1(480) 840-3457 Request Appointment

Rheumatoid Arthritis in the Foot and Ankle

by | | 306 comments

What is Rheumatoid Arthritis?

Rheumatoid arthritis (RA) is a disease in which certain cells of the immune system malfunction and attack healthy joints.RA causes inflammation in the lining (synovium) of joints, most often the joints of the hands and feet. The signs of inflammation can include pain, swelling, redness, and a feeling of warmth around affected joints.

In some patients, chronic inflammation results in damage to the cartilage and bones in the joint. Serious damage can lead to permanent joint destruction, deformity, and disability.

When joints become inflamed due to RA, the synovium thickens and produces an excess of joint fluid. This overabundance of fluid, along with inflammatory chemicals released by the immune system, causes swelling and damage to the joint’s cartilage and bones.

Symptoms Affecting the Foot and Ankle

Foot problems caused by RA commonly occur in the forefoot (the ball of the foot, near the toes), although RA can also affect other areas of the foot and ankle. The most common signs and symptoms of RA-related foot problems, in addition to the abnormal appearance of deformities, are pain, swelling, joint stiffness, and difficulty walking.

Deformities and conditions associated with RA may include:

  • Rheumatoid nodules (lumps), which cause pain when they rub against shoes or, if they appear on the bottom of the foot, pain when walking
  • Dislocated toe joints
  • Hammertoes
  • Bunions
  • Heel pain
  • Achilles tendon pain
  • Flatfoot
  • Ankle pain

Diagnosis

RA is diagnosed on the basis of a clinical examination as well as blood tests. To further evaluate the patient’s foot and ankle problems, the surgeon may order x-rays and/or other imaging tests.

Treatment by the Foot and Ankle Surgeon

While treatment of RA focuses on the medication prescribed by a patient’s primary doctor or rheumatologist, the foot and ankle surgeon will develop a treatment plan aimed at relieving the pain of RA-related foot problems. The plan may include one or more of the following options:

  • Orthotic devices. The surgeon often fits the patient with custom orthotic devices to provide cushioning for rheumatoid nodules, minimize pain when walking, and give needed support to improve the foot’s mechanics.
  • Accommodative shoes. These are used to relieve pressure and pain and assist with walking.
  • Aspiration of fluid. When inflammation flares up in a joint, the surgeon may aspirate (draw out) fluid to reduce the swelling and pain.
  • Steroid injections. Injections of anti-inflammatory medication may be applied directly to an inflamed joint or to a rheumatoid nodule.

When is Surgery Needed?

When RA produces pain and deformity in the foot that is not relieved through other treatments, surgery may be required.

The podiatrist or foot and ankle surgeon will select the procedure best suited to the patient’s condition and lifestyle.

306 Comments

  1. Jeffreycek

    viagra without a doctor prescription usa viagra discount
    buying viagra online

    Reply
  2. Jeffreycek

    viagra without a doctor prescription usa cost of viagra
    viagra without a doctor prescription usa

    Reply
  3. Jeffreycek

    viagra 100mg price viagra cost
    best place to buy generic viagra online

    Reply
  4. Richardtak

    online doctor prescription for viagra viagra from canada
    viagra over the counter

    Reply
  5. ElmerDum

    ed pills online cheap ed pills
    best natural cure for ed

    Reply
  6. Terrymic

    how to overcome ed naturally cheap ed pills usa
    cheap ed pills in mexico

    Reply
  7. ElmerDum

    order ed pills buy ed drugs
    prescription drugs

    Reply
  8. Scottwak

    generic doxycycline: trimox generic
    buy tetracycline online

    Reply
  9. BillyLipsy

    ed meds: kamagra pills ed pills for sale

    Reply
  10. BillyLipsy

    cialis pills online: ed pills for sale erectile dysfunction pills

    Reply
  11. BillyLipsy

    buy erectile dysfunction pills online: ed meds order erectile dysfunction pills online

    Reply
  12. MichaelPrumn

    viagra over the counter walmart: viagra prescription viagra without a doctor prescription

    Reply
  13. asmr https://0mniartist.tumblr.com

    you’re really a just right webmaster. The
    website loading pace is amazing. It kind of feels that
    you’re doing any distinctive trick. Also, The contents are masterwork.
    you’ve performed a great job in this topic! asmr 0mniartist

    Reply
  14. asmr https://0mniartist.tumblr.com

    Hello, for all time i used to check blog posts here early in the morning, since i like to learn more and more.

    asmr 0mniartist

    Reply
  15. instagram takipçi satın al

    instagram takipçi satın al
    İşlemlerinde Ünlü Bir Site olan takip2018 den takipçi almak çok kolay

    günün her zamanında destek sağlanacağı da biliniyor.
    Bu sayede kısa vakitte daha geniş kitlelere ulaşım sağlayarak dolaylı olarak da,
    etkileşimlerinizi ve takipçi sayılarınızı artırma olanağı elde edebilirsiniz.

