Dr. Berg's Foot Facts

Posts for tag: capsulitis

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

It's summer in Seattle and you're thrilled to be able to walk, bike, and hike more often. With all the increased physical activity you've started to notice pain in the ball of your foot. And you're wondering what's caused it.

Most often ball of foot pain will be in one specific area but sometimes you'll feel it across the entire ball of your foot. The location will depend on what's causing your pain to begin with.

The following conditions bring on ball of foot pain, however, many of these conditions can have similar causes and are made worse by the same things.


A neuroma (or 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. Early stage neuromas often feel like a bunched up sock under your toes and are intermittent. In later stages the symptoms are more constant and described as tingling, numbness, burning, or shooting pain.

People most predisposed to neuromas are those who:

  • wear pointy or high heeled shoes
  • have an abnormal foot structure such as bunions, hammertoes, and flat feet
  • have had foot trauma such as dropping a heavy object on their foot
  • run or participate in a high intensity sport

Capsulitis (under the ball of your foot)

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.

People most predisposed to capsulitis are those who:

  • have abnormal foot mechanics causing the ball of the foot beneath the second toe joint to take on more of the weight bearing; the second toe is often longer than the big toe

  • have a severe bunion deformity

  • have an arch that is structurally unstable

  • have tight calf muscles

Hallux rigidus

Perhaps you're feeling the pain primarily in your big toe, particularly when you walk or run. Very likely you have halllux rigidus also known at big stiff toe.

People most predisposed to hallux rigidus are those who:

  • have faulty foot mechanics such as flat feet

  • have structural abnormalities that can cause osteoarthritis of the big toe

  • an overuse injury or a stubbed toe

Turf toe

Turf toe is a condition that results from hyperextension of the big toe joint as the heel is raised off the ground. An external force is placed on the big toe, and the soft tissue structures that support the big toe on the top are torn or ruptured. Symptoms include pain, tenderness, and swelling of the toe joint. Turf toe can result in hallux rigidus.

People most predisposed to turf toe are those who:

  • Participate in team sports such as soccer and football. Football kickers are particularly at risk.


Pain in the ball of the foot that occurs on one or more bones is called metatarsalgia. It can be specific such as the pain felt with a neuroma between the 3rd and 4th toes or can involve the entire ball of the foot. It can be experienced as sharp, aching, or burning and feels worse when standing, walking, or running.

People most predisposed to metatarsalgia are those who:

  • have a high-arched foot or a foot with very long metatarsal bone

  • participate in high impact sports

  • wear improper shoes such high heel or rigid soled work boots

  • have had a foot injury - from sports, a car accident, or repeated stress

  • work on hard surfaces (cement or tile floors)

  • are overweight

If you're experiencing any of these symptoms, 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.