Capsulitis Treatment
Expert treatment for painful inflammation of the toe joints. We diagnose and treat capsulitis to prevent progression and permanent damage.
HCPC Registered Chiropodists & Podiatrists · Royal College of Podiatry Member · Fellow of the Royal College of Physicians & Surgeons of Glasgow · MCSP Chartered Physiotherapist · Physio First Member · BUPA & WPA Recognised
What is Capsulitis?
Capsulitis is inflammation of the ligaments surrounding the joints at the base of the toes (metatarsophalangeal joints). It most commonly affects the second toe but can occur in any toe joint.
Without proper treatment, capsulitis can lead to toe dislocation or crossover toe, where the affected toe drifts toward the big toe. Early diagnosis and treatment are key to preventing these complications.
Common Symptoms
- Pain in the ball of the foot near the toes
- Feeling like there's a stone in your shoe
- Swelling at the base of the toe
- Pain when walking barefoot
- Toe beginning to drift or cross over
- Difficulty wearing certain shoes
Common Causes
- Abnormal foot mechanics
- Bunion causing pressure redistribution
- Second toe longer than big toe
- Unstable arch or tight calf muscles
- High-heeled or unsupportive shoes
- Trauma or repetitive stress
How We Treat Capsulitis
We take capsulitis seriously because early treatment is essential to prevent permanent damage. Our approach combines offloading the affected joint, addressing biomechanical issues, and reducing inflammation. Offloading the joint often involves custom insoles that take pressure off the inflamed area while it settles.
Taping & Splinting
Stabilises the toe and prevents further drifting while reducing stress on the joint.
Custom Orthotics
Redistributes pressure away from the affected joint and corrects biomechanical issues.
Footwear Modification
Guidance on supportive shoes with adequate room and cushioning.
Anti-inflammatory Treatment
Ice, medication, and potentially corticosteroid injection for acute inflammation.
Ready to get capsulitis treated?
When to Seek Professional Help
- Pain in the ball of your foot persists
- You notice your toe starting to drift
- Pain increases when walking or running
- Swelling doesn't go down with rest
- Other treatments haven't helped
Frequently Asked Questions
Common questions about Capsulitis at Lower Limb Clinic.
Clinically reviewed by Paul McMullan
MSc Podiatric Sports Medicine (QMUL) · FRCPSGlasg · HCPC Registered
Lead Podiatrist & Clinical Director, Lower Limb Clinic Belfast
Get Expert Treatment
- Same-week appointments available
- No GP referral needed
- MSc-qualified specialists
Related Conditions
Find Your Nearest Clinic
Get specialist Capsulitis treatment at your nearest Belfast clinic
Lisburn Road Clinic
385 Lisburn Road, BT9 7EP
Ormeau Road Clinic
373 Ormeau Road, BT7 3GP
We serve patients from across Belfast and Northern Ireland including East Belfast, South Belfast, Lisburn, Bangor, Holywood, Newtownards, Dundonald, Carryduff, Hillsborough, and Comber.