    Tercih edilecek olan miktarlar ve tercih edilecek olan seçeneklere
    göre ayrı fiyatlandırmaların da var bulunduğu bilinmelidir.

    .

    Reply
  16. takip türk

    Hi there, just became aware of your blog through Google,
    and found that it is really informative.

    I am going to watch out for brussels. I will appreciate if you
    continue this in future. Lots of people will be benefited from your
    writing. Cheers!

    Reply
  17. Shell Download

    Hi there, I discovered your site by means of Google whilst looking for a similar subject, your web site got here up, it
    seems great. I’ve bookmarked it in my google bookmarks.

    Hi there, simply become aware of your blog through Google, and found that
    it is truly informative. I am gonna be careful for brussels.
    I’ll appreciate should you proceed this in future. Numerous folks can be
    benefited from your writing. Cheers!

    Reply
  18. antalya böcek ilaçlama

    My family all the time say that I am wasting my
    time here at web, but I know I am getting knowledge everyday by reading thes pleasant
    articles or reviews.

    Reply
  19. 0mniartist

    A person necessarily help to make critically posts I might state.
    That is the first time I frequented your website page and thus far?
    I amazed with the analysis you made to create this actual submit extraordinary.
    Excellent job! 0mniartist asmr

    Reply
  20. Claudhaw

    where to buy diflucan 1: cheap diflucan – diflucan tablets buy online

    Reply
  21. Claudhaw

    clomid generic: cost of clomid – clomid canada

    Reply
  22. tinyurl.com

    It’s a pity you don’t have a donate button! I’d certainly donate
    to this fantastic blog! I guess for now i’ll settle for bookmarking and adding your RSS feed to
    my Google account. I look forward to new updates and will talk about
    this blog with my Facebook group. Chat soon! asmr 0mniartist

    Reply
  23. Claudhaw

    where can i buy amoxicillin without prec: order amoxicillin uk – generic amoxicillin cost

    Reply
  24. http://tinyurl.com/

    Please let me know if you’re looking for a article writer for
    your site. You have some really good posts and I feel I would be a good asset.
    If you ever want to take some of the load off, I’d love to write some material for your blog in exchange for a link back to mine.
    Please shoot me an email if interested. Kudos! 0mniartist asmr

    Reply
  25. Claudhaw

    diflucan pill uk: diflucan 150 price – where to get diflucan without a prescription

    Reply
  26. Robertenemn

    buy lasix online: furosemide 40 mg – furosemida 40 mg

    Reply
  27. Robertenemn

    furosemida: cheap lasix – lasix tablet

    Reply
  28. Charlesvew

    ventolin 2mg: ventolin – where to buy ventolin nz
    valtrex generic otc

    Reply
  29. Charlesvew

    where can i order ventolin without a prescription: ventolin inhalers for sale – ventolin with out prescription
    cost of valtrex in mexico

    Reply
  30. Charlesvew

    valtrex 500 mg tablet cost: generic valtrex – order valtrex generic
    valtrex online

    Reply
  31. Charlesvew

    tadalafil generic cost: tadalafil generic india – tadalafil
    valtrex price south africa

    Reply
  32. DonaldSes

    best otc ed pills: new ed treatments – male erection pills
    new ed treatments

    Reply
  33. DonaldSes

    over the counter erectile dysfunction pills: erectile dysfunction pills – online ed pills
    male ed drugs

    Reply
  34. but gamefly

    Magnificent beat ! I wish to apprentice while you amend your
    site, how can i subscribe for a blog web
    site? The account aided me a acceptable deal. I had been a little bit acquainted of this your broadcast provided bright clear idea

    Reply
  35. asmr off

    I always used to read piece of writing in news papers but now as I am a user of web thus from now I am using net
    for articles, thanks to web.

    Reply
  36. asmr that

    Thanks , I’ve recently been searching for info about this topic for a while and yours is the best I’ve came
    upon till now. However, what about the bottom line?
    Are you positive in regards to the source?

