Your Total Foot Care

Rheumatoid arthritis (RA) is a chronic autoimmune disease that primarily affects the joints, causing pain, inflammation, and stiffness. While RA commonly affects the hands and wrists, it can also lead to foot deformities. In this article, we will explore the relationship between rheumatoid arthritis and foot deformity, discussing the causes, symptoms, and treatment options available for individuals living with this condition.

Understanding Rheumatoid Arthritis:

Rheumatoid arthritis is an autoimmune disorder in which the immune system mistakenly attacks the body’s own tissues, particularly the synovium (lining of the joints). The inflammation triggered by this immune response can eventually lead to joint deformities and other complications, including foot deformities.

Foot Deformities Associated with Rheumatoid Arthritis:

  • Hallux Valgus (Bunions): One of the most common foot deformities in individuals with RA, bunions occur when the joint at the base of the big toe becomes misaligned, causing the big toe to angle toward the other toes. This can lead to pain, swelling, and difficulty in wearing shoes.
  • Hammertoes: Hammertoes are characterized by the abnormal bending of one or more toes, usually the second, third, or fourth toe. Rheumatoid arthritis can cause muscle imbalances and joint damage, leading to the development of hammertoes. These can be painful and make it challenging to find comfortable footwear.
  • Claw Toes: Claw toes involve the abnormal bending of all three joints in the toes, causing them to resemble a claw. Rheumatoid arthritis can weaken the tendons and ligaments that control toe movement, resulting in the formation of claw toes. This condition can cause discomfort and difficulties with walking.
  • Subtalar Joint Instability: Rheumatoid arthritis can lead to the weakening of the ligaments supporting the subtalar joint, located below the ankle joint. This instability can cause the foot to roll inward or outward, leading to pain, imbalance, and difficulty with walking or standing.

Symptoms and Impact on Daily Life:

Foot deformities associated with rheumatoid arthritis can cause a variety of symptoms, including pain, swelling, stiffness, limited range of motion, and difficulty in finding appropriate footwear. These issues can significantly impact a person’s daily life, making activities such as walking, exercising, and even standing for prolonged periods challenging and uncomfortable.

Treatment Options:


Anti-inflammatory medications and disease-modifying antirheumatic drugs (DMARDs) are commonly prescribed to manage the symptoms and slow the progression of rheumatoid arthritis. These medications can help reduce inflammation, relieve pain, and potentially prevent or delay the onset of foot deformities.

Physical Therapy

Physical therapy plays a vital role in managing foot deformities associated with rheumatoid arthritis. Therapeutic exercises can help improve joint mobility, strengthen muscles, and alleviate pain. Assistive devices like orthotics and shoe inserts may also be recommended to provide additional support and alignment.

Orthopedic Footwear

Wearing properly fitted shoes with appropriate cushioning and support can help relieve discomfort and prevent further foot deformity. Orthopedic footwear, such as custom-made shoes or shoe modifications, can provide the necessary stability and accommodate foot irregularities caused by RA.

Assistive Devices

The use of orthotic inserts, braces, or splints can provide additional support, alignment, and pain relief.


In severe cases where conservative treatments are insufficient, surgical intervention may be necessary. Procedures like bunionectomy, toe realignment, or joint fusion can be performed to correct deformities, alleviate pain, and restore functionality to the affected foot.

Living Well with Rheumatoid Arthritis: Maintaining Mobility and Quality of Life

Although living with rheumatoid arthritis and foot deformities can be challenging, adopting certain lifestyle modifications can make a significant difference:

  • Engage in low-impact exercises, such as swimming or cycling, to maintain joint mobility and strengthen muscles without placing excessive stress on the feet.
  • Maintain a healthy weight to reduce the burden on the joints and alleviate pressure on the feet.
  • Implement stress-reducing techniques, such as meditation or yoga, to manage pain and improve overall well-being.
  • Collaborate closely with healthcare professionals, including rheumatologists and foot specialists, to develop a personalized treatment plan and ensure ongoing care.


Rheumatoid arthritis can affect various joints in the body, including the feet, leading to foot deformities that significantly impact daily life. Early diagnosis, prompt treatment, and regular monitoring are crucial in managing rheumatoid arthritis and minimizing the risk of foot deformities. With a comprehensive treatment plan that includes medication, physical therapy, appropriate footwear, and, if needed, surgical intervention, individuals with RA can improve their quality of life and maintain mobility despite foot deformities. Consulting with a rheumatologist and a foot doctor can provide personalized guidance and support throughout the treatment journey.

Seeking Relief? Contact Us for Expert Guidance on Managing Rheumatoid Arthritis and Foot Deformity!

At Your Total Foot Care Specialist, we understand the challenges and discomfort that individuals with rheumatoid arthritis and foot deformity face. We are dedicated to providing expert guidance and comprehensive care to help you find relief and regain control of your mobility.

Our team of experienced board-certified podiatrists is well-versed in managing rheumatoid arthritis-related foot deformities as well as other foot-ankle conditions. We offer personalized treatment plans tailored to your unique needs, focusing on reducing inflammation, relieving pain, and improving joint function.

Whether you are struggling with bunions, hammertoes, claw toes, or subtalar joint instability, our compassionate professional foot doctors are here to support you every step of the way. We stay up to date with the latest advancements in rheumatoid arthritis management and foot deformity treatments to ensure that you receive the highest quality care.