Foot pain

I have just started having hard (I think bone ) round spots on the bottom of my feet up by my toes. It causes pressure and pain when I walk. Is this part of PsA?

Do you mean at the ball of your foot? As you get older, the fat pads thin out, and this could be part of it. But there are plenty of other reasons as well. You may want to mention this to the rheumatologist. If you are having trouble with your feet, than I encourage you to have a podiatrist as part of your healthcare team. Custom orthotics and the right shoes can make a big difference.

This has been one of the most consistent areas affected by PsA for me. I'm told it is caused by inflammation of the tendons and particularly where they insert into bone and has caused mild distortion of my feet. It feels like I'm walking with stones in my shoes and the toes feel numb on the outside but are very painful if I knock them. As always,i f the PsA is relatively under control the symptoms abate but never go away. Exercise hurts but I feel keeps them from getting worse.

I use anti inflammatory creams before walking far (I make sure I do my 10,000 steps a day)

I get burning pain in the bottoms of my feet when walking and also when standing for long periods. It seemed to lighten up for a bout a month but is back again. I also get the same burning in my hands with use when doing things like vacuuming, folding laundry, cleaning...I guess again with any increase in activity. The pain goes usually goes away with rest. Very strange...

A few months back I was away with my husband on one of his business trips. I went to the gym and hit the elliptical for 20 min. During my time on the elliptical my toes on my foot went numb, felt as though something was tied around them restricting circulation. I got off and checked to see if anything was wrong, nothing there and again the feeling went away after.

Foot pain was my 1st symptom. Currently, it is still the most painful. It started out like “rocks” on the soles, primarily on the second toe, but eventually spread to all toes. I believe I now have plantar fasciitis too. My feet are ridiculously painful and burning. Rest helps reduce intensity, but it is always there. I am on Mobic, Sulfasalazine, humira and steroids for the last 4 months (varying doses, attempts to taper down/off failed do to flares, etc). I have had sausage digits in feet and hands too. It’s a miserable disease. I have custom orthotics from a podiatrist. Helped minimally. (And very expensive).

I found changing the type of shoe has really helped mine. I buy mostly Klogs USA which has a ridged foot bed with a lot of support but has an insole of memory foam. Dansko is also making a few styles like this but I can not tolerate their shoes if they do not have that memory foam insole in them. Their are a couple more shoe makers who follow this but I find Klogs USA to be the most economical.

Thank you for your reply, You have described everything to a (T) I have the same thing going on with my feet. My toes are numb and ach all the time. Yes this hole Psa is the strangest thing to live with,things change everyday! I love the people on here.I don't feel so alone.

TaraLynn said:

I get burning pain in the bottoms of my feet when walking and also when standing for long periods. It seemed to lighten up for a bout a month but is back again. I also get the same burning in my hands with use when doing things like vacuuming, folding laundry, cleaning...I guess again with any increase in activity. The pain goes usually goes away with rest. Very strange...

A few months back I was away with my husband on one of his business trips. I went to the gym and hit the elliptical for 20 min. During my time on the elliptical my toes on my foot went numb, felt as though something was tied around them restricting circulation. I got off and checked to see if anything was wrong, nothing there and again the feeling went away after.

Anyone with sharp pains in their toes or fingers? I have that today. I also have a ganglion cyst in my primary wrist which showed on the recent MRI as well as swelling in my right pinky. At the swelling point it's bright pick and a bump at the joint.

Anytime I don't move my feet or hands for about 15 minutes I get stiff just like I do in the morning. My eyelids are swollen too.

Lastly I use drops for my dry eyes (Iritis). Not a god day for me, time to take a nap.

What you wrote makes a lot of sense! Because I had surgery on the foot that is swollen and pain in my toes the rheumy doesn't pay attention to it as a possible symptom. However, the Orthopedist says my foot is totally healed. Yet, I have pain and swelling in this foot and often can't wear any shoe on it. I have had inflammation of various tendons from toes, hips, knees and fingers. When I have an appt. with the rheumy I will talk to her about anti-inflammatory creams! Thank you!!!

Allan said:

This has been one of the most consistent areas affected by PsA for me. I'm told it is caused by inflammation of the tendons and particularly where they insert into bone and has caused mild distortion of my feet. It feels like I'm walking with stones in my shoes and the toes feel numb on the outside but are very painful if I knock them. As always,i f the PsA is relatively under control the symptoms abate but never go away. Exercise hurts but I feel keeps them from getting worse.

I use anti inflammatory creams before walking far (I make sure I do my 10,000 steps a day)

Better late than never, but I get these things all the time, and all over. On any bony prominence and hits some thing regularly. The bottoms of my feet, my fingertips when I type too aggressively, my tush when I sit on a hard chair… I just assume it’s PsA. I’ve been told a number of answers, but they tend to go away on their own eventually.



One of the most consistent areas affected by PsA for me as well.. Every single day, my neck and shoulder pain is worse though:( i am only 45 years old.. but i cannot wait until I dont have to work anymore

This has been one of the most consistent areas affected by PsA for me. I'm told it is caused by inflammation of the tendons and particularly where they insert into bone and has caused mild distortion of my feet. It feels like I'm walking with stones in my shoes and the toes feel numb on the outside but are very painful if I knock them. As always,i f the PsA is relatively under control the symptoms abate but never go away. Exercise hurts but I feel keeps them from getting worse.