    Reply
  37. MichaelFaurN

    legitimate online pharmacy – ed drugs canadian pharmacy sildenafil or canadian pharmacy world

    Reply
  38. asmr is

    Nice blog here! Additionally your web site lots up very fast!

    What web host are you the use of? Can I get your associate hyperlink on your host?
    I wish my website loaded up as fast as yours lol

    Reply
  39. PeterLoowl

    buy cialis 36 hour ed pills – where can u buy cialis
    buy cialis united kingdom

    Reply
  40. with gamefly

    I believe what you said made a bunch of sense. But, think on this, what if
    you were to create a killer title? I am not suggesting your information is
    not good, but suppose you added a title to possibly get a person’s attention? I mean Rheumatoid Arthritis in the Foot
    and Ankle – Impression Foot & Ankle is kinda boring.

    You could look at Yahoo’s front page and watch how they write news titles to grab viewers
    to open the links. You might add a related video or a picture
    or two to get readers excited about everything’ve got to say.
    Just my opinion, it would bring your blog a little bit
    more interesting.

    Reply
  41. or asmr

    Thanks for the auspicious writeup. It if truth be
    told was once a leisure account it. Glance complicated to more introduced agreeable from you!
    By the way, how can we keep up a correspondence?

    Reply
  42. instagram takipçi satın al

    I’m now not certain the place you are getting your info,
    but good topic. I needs to spend a while learning much more or working out more.
    Thank you for fantastic info I used to be looking
    for this information for my mission.

    Reply
  43. takipçi satın al

    I was very pleased to find this web site. I wanted
    to thank you for ones time just for this fantastic read!!

    I definitely savored every part of it and I have you saved as a favorite to check out new things on your web site.

    Reply
  44. that asmr

    I seriously love your blog.. Pleasant colors & theme. Did you create this
    amazing site yourself? Please reply back as I’m planning to create my own personal site and
    would like to find out where you got this from or exactly what the theme is called.
    Thank you!

    Reply
  45. your asmr

    I read this post completely regarding the comparison of newest and earlier technologies, it’s remarkable article.

    Reply
  46. AnthonyJox

    viagra without a doctor prescription buy viagra professional – cheap viagra
    natural viagra

    Reply
  47. AnthonyJox

    order viagra online viagra coupons – viagra dosage
    viagra side effects

    Reply
  48. AnthonyJox

    viagra coupon how long does viagra last – generic viagra available
    buy viagra online without a prescription

    Reply
  49. instagram takipçi satın al

    Hi there, just became alert to your blog through Google, and found that it
    is truly informative. I am going to watch out for brussels.

    I’ll appreciate if you continue this in future.
    A lot of people will be benefited from your writing.
    Cheers!

    Reply
  50. BradleyWhogs

    cialis without prescriptions canada buy cheap cialis uk – ordering cialis online australia
    buy cialis ebay

    Reply
  51. BradleyWhogs

    generic cialis 20 mg tadalafil buy cialis toronto – cheapest generic cialis australia
    find cheap cialis online

    Reply
  52. BradleyWhogs

    generic cialis canadian buy cheap cialis uk – cheapest generic cialis australia
    buy cialis with paypal

    Reply
  53. http://bit.ly/3uPryvg

    scoliosis
    It’s really a great and useful piece of information. I am
    satisfied that you simply shared this helpful information with us.
    Please keep us informed like this. Thanks for sharing.
    scoliosis

    Reply
  54. tinyurl.com

    scoliosis
    bookmarked!!, I like your site! scoliosis

    Reply
  55. instagram takipçi satın al

    Thanks , I’ve just been searching for info about this topic for a long time and yours is the
    best I have came upon so far. But, what about the conclusion? Are
    you positive in regards to the source?

    Reply
  56. Pmtkbs

    viagra kopen in winkel – viagra cialis hoe snel werkt een viagra pil

    Reply
  57. Josephoptit

    how to order doxycycline: generic doxycycline – doxycycline online

    Reply
  58. https://785days.tumblr.com/

    free dating sites
    What i don’t realize is if truth be told how you are no longer really much more smartly-preferred than you might be right now.
    You are very intelligent. You know thus significantly in relation to this matter, produced me in my
    opinion consider it from so many varied angles. Its like
    women and men aren’t interested until it is something to
    do with Woman gaga! Your personal stuffs outstanding.
    At all times maintain it up! free dating sites
    https://785days.tumblr.com/

