What is Metatarsalphalangeal Joint Synovitis?
Metatarsophalangeal (MTP) joint synovitis is a condition characterised by inflammation of the synovial lining of the metatarsophalangeal joint, which is the joint at the base of the toes where the metatarsal bones (long bones of the foot) articulate with the phalanges (toe bones). Synovitis can result from various causes, including overuse, injury, autoimmune conditions like rheumatoid arthritis, or infections.
Symptoms of MTP joint synovitis may include:
Pain: Pain at the base of the toes, especially during weight-bearing activities or when walking.
Swelling: Swelling and inflammation around the affected joint.
Stiffness: Reduced range of motion in the affected joint, leading to stiffness, especially during toe movement.
Warmth and Redness: The affected area may feel warm to the touch, and the skin over the joint may appear red due to inflammation.
Treatment for MTP joint synovitis aims to reduce inflammation, relieve pain, and improve joint function. Here are some common treatment options:
Rest and Activity Modification: Resting the foot and avoiding activities that aggravate symptoms can help reduce inflammation and allow the joint to heal. Modifying activities to reduce stress on the affected joint may also be beneficial.
Physiotherapy: Specific exercises and stretches can help improve joint mobility, strengthen surrounding muscles, and reduce pain.
Ice Therapy: Applying ice packs to the affected area can help reduce pain and inflammation. Ice should be applied for about 15-20 minutes at a time, several times a day.
Orthotics or Shoe Inserts: Custom orthotic inserts or supportive footwear may help reduce pressure on the affected joint and improve biomechanics, especially for individuals with structural abnormalities or foot deformities contributing to MTP joint synovitis.
Immobilisation: In some cases, wearing a splint, brace, or rigid shoe may be recommended to immobilize the joint and allow it to rest and heal.
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter NSAIDs can help reduce pain and inflammation. However, long-term use should be monitored by a healthcare professional.
Steroid Injections: Corticosteroid injections into the joint can provide temporary relief of pain and inflammation for individuals with severe symptoms. These injections are typically performed by a healthcare professional.
Surgical Intervention: In severe cases that do not respond to conservative treatment, surgical options such as synovectomy (removal of inflamed synovial tissue) or joint fusion may be considered. However, surgery is usually reserved for cases where other treatments have been ineffective.
It's essential for individuals experiencing symptoms of MTP joint synovitis to consult with a healthcare professional, such as a physiotherapist or podiatrist, for an accurate diagnosis and appropriate treatment plan tailored to their specific needs.
