Understanding Foot and Ankle Arthritis

If you’ve been experiencing stiffness, pain, or discomfort in your feet and ankles, you might be wondering if arthritis is the culprit. 

What is Osteoarthritis?

Osteoarthritis (OA) is the most common type of arthritis and is often referred to as “wear-and-tear” arthritis. It occurs when the protective cartilage that cushions the ends of the bones in your joints gradually wears down. In the feet and ankles, this can lead to pain, swelling, and decreased range of motion, making everyday activities like walking or standing a bit of a challenge.

How Does Osteoarthritis Affect the Foot and Ankle?

Your feet and ankles are home to a complex network of joints, all of which can be affected by osteoarthritis. The most commonly affected joint that we see are:

  • The Big Toe Joint (First Metatarsophalangeal Joint): OA in this joint can cause stiffness and pain, making it difficult to push off when walking.
  • The Midfoot: This area consists of several small joints that can become arthritic, leading to pain and difficulty with activities that require balance and stability.
  • The Ankle Joint: Although less common, OA can affect the ankle joint, causing pain and swelling, particularly after standing or walking for long periods.

How Can a Podiatrist Help?

If you’re dealing with foot or ankle osteoarthritis, you’re not alone! There are several ways we can assist in managing the symptoms and improving your comfort and mobility. 

  1. Orthotics: arch supports can help redistribute pressure and provide support to the affected joints, which could lead to a reduction of pain and discomfort.
  2. Footwear Advice: We recommend shoes with proper support, cushioning, and a roomy toe box to accommodate any deformities or swelling.
  3. Manual Therapies: Techniques such as joint mobilisation can help improve joint function and reduce stiffness.
  4. Low-Level Laser Therapy: A non-invasive treatment that uses laser light to reduce inflammation and promote tissue healing. Read more about LLLT here.

When to Seek Further Medical Advice

While podiatric treatments can be effective in managing osteoarthritis symptoms, there may be times when further medical advice or surgical intervention is necessary. If you experience severe pain that doesn’t improve with conservative treatments, significant loss of mobility, or deformities that interfere with daily activities, it may be time to consult with your doctor about surgical options. 

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