Dr. Berg's Foot Facts

Posts for tag: capsulitis

By Dr. Rion Berg
May 11, 2017
Category: Neuroma

As we begin to see more sustained sunshine in Seattle everyone is wants to get outside to catch some rays. You're walking more and you start to notice that you're having pain in the ball of your foot.

What's going on here?

There are two conditions that most commonly cause the pain you're experiencing. But finding out the exact cause will take an assessment from a Seattle podiatrist.

Fortunately there are a few clues that can help you determine which condition it is so that you don't cause yourself more pain than you're already experiencing. Here are two potentials causes of your ball of foot pain.

A neuroma (often called a Morton's Neuroma) is an inflamed nerve that runs between your 3rd and 4th toes on one or both feet. The inflammation causes a thickening of the tissues around the nerve which results in numbness, burning, or shooting pain.

The pain is worse when you hike downhill or wear a high heeled shoe since both of these situations will put more pressure on the ball of your foot. If you take off your hiking boots and give yourself a massage you'll feel better. You also won't experience more pain by walking barefoot.

Bursitis or Capsulitis (under the ball of your foot)
Bursitis under the ball of the foot is caused by an inflamed joint, whereas, capsulitis is inflammation of the ligament under the bottom of your foot. The pain can have an aching quality to it or can be sharp at times. These conditions are aggravated by walking barefoot, wearing high heels, or after prolonged activity.

Although these are separate conditions they will both respond well to:

  • Using a metatarsal pad

  • Wearing wider shoes

  • Staying out of high heeled shoes

Call us today at 206-368-7000 for an appointment. Often same day for emergencies and less than 2 weeks for chronic foot pain. You can also request an appointment online.

Get our free foot book "No More Foot Pain", mailed directly to your home.

Seattle foot and ankle specialist, Dr. Rion Berg offers foot care for patients with bunions, heel pain, diabetes, fungal toenails, ingrown nails, and surgical solutions when needed to residents of Seattle, Bellevue, Kirkland, Shoreline, Lake Forest Park, Mountlake Terrace, Lynnwood and other surrounding suburbs.

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By Dr. Rion Berg
April 10, 2015
Category: Bunions
Tags: orthotics   metatarsalgia   capsulitis  

Pain under the ball of the foot and second toe can occur for several reasons. Recently a friend returned home from a trip to see her mom. Her mother had been complaining about pain under the ball of her right foot directly beneath her second right toe. After seeing pictures of her mom's foot and understanding the symptoms I was able to formulate a possible diagnosis.  

Causes of Pain

Bunions or the bony protuberance that forms on the side of the big toe joint can be very painful and can also cause other problems with the foot. In the case of my friend's mother, she clearly has a bunion which has shifted her second toe and became a hammertoe. Hammertoes can cause the toe to lift placing undo pressure on the ball of the foot and can also cause pain at the top from rubbing against shoes.

Another condition, metatarsalgia occurs when one of the metatarsal bones (the toe bones) becomes inflamed and painful. Causes of metatarsalgia can include arthritis, foot injury, working long hours on hard surfaces, and certain types of rigid-soled footwear.

Capsulitis is a painful condition that occurs when the ligaments surrounding the toes becomes inflamed. If this condition goes untreated it can lead to dislocation of the toe. The most common cause is faulty foot mechanics where the ball of the foot beneath the toe joint takes on a lot of weight-bearing pressure. In addition to having a bunion, other foot problems that can cause capsulitis are a second toe longer than the big toe, an unstable arch, and tight calf muscles.


Although treatment varies for each of these conditions, they all will be helped by wearing supportive shoes and an insert or orthotic.

If you feel pain in the ball of your foot or under your second toe, make an appointment today at the Foot and Ankle Center of Lake by calling 206-368-7000 or requesting an appointment online.