First podiatrist I went to Dx me with Fasciitis and neuromas. She never did any diagnostic imaging. Just a examination. She made me custom inserts. After going back and forth for over a year with same amount of pain I went to another podiastrist this week. He did xrays and an ultrasound. He said I have inflammation on the second metatrsal joint. He wants me to get bone scan to check for stress fracture. He Dx me with capsulitis.
What is the progonsis of capsulitis? If there is a stress fracture, is that the cause of it?
I was first diagnosed with Capsulitis in which the Dr wanted to shorten my middle toe and put a pin my foot. I think you are doing great in getting as many opinions as possible. I would really try and seek out a foot specialist next.
I found a little explanation for you.
Keep us posted on your progress.
There are several possible ways to treat the acute symptoms of capsulitis: rest, ice, anti-inflammatory medications, steroid injections, massage, physiotherapy, shoe changes, and padding are just a few.
Orthoses designed to redistribute weight away from a prominent bone is likely best for chronic capsulitis.
Surgery to repair ruptured joint capsule may be indicated when it's torn. If the metatarsal bone is "dropped" or too long, surgery may be considered to lift or shorten the bone. Over a dozen procedures may be considered for this, but two commonly employed for this procedure are the Jacoby Osteotomy (a "V"-shaped bone cut made from top to bottom, allowing the bone to elevate) or a Weil Procedure (an oblique bone cut that allows the bone to be elevated and shortened.)
The ultrasound showed a "moderate" amount of inflammation under and around the 2nd metatarsal joint. The doc believes something must be causing this, perhaps a stress fracture. He didn't say anything about shortening the bone, although my 2nd toe is longer than the big toe, not sure if this is normal or not. I'm hoping the bone scan will clear a few things up and get to the bottom of this.
That sounds like a good start. The bone scan will surely show if there is a fracture. When are you scheduled? Well, I hope you are able to solve your foot problems finally. I am looking into cryosurgery for my foot. I am waiting for my Dr to get back to me on his thoughts on this procedure.