The second toe or second metatarsal usually get overshadowed by the big toe, until it causes toe pain and problems such as capsulitis of the second toe or metatarsalgia. Second toe pain commonly occurs on the bottom (ball) area of the foot (metatarsal) and can be associated with Morton’s Toe (longer second toe) and have a large callus.
Capsulitis of the second toe occurs when the ligaments that form the capsule of the second toe become inflamed (joint swelling) and painful.
Capsulitis of the second toe generally occurs from improper foot mechanics such and when the first toe puts pressure on the second toe during a bunion formation.
Weak foot intrinsic muscles, tight calf musculature, and irritation of the medial plantar nerve can increase stress on the second metatarsal and over time create second toe pain.