    Reply
  59. Josephoptit

    cost of lisinopril 5 mg: buy lisinopril – lisinopril 20 mg daily

    Reply
  60. https://6869milesoflove.tumblr.com/

    dating sites
    I like the helpful information you provide in your articles.
    I will bookmark your blog and check again here regularly.
    I’m quite certain I will learn many new stuff right here!
    Best of luck for the next! free dating sites

    Reply
  61. PhilipKig

    buy cialis online generic – cialis online daily
    buy cialis rush

    Reply
  62. asmr their

    Wonderful work! This is the kind of info that are meant to be shared across the web.
    Shame on the seek engines for no longer positioning this post higher!
    Come on over and talk over with my site . Thanks =)

    Reply
  63. PhilipKig

    order original cialis online – buy cialis drug
    cialis in europe

    Reply
  64. dating sites our

    hi!,I love your writing so much! proportion we keep up a correspondence more approximately your article on AOL?
    I need an expert in this space to unravel my problem.
    Maybe that’s you! Having a look ahead to see you.

    Reply
  65. dating sites it

    Hello! I could have sworn I’ve visited this website
    before but after browsing through a few of the articles I realized it’s new
    to me. Anyways, I’m definitely pleased I found it and I’ll be bookmarking it and checking back frequently!

    Reply
  66. WilliamBut

    how to buy cialis online from canada cialis online daily – cialis soft tablet

    Reply
  67. free dating sites that

    Hello, Neat post. There is a problem along with your website
    in internet explorer, would test this? IE still is the marketplace chief and a huge section of folks will leave out your great writing because of this problem.

    Reply
  68. scoliosis surgery for

    Unquestionably believe that which you said. Your favorite reason appeared to be on the
    web the simplest thing to be aware of. I say to you, I certainly get annoyed while people think
    about worries that they just don’t know about. You managed
    to hit the nail upon the top and defined out the whole thing without having side-effects , people can take a signal.
    Will probably be back to get more. Thanks

    Reply
  69. when scoliosis surgery

    Hi there, I enjoy reading through your article.
    I wanted to write a little comment to support you.

    Reply
  70. dating sites but

    We absolutely love your blog and find the majority of your post’s
    to be exactly what I’m looking for. Would you offer guest writers to write content for you personally?

    I wouldn’t mind writing a post or elaborating on a
    few of the subjects you write in relation to here.
    Again, awesome site!

    Reply
  71. dating sites with

    Thanks for one’s marvelous posting! I genuinely
    enjoyed reading it, you happen to be a great author. I will be sure
    to bookmark your blog and will eventually come back at some point.
    I want to encourage you to ultimately continue your great work, have a nice weekend!

    Reply
  72. http://tinyurl.com

    Aw, this was an exceptionally nice post. Finding the time and actual effort to generate a superb article… but what can I say… I put things off a lot and don’t
    seem to get anything done.

    Reply
  73. http://tinyurl.com/y5tgqrqr

    I will right away clutch your rss feed as I can’t to find your e-mail
    subscription hyperlink or e-newsletter service.

    Do you’ve any? Please permit me recognise so that I may subscribe.

    Thanks.

    Reply
  74. Numberswex

    amoxicillin capsules 250mg flagyl antibiotic – buy doxycycline without prescription

    Reply
  75. instagram takipçi satın al

    You could certainly see your enthusiasm within the article you write.
    The arena hopes for more passionate writers such as you who
    aren’t afraid to mention how they believe. At all times follow
    your heart.

    Reply
  76. instagram takipçi satın al

    It’s a shame you don’t have a donate button! I’d certainly donate to this outstanding blog!

    I suppose for now i’ll settle for bookmarking and adding your RSS feed to my Google account.
    I look forward to new updates and will share this site with my Facebook group.

    Chat soon!

    Reply
  77. uc hilesi

    Nice bro thank you.

    Reply
  78. zula hile

    Nice bro thank you.

    Reply
  79. jokerbet

    Nice bro thank you.

    Reply
  80. matchbook

    Nice bro thank you.

    Reply
  81. Claytonpyday

    neurontin 100mg price buy gabapentin – neurontin 300 600 mg

    Reply
  82. Claytonpyday

    doxycycline hydrochloride 100mg price of doxycycline – how to order doxycycline

    Reply
  83. Kelsey

    Neat blog! Is your theme custom made or did you download
    it from somewhere? A theme like yours with a few simple tweeks would really
    make my blog jump out. Please let me know where you got your design. Thanks

    Reply
  84. Claytonpyday

    amoxicillin 500mg buy amoxil – over the counter amoxicillin canada

    Reply
  85. camsurf

    Nice bro thank you.

