When Is Foot Pain a Sign of Arthritis?

Foot pain is common. Many people assume it is caused by overuse, aging, or wearing the wrong shoes. While those factors can contribute, persistent or worsening foot pain may sometimes be a sign of arthritis.

Because each foot contains 33 joints, it is one of the most common places for arthritis to develop. Recognizing the symptoms early can help prevent long-term joint damage and improve quality of life.

What Is Arthritis?

Arthritis is inflammation of one or more joints. It can cause:

• Pain

• Swelling

• Stiffness

• Reduced range of motion

• Joint deformity over time

There are several types of arthritis that commonly affect the feet.

Types of Arthritis That Affect the Foot

Osteoarthritis

Osteoarthritis is the most common form. It develops when cartilage that cushions the joints gradually wears down.

In the foot, it often affects:

• The big toe joint

• Midfoot joints

• The ankle

Symptoms typically develop slowly and worsen over time.

Rheumatoid Arthritis

Rheumatoid arthritis is an autoimmune condition. The immune system attacks the joint lining, causing inflammation and damage.

It commonly affects:

• Both feet

• Multiple joints at the same time

• The smaller joints in the toes

Rheumatoid arthritis often causes prolonged morning stiffness.

Gout

Gout is a form of inflammatory arthritis caused by uric acid crystal buildup in a joint.

It most often affects:

• The big toe

Symptoms include sudden, severe pain, redness, and swelling that may begin overnight.

Signs Your Foot Pain May Be Arthritis

While not all foot pain is arthritis, certain patterns raise suspicion.

1. Morning Stiffness

If your feet feel stiff for more than 30 minutes after waking, inflammatory arthritis may be involved.

Osteoarthritis typically causes stiffness that improves within minutes, while rheumatoid arthritis stiffness may last longer.

2. Swelling That Does Not Go Away

Ongoing joint swelling, especially without injury, may indicate arthritis.

Look for:

• Puffiness around the toes

• Enlarged joints

• Warmth in the affected area

3. Pain That Worsens With Activity

Osteoarthritis pain often increases with walking or standing and improves with rest.

If pain develops gradually and persists for months, joint degeneration may be occurring.

4. Pain in Both Feet

Arthritis, especially rheumatoid arthritis, frequently affects joints symmetrically.

If both feet hurt in similar areas, this may be more than overuse.

5. Visible Joint Changes

Over time, arthritis can cause:

• Enlarged toe joints

• Bunions

• Toe deformities

• Reduced mobility

If you notice changes in foot shape or alignment, evaluation is recommended.

6. Recurring Big Toe Attacks

Sudden episodes of intense big toe pain may signal gout. These attacks often:

• Start overnight

• Cause redness and extreme tenderness

• Improve over days but return later

How Arthritis in the Foot Is Diagnosed

A proper evaluation may include:

• Physical examination

• Review of symptoms and medical history

• X-rays to assess joint damage

• Blood tests (if inflammatory arthritis is suspected)

Early diagnosis allows for more effective treatment and joint preservation.

Treatment Options

Treatment depends on the type and severity of arthritis.

Options may include:

• Anti-inflammatory medications

• Corticosteroid injections

• Custom orthotics to reduce joint stress

• Supportive footwear

• Physical therapy

• Activity modification

• Lifestyle adjustments

• Surgical correction in advanced cases

The goal is to reduce inflammation, protect the joint, and maintain mobility.

When Should You See a Doctor?

You should seek evaluation if:

• Foot pain persists longer than several weeks

• Morning stiffness lasts more than 30 minutes

• Swelling does not improve

• You experience repeated big toe attacks

• Foot pain interferes with daily activities

Ignoring arthritis can lead to progressive joint damage and deformity.

Can Arthritis Be Prevented?

While not all forms of arthritis are preventable, you can reduce risk by:

• Maintaining a healthy weight

• Wearing supportive footwear

• Managing chronic conditions

• Staying active with low-impact exercise

• Seeking early treatment for joint pain

Final Thoughts

Foot pain is common, but it should not be ignored when it becomes persistent, progressive, or associated with stiffness and swelling.

Because the feet bear your body weight every day, untreated arthritis can significantly affect mobility and quality of life.

If you are experiencing ongoing foot pain and suspect arthritis, a proper evaluation can provide clarity and a treatment plan tailored to your needs.

Early intervention makes a meaningful difference in protecting your joints and keeping you active. Contact our office today with Dr. Gireesh Reddy or Dr. Sirisha Pokala by calling (469) 573-3427 or by booking an appointment online.