What is it?
Rheumatoid arthritis and other inflammatory conditions can affect the joints of the foot and ankle, causing pain, swelling and, over time, deformities such as bunions, claw toes and flat feet.
What causes it?
- The immune system attacking the lining of the joints.
Common symptoms
- Pain and swelling in several joints.
- Pain under the ball of the foot.
- Changes in the shape of the toes and foot.
- Difficulty finding comfortable shoes.
How is it diagnosed?
Diagnosis involves examination, X-rays and close working with your rheumatologist.
Things you can do now
- Keep in close contact with your rheumatology team
- Wear deep, wide shoes with cushioned insoles
- See a podiatrist for skin and nail care
Treatment
Treatment is tailored to your individual needs, symptoms and goals. Depending on your situation, it may include working with your rheumatologist on medicines, footwear and insoles, injections and surgery, including forefoot reconstruction or fusion of damaged joints.
Mr Jeyaseelan will talk you through the options that are right for you at your consultation.
When to see a specialist
- Foot pain or deformity is progressing despite good control of your arthritis
- Ulcers or calluses keep forming
- Shoes have become difficult to wear
What to expect
Modern medicines have greatly improved foot problems in inflammatory arthritis. Footwear, insoles and, when needed, reconstructive surgery can keep people walking comfortably.
Common questions
Where can I see a specialist about rheumatoid & inflammatory arthritis in London?
Mr Lucky Jeyaseelan, a consultant orthopaedic surgeon who specialises only in the foot and ankle, sees private and insured patients with rheumatoid & inflammatory arthritis at Align Orthopaedics on Harley Street, The London Clinic on Devonshire Place, HCA London Bridge Hospital, HCA UK at The Shard, HCA UK City of London on Old Broad Street and The Holly Hospital in Buckhurst Hill, Essex. See all clinic locations or request an appointment.
Do I need a GP referral?
Self-funding patients can book directly, though a GP letter is helpful. Most insurers need a GP referral before they authorise your consultation, so check with yours first.
This information is general and is not a substitute for a medical consultation. Your diagnosis and treatment plan will be tailored to you.