I use anti inflammatory creams before walking far (I make sure I do my 10,000 steps a day)

I think I can help....unless you've already tried this. I had horrible neuropathy in my feet for a couple years. OTC Pain pills didn't work, but at the end of each day I would press ice packs against my feet and that would really stop the pain for the night. Next day it would start all over. Finally after telling my doc about 3 different times, she put me on Nortriptyline(sp) 10mg, which she said was an antidepressant, but in small doses could help neuropathy. And it did work. I was on it for around a year, and went off it almost two years ago and don't have much trouble with neuropathy any more. I do have sore feet, though, with mild to moderate pain in the small bones before my toes. But nothing hurts as bad as that neuropathy did! I feel your pain! :-(

This sounds a lot like peripheral neuropathy, and there are things that can provide a lot of relief. Might want I run It by your doc?



TaraLynn said:

I get burning pain in the bottoms of my feet when walking and also when standing for long periods. It seemed to lighten up for a bout a month but is back again. I also get the same burning in my hands with use when doing things like vacuuming, folding laundry, cleaning…I guess again with any increase in activity. The pain goes usually goes away with rest. Very strange…

A few months back I was away with my husband on one of his business trips. I went to the gym and hit the elliptical for 20 min. During my time on the elliptical my toes on my foot went numb, felt as though something was tied around them restricting circulation. I got off and checked to see if anything was wrong, nothing there and again the feeling went away after.

I replied to original discussion, when I should have read further. This sounds a lot like peripheral neuropathy, and each one who replied to this post aught to get it looked at. Why? Because there are good treatments that can make you feel better! :slight_smile:
We have so few “simple fixes”, so we should definitely take advantage of the ones we can.
Those who replied who are overweight should also have their blood sugar and hemoglobin a1c checked as well.


I feel for you, my pain is become progressively bad in all bones and joints in my body. My rhumy and primary both gave me nerve pills that do help. But my center toe is now permanently bent over at 90 degree angle, rhumy and ortho don't care about that, but did mri of ankle which showed torn tendon, and associated tenosynovitis in many other areas...all stemming from PsA. Am immuno compromised from decades of my biologics, they are worried infection risk high, so no surgery, just constant pain, went to pain clinic afterwards, was totally sedated, then had steroid injections in multiple joints in body. It is helping all but the ankle, can't work due to this and constant fatigue, doc says I also have CPS, Am in stage 4 of PsA and lovely side effect and permanent joint and tendon sheath damage now. Hope the best for you and definitely can emphasize and relate to most all symptoms ...Rob
Grandma J said:

I think I can help....unless you've already tried this. I had horrible neuropathy in my feet for a couple years. OTC Pain pills didn't work, but at the end of each day I would press ice packs against my feet and that would really stop the pain for the night. Next day it would start all over. Finally after telling my doc about 3 different times, she put me on Nortriptyline(sp) 10mg, which she said was an antidepressant, but in small doses could help neuropathy. And it did work. I was on it for around a year, and went off it almost two years ago and don't have much trouble with neuropathy any more. I do have sore feet, though, with mild to moderate pain in the small bones before my toes. But nothing hurts as bad as that neuropathy did! I feel your pain! :-(

I was getting stabbing pains in my hands, wrist, ankles ,feet I would be at work and find my self all of a sudden going ouch,ouch ouch the nurse that sits next to my would be like are you ok? Didn't even know it was coming out that loud any ways gabapentin 300 mg 2 a day has helped with that a lot makes me tired after I take it so one when I get home from work and one before bed

Immunity? said:

Anyone with sharp pains in their toes or fingers? I have that today. I also have a ganglion cyst in my primary wrist which showed on the recent MRI as well as swelling in my right pinky. At the swelling point it's bright pick and a bump at the joint.

Anytime I don't move my feet or hands for about 15 minutes I get stiff just like I do in the morning. My eyelids are swollen too.

Lastly I use drops for my dry eyes (Iritis). Not a god day for me, time to take a nap.

Could they be callouses? Are you sure they aren't hardened skin? Callouses on the bottom of the foot can be very painful. Have you seen a podiatrist?

Burning and achy feet is the most frequent symptom I feel, usually after bouts of increased activity. I have been told not to exercise and is will aggravate the inflammation. Epsom salts, aloe vera, and rest - never underestimate the power of a good night's sleep - are my go to remedies, other than being on 1000 mg of naproxen per day, which eases the inflammation.

More recently, I have increased heal pain regardless of my activity. It's probably plantar fasciitis; however, I often a popping, rubbing, clicking feeling in the back of my ankle... After some internet sleuthing, I feel it could be calcific insertional achilles tendonosis. Does anyone have this? This is my next symptom to have evaluated...

I have tried different types of shoes to see if that would help, but only marginally... Regardless, there are benefits to wearing proper shoes... When I have to run errands, I wear a super comfortable padded running shoe with my orthotics. Not terribly attractive but it helps to have the support and comfort. Otherwise, especially in summer, the Spenco sandals are super comfortable (I keep an indoor pair, and outdoor pair) and you can find them at most shoe stores specializing in foot problems.

I have the same problem - excrutiating pain in balls of feet and toes. Went to see a podiatrist who told me he could make orthotics but that they wouldn’t help me much - he said ‘your feet are inflamed you need to see a rheumatologist’. Walking makes them hurt more and swell more. Ice baths don’t help much. Funnily enough I’m due to see a new rheumy tomoro and my feet aren’t nearly so bad today - probably cause I’ve rested lots and confined exercise to swimming! Have sausage toes and literally loads of insoles - none of which particularly help! Did try some sketchers with memory foam and they seemed marginally more comfortable but have been relying on Ecco shoes 1 size larger …

It feels like I have been walking on glass for a year. I was diagnosed with plantar fassiitis and a sprained toe. my feet every day feel like I'm walking on glass stones.