Anyone have pain in the top of your foot during a flare?
Yep. There are all sorts of tendons in your feet, and some are on the top of the foot. I have discovered all sorts of things about human anatomy since being diagnosed. Any of the tendons can become inflamed.
Oh yes. I do. And I can't seem to get rid of flares
Omg yes. Both feet. Do the flares ever subside? Mine haven't since last November
They do subside, although sometimes with a new normal. But if you have been in a flare since November, then this means that you should be discussing treatment adjustments with your rheumatologist.
What I’ve found is that while the flare subsides, once an area has been inflamed, it will recur there. So a few years ago, I had really bad tendon pain in my feet. So bad that I had a stretch where even walking around the house was ridiculously painful. It subsided over time, but it comes back. Yesterday I took a walk and that area on the top of my foot was screaming with every step! Better today.
Yes, I have pain in the top of my foot sometimes. The last time it was really bad. Thankfully prednisone relieved that pain. I have PsA in both feet but my right foot is the worst where the pain goes across the bottom or the top of my foot. The swelling can make it difficult to walk during a flare up.
Top of my feet are always sore. Sometimes I just put more of my weight on the sides and turn my toes in a litte (pigeon-toed). This all started when I had the neuropathy in my feet a few years ago. The neuropathy was a 9.5 on my pain scale, so the soreness in the tops of my feet is nothing like that. But, yeah, it must be damaged/irritated tendons or swollen something. Makes one not want to take any long walks!
Me me me…I have to evaluate the type of shoes I have been wearing.
About 10 days ago, I realized hot epsom salt water soaks (over about 10 days) weren't helping my swelling feet, the achy/throbbiness was getting worse, AND my right foot was so tight my husband couldn't massage the top should have been red flags for my most recent flare (which is still going on).
In my defense, I hadn't had a flare since before my shoulder replacement surgery nine months ago. Of course, that one also showed with swelling feet which epsom salts water soaks didn't help.
A WW foot is hard to fit even with feet which aren't affected by psoriatic arthritis.
I also have pain on the top of my feet, which is aggravated by driving as well as walking. I use FLECTOR PATCH which helps. I think it must be the tendons since several years ago I had an orthopaedic fuse all the joints in the center of my foot to try to ease the pain and it didn't help at all. Now I have neuropathy in my feet - but the doctor told me it was not related to PsA..... anyone else have this problem and if so, what are they doing to address it?
Which doctor told you that neuropathy has nothing to do with your PsA? There seems to be a lot of us with that problem. My neurologist said he thought that the neuropathy was most likely related to the internal swelling of tendons, etc squeezing the nerves.
It has to be related to the PsA (the neuropathy)! Look at how many of us have it! My feet are the worst of my problems right now--idk if it's neuropathy anymore-it's the tops of my feet. It's really hard to stand and walk the first several steps when I get up. ICE helps relieve it for me.
I get so frustrated, because one thing seems like it leads to another and another. Do u know what I mean??
I had a joint replacement in my toe last November (13) and since then, I have broken three of the toes on that same foot and now I have neuropathy.. it is awful... dont know how and when I broke those toes.. but right now I would rather have that pain, than the neuropathy.
Before my surgery I had no neuropathy, so I thought the neuropathy was due to the surgery..and should have subsided or be gone by now.. I was wrong!!! It roars it's ugly head 2-3 times a week..to the point I can't sleep.
I have no answers... ughhhh
My neurologist thought that the neuropathy was a side effect from the prednisone. It seems that treating one problem causes another one. I was just thinking this morning that I was feeling pretty good....thought it was since I've been perfect with my gluten free diet, and then tonight I'm dying in pain - my neck and shoulders are stiff, making it difficult to turn my head, especially when driving. It's in my ribcage, back, hips, knees and feet.... thank god my hands are okay so far. I was wondering if the change in weather triggered it - winter is definitely here...it's snowing here :(
Seenie said:
Which doctor told you that neuropathy has nothing to do with your PsA? There seems to be a lot of us with that problem. My neurologist said he thought that the neuropathy was most likely related to the internal swelling of tendons, etc squeezing the nerves.
