Capsular Repair

The joint capsule is a strong, fibrous structure that surrounds and stabilizes the joints of the toes. When this capsule becomes stretched, torn, or weakened—often from repetitive stress, trauma, deformity, or chronic inflammation—the joint can lose stability. This instability may lead to pain in the ball of the foot, swelling, drifting or lifting of the toe, and difficulty wearing shoes comfortably. Left untreated, capsular damage can progress, contributing to hammertoe formation, joint dislocation, or worsening forefoot deformity.

Capsular injuries are more common than many realize, particularly in individuals with long metatarsals, bunions, hammertoes, plantar-flexed metatarsals, or a history of overuse. Because the capsule plays such a vital role in keeping the toe properly aligned, even a subtle injury can significantly affect how the foot feels and functions.

At New Orleans Podiatry, capsular repair focuses on restoring strength, stability, and proper alignment to the affected joint. During this procedure, Dr. Lang carefully reconstructs or reinforces the damaged capsule, rebalances the toe, and protects the joint from further breakdown. When appropriate, minimally invasive techniques may be used to reduce scarring, shorten recovery, and create a more refined aesthetic outcome.

To enhance healing and support capsule integrity, PRP regenerative therapy using the Arthrex Angel® System may be incorporated. This concentrated platelet and growth-factor infusion promotes collagen remodeling, reduces inflammation, and accelerates tissue repair—providing a biologically enhanced foundation for long-term joint stability.

Your evaluation will include a detailed clinical examination and targeted imaging to determine the extent of capsular damage and identify related issues, such as plantar plate injuries or pressure overload beneath the joint. For patients with thinning forefoot cushioning, Leneva® Fat Pad Restoration can be added to improve protection and long-term comfort.

Following capsular repair, patients are guided through a structured recovery plan designed to protect the repair and gradually restore normal activity. Most individuals experience meaningful pain relief, improved toe stability, and a return to comfortable, confident movement.

Capsular repair not only corrects the source of instability—it preserves the long-term health and harmony of the forefoot, allowing your foot to move the way it was meant to.