Foot and Ankle Arthritis: Why It’s Often Overlooked and How to Treat It
Foot and ankle arthritis is far more common than most people realize, yet it’s one of the most frequently overlooked sources of chronic pain and mobility limitations. Because symptoms often develop slowly—and can mimic plantar fasciitis, tendonitis, or general age-related stiffness—many people go months or even years without a proper diagnosis.
Why Foot and Ankle Arthritis Often Gets Missed
1. Symptoms Can Be Subtle at First
Arthritis in these joints tends to begin with mild stiffness, occasional swelling, or discomfort after long periods of standing.
2. It Mimics Other Common Conditions
Because foot and ankle issues overlap with plantar fasciitis, tendonitis, and sprains, arthritis isn’t always the first suspected cause.
3. The Foot Has 30+ Joints
Arthritis can appear in the midfoot, big toe, subtalar joint, or ankle, making diagnosis challenging without imaging.
4. Many People Don’t Seek Care Early
Patients often push through the pain, leading to worsening inflammation and degeneration.
Common Causes of Foot & Ankle Arthritis
- Prior injuries
- Repetitive stress
- Autoimmune disease
- Age-related wear
- Flat feet or joint misalignment
- Post-traumatic degeneration
Signs You May Have Arthritis in the Foot or Ankle
- Pain with walking or standing
- Stiffness in the morning
- Swelling around the joint
- Difficulty on uneven surfaces
- Grinding or clicking sensations
- Reduced range of motion
- Worsening symptoms in cold weather
How Foot and Ankle Arthritis Is Treated
1. Activity Modification & Support
- Supportive footwear
- Custom orthotics
- Avoiding high-impact activities
- Rocker-bottom shoes
2. Physical Therapy
Exercises improve strength, alignment, and mobility while reducing stiffness.
3. Anti-Inflammatory Care
- NSAIDs (when appropriate)
- Ice or heat
- Compression or bracing
4. Advanced Interventional Options
Nerve blocks, radiofrequency ablation, and image-guided procedures can provide lasting relief.
5. Surgical Options (When Needed)
Arthroscopy, joint fusion, or joint replacement may be considered for severe arthritis.
Supporting Long-Term Foot and Ankle Health
- Wear supportive footwear
- Maintain a healthy weight
- Stretch regularly
- Strengthen foot and leg muscles
- Address injuries promptly
When to See a Specialist
If your symptoms last more than a few weeks or interfere with your daily life, a specialist can help you get the right diagnosis and treatment plan.
Final Thoughts
Foot and ankle arthritis may be common, but with proper care, you can stay active and comfortable. Early evaluation and personalized treatment offer the best path to long-term relief.
