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Bunions, Toes & Forefoot Conditions

Capsulitis & Plantar Plate Injuries and Tears

Causes, symptoms, and treatment for capsulitis and plantar plate injuries, with care at 15 clinics across Middle Tennessee.

Part of Bunions, Toes & Forefoot Conditions

Understanding capsulitis and plantar plate injuries and your options.

The plantar plate is a strong band of tissue under the joint at the base of each toe. It holds the toe in place and helps it push off the ground. Capsulitis is swelling of the joint lining around it, and a tear means the band has been stretched or torn.

Most often it affects the second toe joint. Early care can protect the joint before the toe starts to drift.

Request an appointmentCall 615-220-8788
Capsulitis & Plantar Plate Injuries and Tears care

Symptoms

Signs of capsulitis and plantar plate injuries.

If you notice these signs, an exam can give you clear answers.

  • 01

    Pain under the ball of the foot at the base of a toe

  • 02

    Swelling at the joint

  • 03

    A toe that starts to float up or drift sideways

  • 04

    A feeling of walking on a folded sock

Why it happens

What can cause capsulitis and plantar plate injuries.

  • 01

    Repeated stress on the forefoot from activity

  • 02

    A long second toe or a bunion pushing on the joint

  • 03

    Tight calf muscles that overload the front of the foot

  • 04

    Steroid injections or an old injury near the joint

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Diagnosis and care

How we treat capsulitis and plantar plate injuries.

Step 1 · Diagnosis

We test the joint by gently moving the toe to see if it feels loose or unstable. Ultrasound or MRI can show the plantar plate and whether it is inflamed or torn. X-rays help us check the bones.

Step 2 · Treatment

Taping the toe to hold it in a better position takes strain off the plate. A stiff-soled or rocker shoe, a metatarsal pad, and orthotics reduce load on the joint. Some patients wear a walking boot for a short time. Physical therapy and shockwave therapy may be added for lingering pain.

If the tear is large or the toe keeps drifting, surgery can repair the plate and realign the toe. Early cases often improve without it.

Recovery

What to expect over time.

Healing is slow, and many people need eight to twelve weeks or longer to feel much better. Surgical recovery can take several months.

When to book

Do not wait it out.

See us if pain at the base of a toe lasts beyond a couple of weeks or if the toe begins to shift. Treating early gives the best chance of avoiding surgery.

Call 615-220-8788

Related care

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FAQ

Your questions answered.

Why is my second toe moving away from the big toe?

A weakened plantar plate can let the toe drift. This is a sign to be checked soon.

Are cortisone shots a good idea here?

They can help some joint pain but may weaken the tissue if overused. We weigh the risks with you first.

Get help with capsulitis and plantar plate injuries.

Request an appointmentCall 615-220-8788

Where we treat it

Capsulitis & Plantar Plate Injuries and Tears care at 15 clinics.

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