Generally speaking, this condition refers to inflammation and pain of the capsule of any joint in the body. When referring to the foot, it most commonly affects the 2nd toe metatarsal phalangeal joint. Pain will range from mild to severe and patients will most commonly state that they can no longer walk barefoot without some level of pain or discomfort. Also, the pain will increase with increased activity. In the more severe or more advanced cases, you will notice the beginning of a hammer toe and some swelling and warm at this area. This condition is most commonly a result of other conditions of the foot including 1st ray instability/hypermobility, Freigberg’s infarction, hammer toe, neuroma, plantar plate rupture/tear. X rays are needed to identify this condition. Typically, an injection of cortisone or stem cells is extremely effective in alleviating this condition, short term. A custom insert will be extremely effective for long term relief and prevention of recurrence. In the most severe cases, surgical options are available.