Capsulitis is inflammation of a joint capsule. The second MTP joint is one of the capsules that most commonly experiences inflammation. Each foot possesses five MTP joints that connect your toe bones, or phalanges, with your metatarsal bones—long, thin bones located in your mid-foot.
Pain associated with capsulitis of the second metatarsal phalangeal joint, or the second MTP joint, is felt in the ball of the foot especially near the base of the second and sometimes third or fourth toes. Sometimes there is even swelling in the knuckle behind the second toe. Pain in the second MTP joint is often diagnosed as second MTP joint capsulitis. This is a bit of a catch all term but in general is like inflammation of the ligaments around this joint because of a stress overload and increase weight bearing and a disproportionate manner to this joint.
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