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Molly Maloof, MD

Director of Clinical Content
@DoctorBase

Rheumatoid Arthritis Foot Pain

I have rheumatoid arthritis and experience a lot of foot pain. Would a podiatrist be of any assistance? Thank you.
Poster
  • Female | 36 years old
  • Complaint duration: 90 days
  • Ethnicity: Caucasian / White
  • Height: 66
  • Medications: Indomethacin, Humira, Methotrexate, Folic Acid
  • Conditions: Rheumatoid arthritis, Rheumatoid Heart Disease, Trigger Finger, Pericarditis, Anemia
  • Hospitalizations: 11/15/2014-11/20/2014 Regional Medical Center Bayonet Pointe, Hudson Florida

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Featured Answer

2 UpVoted this answer
Absolutely. There is a myriad of medical, palliative non-surgical, and reconstructive options, depending on the severity, and your lifestyle.
Jeffrey Lerner
2 UpVoted this answer
Yes! There are a number of accommodative things that can be done to make you comfortable as well as surgical intervention for deformity causing pain. Rheumatoid is a progressive disorder and should be monitored as well. Establishing a relationship with a good foot doctor is in your best interest going forward!
Joseph Bava
1 UpVoted this answer
I am surprised you were not referred to a podiatrist by now. Podiatrists specialize in treatment of foot and ankle problems. There are conservative treatment options that are safe and can help. Shoes, orthotics, diabetic insoles, injections,topical medications can all be helpful. Since you are young and might need surgery later it would be wise to find a doctor who will work with you and make sure you are seen on a routine basis. If something changes and you need treatment or surgery a doctor familiar with your history will be an asset
Jerald Askin
1 UpVoted this answer
Definitely! Your foot pain is best managed conservatively, and if necessary surgically by a skilled podiatrist.
1 UpVoted this answer
Absolutely. A podiatrist who is involved in a multidisciplinary practice or institution would be best. Often these specialist will coordinate their care with dermatology, rheumatology and orthopaedic surgery to ensure optimization of care for their patients. When it comes to patients with rheumatoid arthritis, there are many things that an experienced podiatrist can assist with including: callus / nail care, custom accommodative orthotics, shoe recommendations, and reconstructive foot surgery.
1 UpVoted this answer
Most podiatrists see many patients with RA. We work in in collaboration with a patient's rheumatologist and primary care doctor. Many patients benefit from custom orthoses and appropriate shoe gear. Surgery may be an option for some patients, but as always it depends on the symptoms, pain, and the extent of the deformity. The majority of my patients with RA usually benefit best from a soft orthoses to accommodate the ball of the foot, as the fat pad is often thin and the metatarsal bones become prominent and painful. If your rheumatologist works closely with a podiatrist, ask him/her for a recommendation. Best of luck.
Roland Tolliver
1 UpVoted this answer
Yes a Podiatrist can help. There are several surgical procedures that may benefit. However getting a prescription for a specific type of shoe and insole could help alleviate some of the pain.

Thanks
Adam Rammacher
1 UpVoted this answer
Hi, it is a good wuestion and a podiatriat should be part of you medical team. Proper foot wear, foot arch support, costom foot orthotics, and evaluation of your walk.
Dejan Radic
1 UpVoted this answer
The previous responses are all accurate. Whenever you get 10 doctors to agree to anything, it must be true! So, yes, podiatry is a good resource for you. I wish you the best in your treatment.
Jacob Goldstein
1 UpVoted this answer
A podiatrist can certainly help in both in being able to determine the exact nature and extent of the problems in your feet. There may be arthritic changes to multiple joints, deformities as well as various tendon and other soft tissue pathology present. Also, just because you have rheumatoid arthritis does not automatically mean that every foot problem you are experiencing is necessarily related to your rheumatoid arthritis. A podiatrist can discuss both conservative and surgical treatment options for your conditions and provide recommendations on the best treatments for your particular problems.