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Common foot complaints

Rheumatoid arthritis

This is a disease that effects many joints of the body and causes chronic inflammation. This is usually due to a dysfunctioning immune system that allows the deterioration of the tissue that protects and lines the joints – resulting in chronic pain, stiffness and inflammation.

The condition mainly effects adults in middle-age and, on average, is found in three times more women than men. Five percent of all suffers will have a condition that deteriorates, while others have milder symptoms of aching joints with stiffness.

The condition can effect the toes first, moving into the heel and then the ankle. The metatarsal-phalangeal joints (toe joints) can be effected, causing Hallux Valgus, Hallux Rigidus and Hammer Toes, resulting in additional problems such as bunions and corns.

If the mid-foot is effected, the arch may collapse due to the deterioration of the joint structure. This can lead to fallen arches and the spreading of the toes, sometimes resulting in the fatty pads on the balls of the feet migrating forward, leaving the sufferer with the sensation of ‘walking on cobbles’ barefooted.

If the hind-foot is effected (where the heel meets the ankle), the condition known as ‘valgus hindfoot’ (heel migrating laterally), can occur making it extremely difficult to walk normally. This condition usually brings on additional symptoms of calluses, corns and in some cases foot ulcers, due to the uneven pressure distribution while walking.

Treatment (all types arthritis)

Visit your GP or Podiatrist immediately. Wear properly fitted, cushioned shoes with lace up fastenings as this will ensure that the feet stay in their natural position; also, try to wear shoes with as much depth and width as possible and a stiff structure to prevent the movement of the big toe.

Stretch and exercise the toes and foot as much as possible as this will strengthen the muscle groups and keep the joints lubricated. A regular routine of exercise for the body is also important as this will strengthen all muscles and joints, ensuring that the circulation of the body is functioning correctly. Yoga and swimming are highly recommended for the arthritic sufferer.

Orthotics can be prescribed by your Podiatrist to alleviate the symptoms; these will help correct Hallux Rigidus and Hallux Valgus and will also distribute pressure evenly across the feet while walking.

If the above treatments fail to improve the condition, surgery may be recommended as a last resort.

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