    Reply
  86. instagram takipci satin al

    I have been surfing on-line greater than 3 hours today,
    but I never found any fascinating article like yours.
    It is beautiful value enough for me. In my opinion, if all web owners
    and bloggers made just right content as you probably did, the
    internet shall be much more useful than ever before.

    Reply
  87. chatki

    Nice bro thank you.

    Reply
  88. chatiw

    Nice bro thank you.

    Reply
  89. chatki

    Nice bro thank you.

    Reply
  90. Pedrohip

    viagra cost per pill: how much is viagra – online doctor prescription for viagra

    Reply
  91. CharlesErrox

    viagra without a doctor prescription – viagra viagra discount

    Reply
  92. Numara Sorgula

    Thank you for this beautiful article. It’s really a good article

    Reply
  93. Pedrohip

    generic viagra walmart: viagra – viagra amazon

    Reply
  94. takipçi satın al

    Hey, I think your blog might be having browser compatibility issues.
    When I look at your blog in Opera, it looks fine but when opening in Internet Explorer, it has some overlapping.
    I just wanted to give you a quick heads up! Other then that, fantastic blog!

    Reply
  95. BryanDus

    over the counter ed remedies pharmacy coupons – promo code for canadian pharmacy meds

    Reply
  96. Jasonrag

    buy prescription drugs online indianpharmacy com – certified canadian pharmacy

    Reply
  97. uc hilesi

    Nice bro thank you.

    Reply
  98. Williamjem

    ivermectin pills canada ivermectin – generic stromectol

    Reply
  99. JoshuaTeX

    ivermectin 1 topical cream ivermectin rx – ivermectin 500mg

    Reply
  100. Raquel

    Nice post. I learn something new and challenging on sites I stumbleupon every day.
    It’s always exciting to read through content from other writers and practice a little something from other sites.

    Reply
  101. JoshuaTeX

    order lisinopril online us lisinopril – lisinopril 10 mg price

    Reply
  102. Williamjem

    plaquenil in australia buy plaquenil – generic plaquenil coupon

    Reply
  103. jeuvenile

    Nice bro thank you.

    Reply
  104. JoshuaTeX

    hydroxychloroquine 90 mg plaquenil – plaquenil arthritis

    Reply
  105. Charlesser

    online ed drugs: buy canadian drugs new erectile dysfunction treatment

    Reply
  106. Brendanbeere

    foods for ed: ed doctors – cheap erectile dysfunction pill

    Reply
  107. Wznaqk

    accutane capsule – isotreti accutane otc drug

    Reply
  108. Okey Oyna

    Nice bro thank you.

    Reply
  109. Brendanbeere

    supplements for ed: canadian drugs – treatment of ed

    Reply
  110. Dalfoo

    amoxicillin price at walmart – gnrcillin buy amoxil online

    Reply
  111. Dealzcloud

    Hello everyone, it’s my first pay a visit at this
    web page, and post is really fruitful in favor of me, keep up posting these types of articles or reviews.

    Reply
  112. Dealzcloud

    First off I want to say excellent blog! I had a quick question in which I’d like to ask if you do not
    mind. I was interested to know how you center yourself and clear your mind prior to
    writing. I have had trouble clearing my thoughts in getting my thoughts out there.

    I truly do take pleasure in writing however it just seems
    like the first 10 to 15 minutes are lost just trying
    to figure out how to begin. Any ideas or tips?
    Cheers!

    Reply
  113. Cryptocurrency

    I think this is one of the most significant information for me.
    And i’m glad reading your article. But want to remark on some general things, The
    site style is ideal, the articles is really nice : D. Good job, cheers

    Reply
  114. Gdjnfa

    accutane over the counter – accutane buy can you buy accutane online

    Reply
  115. Peterpat

    buy real viagra online viagra discount – viagra cost

    Reply
  116. Cnupbt

    buy lyrica online india – prlyrica cheap canadian pharmacy online

    Reply
  117. pdf indir

    The article is really excellent. Every time I read it, I get information again.
    The best article I’ve read in a long time….

    Reply
  118. pdf indir

    The article is really excellent. Every time I read it, I get information again.
    The best article I’ve read in a long time…

    Reply

Trackbacks/Pingbacks

  1. free dating sites in tennessee - free download dating games
  2. keto meal plan - keto cheese cake
  3. what can you eat on a keto diet? - keto diet how many carbs per day
  4. keto hamburger casserole - keto tuna salad

Submit a Comment

Your email address will not be published. Required fields are marked *

Pin It on Pinterest

Share This