special orthotics modified for the capsulitis, I have shoes with a good rocker design, I don't go barefoot at home.  I work on stretching my calf and I have a night splint .  I stopped running for exercise and only did walking.

 

Finally, I had to have shockwave treatment.  I had a series of 5 treatments, and it did take several months but the symptoms have completely resolved. Because I have significant pronation I am vulnerable to reoccurrence of this problem.