Capsulitis

Capsulitis is an inflammatory condition affecting the ligaments and soft tissues that surround and stabilize the joints of the toes. When the joint capsule becomes irritated—often from repetitive stress, pressure overload, or structural imbalances—it can lead to swelling, tenderness, instability, and a deep aching or burning pain in the ball of the foot. The discomfort often worsens when walking barefoot, wearing flexible shoes, or pushing off the toes.

Although capsulitis can affect any toe joint, it most commonly involves the joint beneath the second toe. If left untreated, the inflammation may weaken the supporting structures, allowing the toe to drift, lift, or even begin overlapping neighboring toes. Early recognition and treatment are key to preventing progression into more complex conditions such as plantar plate tears or hammertoe deformities.

At New Orleans Podiatry, diagnosis begins with a careful clinical examination and targeted imaging to determine the severity of the inflammation and identify underlying contributors—such as long metatarsals, bunions, tight calf muscles, plantar-flexed metatarsals, or high-impact activity. By understanding the mechanical forces at play, we can create a treatment plan that not only relieves pain but also addresses the root cause.

Treatment is tailored to calm inflammation, reduce stress on the affected joint, and protect the supporting structures. Depending on your needs, care may include footwear optimization, custom offloading techniques, prescription orthotics, targeted stretching programs, anti-inflammatory protocols, and Class IV laser therapy. Advanced injection therapy may also be used to reduce inflammation and promote healing when symptoms are persistent.

When capsulitis leads to instability or deformity—or when conservative care no longer provides adequate relief—surgical intervention may be considered. Dr. Lang offers refined corrective procedures that rebalance the forefoot, repair or reinforce destabilized structures, and restore proper alignment with long-term comfort in mind.

With accurate diagnosis and early, thoughtful care, most patients experience significant improvement in pain, stability, and overall foot function—allowing you to walk, stand, and move with renewed ease.