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Dedham, MA 02026
Cushioning insoles or heel cups
Arch support Insoles with moderate, semi-rigid support
Firm, semi-rigid to rigid insoles
Allows for normal foot motion during walking
Moderate level of midfoot restriction
Maximum restritction or "stiffening" of foot
Gentle cushioning, easy to fit in shoe
Cushioning varies depending on topcoat
Varies, may also require shoe modifications
Big Toe Pain
Corn, Callus and Hammer toe pads and inserts, pressure relief pad or splint for bunion.
Pressure relief padding for inside of shoe
Visco GEL Bunion Care Relief Sleeves
Osteoarthritis is the most common form of arthritis and is typically caused by age related wear and tear or as a result of prior joint injury. Arthritic foot pain occurs when the cartilage (the slick, cushioning surface on the ends of bones) wears down. Over time, the cartilage thins resulting in grinding pain as a result of the bone-on-bone contact. In the foot region, arthritis most commonly affects the joints of the midfoot and the big toe.
Symptoms of foot arthritis are pain in the joint, especially with stepping, due to the bending of the forefoot and the toes. Arthritis foot pain tends to flare up with more vigorous activity and also increases in the morning or after prolonged sitting. Additional symptoms include swelling, redness, tenderness and progressive stiffness at the involved joint or joints.
In addition to these symptoms, Big Toe Arthritis (or Hallux Rigidus) sufferers often develop bone spurs at the joint that form a bump, like a bunion, on the top or the side of the big toe. With Midfoot Arthritis (or TarsoMetatarsal Arthritis) you may also experience an associated bony prominence on the top of the foot which can cause pressure and rubbing in a shoe.
Foot arthritis sufferers are also prone to developing Plantar Fasciitis and the severe heel pain associated with it.
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Conservative treatment for foot arthritis typically includes some combination of the following: application of heat or ice, over-the-counter pain medications, and the use of a supportive insole, shoe or arthritic foot brace to support, rest, and reduce bending of the involved.
Early stages of foot arthritis may present as mild or intermittent pain with walking or activity, at the the heel, forefoot or toe. A shoe insert may provide just the right amount of pressure relief and support – from heel cups to full length insoles – for just the right amount of cushioning and control.
Stiffening the base or sole of the shoe is particularly effective at providing pain relief for midfoot or big toe arthritis sufferers as symptoms worsen. This can be achieved by using a rocker bottom shoe or modifying an existing shoe with a rigid base. More effectively, use of a removable rigid insole can provide pain relief and still allow you to wear many of the shoes in your closet! The amount of stiffness or rigidity should be selected based on the severity of your symptoms and the type of activity.
For secondary symptoms such as callouses and friction spots, there are a wide selection of foot pads and shoe inserts to accommodate any shoe.
Modifications or adaptive equipment the take stress off of the foot are another strategy for improving function while suffering from foot arthritis pain. A cane or crutches may help make walking safer and less painful. Grab bars in the bathroom or support rails on the bed may also make it easier to stand from a seated position. Weight loss and gentle stretching of the muscles of the calf can also help ease foot pain.