RA affects the feet in a big way — over 90% of people with RA experience foot or ankle pain at some point. For many, it's actually one of the first symptoms they notice.
RA causes the immune system to attack the joint lining, leading to swelling, pain, and over time, joint damage. The small joints of the feet are among the Show Full Answer
RA affects the feet in a big way — over 90% of people with RA experience foot or ankle pain at some point. For many, it's actually one of the first symptoms they notice.
RA causes the immune system to attack the joint lining, leading to swelling, pain, and over time, joint damage. The small joints of the feet are among the first to be affected. Common foot problems linked to RA include:
- Bunions and hammertoes (especially around the big toe)
- Dislocated toe joints
- Flatfoot and ankle pain
- Heel pain or Achilles tendon issues
- Rheumatoid nodules (lumps that can rub painfully against shoes)
RA can affect several areas of the foot specifically:
- Big toe – bears body weight, so every step can hurt
- Midfoot – causes pain when walking, climbing stairs, or wearing shoes
- Hindfoot (heel area) – makes walking on uneven surfaces difficult
- Ankle – early signs include trouble with ramps and stairs; later, even standing becomes painful As one myRAteam member put it, "I too have serious RA in my feet and hands. Some days I can't walk or wear shoes." The impact on daily life can be significant, affecting work, simple chores, and confidence when moving around.
The good news is there are treatments — from orthotics and supportive shoes to exercises, ice therapy, and medical options — that can help manage symptoms. It's always worth discussing what's right for your situation with your rheumatologist.
June 17