这些天您在家工作吗？很可能您仍然可以从腰部供您使用的工作电话，但您可能会在其他地方露面 - 露出脚。
While it may seem harmless to let your tootsies roam free, doing so may actually be taking a toll on your feet—namely your toes. Too much of the wrong kind of pressure and stress can cause toe pain and inflammation in the toe joints, known as capsulitis or metatarsalgia.
“We’re seeing more people these days with foot troubles, because so many are walking and jogging with gyms being shut down. Additionally, people are walking around the house barefoot, with socks or slippers and are even going shoeless whileworking out at home,” saidJoseph Dobrusin，DPM，亚利桑那州Banner Health主頁(欢迎您)的足病医生。“这导致了脚步问题plantar fasciitis甚至连关节疼痛，包括第二脚趾的胶囊炎或metatargia。”
什么是囊炎？
Capsulitis is an inflammation of the structures surrounding the joints of the metatarsal, where the toe meets the ball of the foot. The connective tissues form a capsule around the bone, which hold them together. While capsulitis can develop in the third and fourth toes, the most susceptible digit is the second toe (the toe closest to your big toe).
Capsulitis of the Second Toe
第二脚趾的囊炎是一种进行性疾病，这意味着它只会随着时间的流逝而变得更糟。首先，您可能会注意到脚趾疼痛，关节疼痛或脚在第二脚趾附近的球周围肿胀。您可能还会注意到，赤脚行走或进行某些活动（例如蹲伏）更加痛苦。
第二脚趾囊炎的最常见原因通常是由遗传因素和过度使用的组合引起的。某些条件或特征也可以使您更容易在第二脚趾接头周围脚球体验压力。这些包括：
- A second toe that’s longer than your big toe
- Abunionor hammertoe
- 平脚或低拱形
- Wearing high heelsor unsupportive shoes that cause excessive bending of the toes
脚趾疼痛，没有收益 - 得到适当的诊断
The good news is that if you catch this problem early, there are some non-surgical, conservative treatment options that can get you back on your feet and toes pain-free. To diagnose capsulitis of the second toe, you’ll want to see an expert, such as podiatrist, who can properly evaluate your feet and your biomechanics. The reason for this is that capsulitis often resembles another condition, Morton’s neuroma, but the two require different treatment.
“It is often misdiagnosed as another condition known as Morton’s neuroma, but they are distinctly different,” Dr. Dobrusin said. “The difference is that Morton’s occurs in the nerves and not the joints and presents with sharp, excruciating pain in third and fourth toes and not the second toe. You’ll want to see someone who can distinguish between nerve and non-nerve related conditions so proper treatment can be given.”
诊断囊炎,医生ay apply pressure to your foot and maneuver it to reproduce symptoms. They may also order X-rays to confirm a diagnosis.
Treating Capsulitis of the Second Toe
Early intervention and treatment are crucial to preventing further damage to your feet and joints. And one of the easiest things you can do to help treat this condition, but hardest for those who are very active, is rest.
“如果您是徒步旅行者或跑步者，请休息一下。如果您是舞者，请减少可能导致压力的原因。” Dobrusin博士说。“这是一种炎症状况，这意味着您需要给它时间冷静下来并治愈。”
您的医生可能还会早点推荐其中一个或多个治疗选择:
- Heat or Ice.Your doctor may recommend one or the other or a combination of the two.
- 口服药物。Non-steroidal anti-inflammatory drugs (NSAIDs), such as Aleve, may help relieve pain and inflammation, but make sure to check with your primary care doctor first.
- 鞋修改。Throw those flip-flops and slippers in your closet and wear supportive shoes with stiff soles and proper arch support. Your doctor may recommend a metatarsal pad or orthotic insert to relieve pressure on your second toe and the ball of your foot.
- 录音。可能有必要用胶带固定脚趾以减轻疼痛并防止进一步移动。
Typically, if treated early, surgery is not necessary. However, if conservative treatment options aren’t effective and if you have a deformity such as a bunion or hammertoe, you may need surgery. Surgery may entail correcting the position of the toe, any associated deformity and/or repairing the injured joint capsule.
Schedule an Appointment
Don’t let toe pain get you down. Let Banner Health help you manage and treat your foot and toe concerns. To find a Banner Health specialist near you, visitbannerhealth.com.
Got other Feet Concerns?
从flip-flopstohiking boots and blisterstofunky feet, learn more about how to protect your tootsies. Get a leg up on foot health by checking out these quick reads on ourBanner Health blog.
