Rheumatoid Arthritis

Initially, rheumatoid arthritis (RA) involves the forefoot, then the midtarsal joints, and finally the hindfoot.  The forefoot is involved twice as often as the hindfoot.  Although forefoot and hindfoot diseases can coexist, commonly patient's have one or the other.

The rheumatoid foot is very difficult to manage.  It is important to address the correctable biomechanical issues effectively.  The main issue in this case his hyperpronation of the foot.  Custom orthotics are very effective in correcting the related biomechanics and other concerns.