I have had pain on the top of my foot for 10 years or so before I was diagnosed with PsA. X-rays showed it's osteoarthritis. Now that I'm on methotrexate and meloxicam for the past month or so, not only has the pain from PsA in my fingers almost gone so has the pain on the top of my foot.
Ouch, Karen. Have you talked to your doc about medicine to help the neuropathy pain? I take gabapentin (neurontin) which has worked wonders for the neuropathy I get in my feet. Since taking it I _actually_ sleep through the night and don't wake up over and over again from shooting pains in my feet and up my legs. There are things the doc can do to help you. These include doing as much as s/he can to get your disease under control and adding other meds to help with the neuropathy.
I hope you can talk to your rheumatologist soon!
Karen said:
I get so frustrated, because one thing seems like it leads to another and another. Do u know what I mean??
I had a joint replacement in my toe last November (13) and since then, I have broken three of the toes on that same foot and now I have neuropathy.. it is awful... dont know how and when I broke those toes.. but right now I would rather have that pain, than the neuropathy.
Before my surgery I had no neuropathy, so I thought the neuropathy was due to the surgery..and should have subsided or be gone by now.. I was wrong!!! It roars it's ugly head 2-3 times a week..to the point I can't sleep.
I have no answers... ughhhh
So here is my question. . . If it is feeling much better, was your foot pain incorrectly diagnosed as osteoarthritis? Otherwise it doesn’t make much sense.
johnrabbit said:
I have had pain on the top of my foot for 10 years or so before I was diagnosed with PsA. X-rays showed it’s osteoarthritis. Now that I’m on methotrexate and meloxicam for the past month or so, not only has the pain from PsA in my fingers almost gone so has the pain on the top of my foot.
The osteoarthritis was diagnosed by an orthopedic surgeon over 10years ago. He wanted to fuse the bones together for a cure. I didn't think the pain was serious enough for an operation so I have been using orthotic inserts and exercise to keep the pain under control. After I started on MTX it made no difference, but after I started on meloxicam last month the pain in my foot pain seems a lot less even without inserts.
Stoney said:
So here is my question. . . If it is feeling much better, was your foot pain incorrectly diagnosed as osteoarthritis? Otherwise it doesn't make much sense.
johnrabbit said:I have had pain on the top of my foot for 10 years or so before I was diagnosed with PsA. X-rays showed it's osteoarthritis. Now that I'm on methotrexate and meloxicam for the past month or so, not only has the pain from PsA in my fingers almost gone so has the pain on the top of my foot.
I have a very similar story. I had a lot of pain when driving, and an orthopaedic surgeon told me I had arthritis and fused all the joints. he told me it would eliminate all pain since there were no longer any joints. That was not the case! Now I have pain in my feet from walking since the foot can no longer flex properly, it puts pressure on all other areas of the foot. I have to wear shoes with a very hard sole so that my feet cannot bend at all. Lucky for you that you didn't go ahead with the surgery!!
johnrabbit said:
The osteoarthritis was diagnosed by an orthopedic surgeon over 10years ago. He wanted to fuse the bones together for a cure. I didn't think the pain was serious enough for an operation so I have been using orthotic inserts and exercise to keep the pain under control. After I started on MTX it made no difference, but after I started on meloxicam last month the pain in my foot pain seems a lot less even without inserts.
Stoney said:So here is my question. . . If it is feeling much better, was your foot pain incorrectly diagnosed as osteoarthritis? Otherwise it doesn't make much sense.
johnrabbit said:I have had pain on the top of my foot for 10 years or so before I was diagnosed with PsA. X-rays showed it's osteoarthritis. Now that I'm on methotrexate and meloxicam for the past month or so, not only has the pain from PsA in my fingers almost gone so has the pain on the top of my foot.