Introduction
Rheumatoid arthritis (RA) affects more than 1.3 million Americans, and while it’s commonly associated with the hands, it can severely impact your feet and ankles, too. When left untreated, RA in the feet can cause pain, deformity, and difficulty walking — ultimately affecting your quality of life.
At Sole Foot and Ankle in Valparaiso, Indiana, we often see patients whose foot issues were the first sign of RA. Whether you’re newly diagnosed or managing long-term symptoms, understanding the signs, causes, and treatment options for RA is key to protecting your mobility.
Key Takeaways
- Rheumatoid arthritis is an autoimmune condition that often starts in smaller joints like the feet and ankles.
- It causes chronic inflammation, pain, and joint damage if not properly managed.
- Early diagnosis and treatment are critical to slowing disease progression.
- A podiatrist can help manage foot-specific symptoms with customized care.
- Treatments range from medication to orthotics and, in severe cases, surgery.
What Is Rheumatoid Arthritis?
Rheumatoid arthritis is a chronic autoimmune disorder that causes the immune system to mistakenly attack the body’s joints — especially the synovium (lining of joints). Unlike osteoarthritis, which is wear-and-tear-related, RA stems from an abnormal immune response.
It often begins in the small joints of the feet and hands, gradually progressing to larger joints if untreated. The inflammation can cause pain, stiffness, swelling, and even joint deformities over time.
What Causes It?
The exact cause of RA is still unknown, but it’s believed to be a mix of genetic and environmental factors. Here are some known triggers:
- Genetics: Certain genes (like HLA-DR4) increase your risk.
- Hormones: RA is more common in women, suggesting estrogen may play a role.
- Smoking: A known environmental trigger that raises RA risk.
- Infections: Some viral or bacterial infections may spark immune system dysfunction.
Early Warning Signs & Symptoms
Rheumatoid arthritis symptoms can start subtly, especially in the feet. Early recognition is key.
Common RA symptoms in the feet and ankles include:
- Persistent pain or stiffness in the ball of the foot
- Swelling and warmth in joints
- Difficulty walking in the morning or after rest
- Changes in foot shape (bunions, collapsed arches, hammertoes)
- Pain in both feet (symmetrical joint involvement)
General symptoms may include fatigue, low-grade fever, and weight loss.
Rheumatoid Arthritis vs. Other Types of Arthritis
RA can sometimes be confused with osteoarthritis or gout. Here’s a quick comparison:
| Feature | Rheumatoid Arthritis (RA) | Osteoarthritis (OA) | Gout |
|---|---|---|---|
| Cause | Autoimmune | Wear-and-tear | Uric acid crystal buildup |
| Joint Involvement | Symmetrical, small joints | Asymmetrical, weight-bearing joints | Usually one joint (big toe) |
| Morning Stiffness | Lasts >1 hour | <30 minutes | Sudden, intense attacks |
| Joint Appearance | Red, warm, swollen | May be bony, less swelling | Very red, tender, swollen |
| Systemic Symptoms | Yes (fatigue, fever) | No | Sometimes (fever, chills) |
Treatment Options for Foot and Ankle RA
While RA isn’t curable, it is treatable — especially when addressed early. Your podiatrist plays an essential role in managing foot-related symptoms.
1. Medications
- DMARDs (Disease-Modifying Anti-Rheumatic Drugs): Slow the progression of RA.
- Biologics: Target specific immune responses.
- NSAIDs and corticosteroids: Help with pain and inflammation.
2. Footwear Modifications and Custom Orthotics
- Supportive shoes and custom orthotics reduce joint stress and improve mobility.
- Shoe inserts can help realign the foot and reduce pain.
3. Physical Therapy
- Range-of-motion exercises prevent joint stiffness.
- Stretching and strengthening improve balance and gait.
4. Lifestyle Adjustments
- Weight management reduces stress on joints.
- Anti-inflammatory diets may ease symptoms.
5. Surgical Options (for severe cases)
- Joint fusion (arthrodesis)
- Joint replacement
- Removal of inflamed tissues or bone spurs
When to See a Podiatrist
If you’re experiencing persistent foot or ankle pain, especially if it’s symmetrical and worsens in the morning, don’t wait to get help. Early intervention can protect your joints from long-term damage.
At Sole Foot and Ankle, our Valparaiso podiatrists are trained to detect early signs of RA and work alongside your rheumatologist to provide foot-focused treatment. We help you walk more comfortably and live more fully — with personalized care plans designed for long-term relief.
How Sole Foot and Ankle Can Help
From custom orthotics and imaging to surgical care when necessary, we offer a full range of podiatric services in Valparaiso tailored to patients with arthritis.
If you’ve been searching for a “foot doctor near me” or need a podiatrist in Valparaiso experienced in treating rheumatoid arthritis, Sole Foot and Ankle is here to support your journey.
Schedule a consultation today and take the first step toward better foot health.
Frequently Asked Questions
1. Can rheumatoid arthritis go away?
RA is a chronic condition, but symptoms can go into remission with proper treatment.
2. Can RA affect only the feet?
Yes. In some people, RA symptoms start — and may remain — in the feet.
3. Is walking good for RA in the feet?
Yes, in moderation. Low-impact exercise helps maintain joint function but should be done under medical guidance.
4. How do I know if my foot pain is RA or something else?
RA often causes symmetrical pain, swelling, and stiffness in the morning. A podiatrist can help confirm the cause with imaging and physical exams.
