Understanding Arthritis and How It Affects Your Feet
Arthritis is a common condition that affects millions of people worldwide—and it doesn’t just target the hands or knees. In fact, the feet and ankles are often some of the first areas impacted by arthritic changes. Given the feet contain 33 joints, it’s no surprise that arthritis can significantly affect mobility and quality of life.
In this blog, we explore how arthritis affects the feet, the different types of arthritis, symptoms to watch for, and how podiatric care can help manage pain and preserve mobility.
Types of Arthritis That Affect the Feet
There are many forms of arthritis, but the most common types that affect the feet include:
- Osteoarthritis
This “wear and tear” arthritis occurs when the cartilage in joints breaks down over time. It’s common in the big toe, midfoot, and ankle joints and can cause stiffness and swelling.
- Rheumatoid Arthritis (RA)
RA is an autoimmune condition where the body attacks joint linings. It often affects smaller joints first, such as those in the feet, and can lead to joint deformities and painful swelling.
- Gout
A form of inflammatory arthritis caused by a buildup of uric acid crystals, gout often presents suddenly with intense pain, commonly in the big toe.
- Psoriatic Arthritis
This condition is associated with psoriasis and can cause swelling, stiffness, and changes in toenails. It may affect one or both feet and sometimes mimics other arthritic conditions.
Common Symptoms of Foot Arthritis
- Joint pain and tenderness
- Stiffness, especially in the morning or after periods of inactivity
- Swelling around the joints
- Redness or warmth in affected areas
- Reduced range of motion
- Development of bunions, hammertoes, or flat feet
- Pain when walking or standing for long periods
How Can a Podiatrist Help?
A podiatrist plays a key role in the diagnosis, treatment, and management of arthritis in the feet. Your podiatrist may recommend:
✅ Footwear Advice
Proper footwear is essential. Supportive shoes with a wide toe box and cushioning help reduce joint stress. Your podiatrist may also suggest specific brands or modifications.
✅ Custom Orthotics
Custom-made orthotic inserts can help distribute pressure evenly, improve alignment, and relieve joint pain during walking.
✅ Joint Padding and Strapping
Padding and taping techniques can offload painful joints, improve mobility, and reduce friction and pressure points.
✅ Physical Therapy and Exercises
Targeted exercises may be prescribed to improve flexibility, strength, and joint function without overloading affected areas.
✅ Medications
Your podiatrist may work with your GP or rheumatologist to help coordinate anti-inflammatory medications or other systemic treatments.
Tips for Managing Arthritis in the Feet at Home
- Use warm foot soaks or cold packs to ease pain and inflammation
- Maintain a healthy weight to reduce pressure on joints
- Perform gentle foot and ankle exercises to maintain flexibility
- Use a walking aid or brace during flare-ups to reduce strain
- Avoid high-impact activities—opt for swimming, cycling, or gentle walking
When to See a Podiatrist
If you are experiencing persistent foot pain, stiffness, or swelling, or suspect arthritis may be affecting your mobility, it’s best to seek a professional assessment. Early diagnosis and tailored management can significantly improve comfort and help preserve your independence.
FAQs – Arthritis and Foot Pain
- What are the first signs of arthritis in feet?
Common early signs include joint pain, stiffness (especially in the morning), swelling, and difficulty walking or standing for long periods. - What does arthritis in the foot feel like?
It often feels like a deep, aching pain in the joints, which may be accompanied by stiffness, tenderness, and swelling—especially after activity or rest. - Can arthritis cause foot pain when walking?
Yes. Arthritis can make walking painful due to joint inflammation and stiffness, particularly in the toes, midfoot, or ankles. - How do you treat arthritis in your feet naturally?
Non-medical approaches may include wearing supportive footwear, using orthotic insoles, applying ice or heat, gentle stretching, and maintaining a healthy weight to reduce pressure on joints. - What is the best shoe for arthritic feet?
Supportive shoes with good arch support, cushioning, a wide toe box, and a low heel are ideal. Rocker-bottom soles and custom orthotics may also help. - Does podiatry help with arthritis?
Yes. Podiatrists offer treatments such as orthotics, footwear advice, joint mobilisation, and pain management strategies to relieve foot arthritis symptoms. - What type of arthritis affects the feet most?
Osteoarthritis is most common, but rheumatoid arthritis, psoriatic arthritis, and gout also frequently affect the feet. - Can you reverse arthritis in your feet?
Arthritis cannot be reversed, but symptoms can be effectively managed with early intervention, lifestyle changes, and professional care to maintain mobility and reduce pain.
Dylan McDonald (Podiatrist)