FEET

[lmuise]

It seems like I've read somewhere about PA causing pain in the heels of the feet, but I can't really remember for sure. I do have PA in different locations but luckily with the exception of my nails I haven't had any issues with my feet, until a few days ago...........I woke up and stood up and it just hurt to put pressure on my heels and it's been that way every morning since. The more I move around the better it gets but I don't know if I need to change my exercise routine or what. I've actually been doing pretty much the same thing and it's never bothered me before. Although I have noticed since the last episode with my back when I'm on the elliptical my feet go kind of numb. Sorry I'm starting to babble. If anyone has any info I would greatly appreciate your input.

[ouchyk]

Hi,

Your not babbling! I hear you loud and clear as my heel pad right now is freaking killing me and has been for about a week now!

Here is something I found on the site;

Psoriatic arthritis also differs because the initial pathology (beginning of the disease) is in the enthesis rather than in the synovium. The enthesis is where the tendons, ligaments and connective tissue (fascia) inflame where they connect to the bone. In certain cases, this inflammation may lead to calcification at the insertion site. The most commonly affected areas are the heels where the Achilles tendon and the plantar fascia insert. This can lead to pain when standing or walking.

http://www.psoriasis.org/publications/advance/200501_acr.php

In the past my rheumy rx'd heel pads for me, eh, they didn't do much the best I could do was stay off my feet. I was walking tippie toe in Vegas this past week...prob making things worse! lol...There are some stretches you can try too...some people do well with phonophoresis or some gentle PT.

What are you using for treatment?

Kare

[easydoesit]

Hi,

Your not babbling! I hear you loud and clear as my heel pad right now is freaking killing me and has been for about a week now!

Here is something I found on the site;

Psoriatic arthritis also differs because the initial pathology (beginning of the disease) is in the enthesis rather than in the synovium. The enthesis is where the tendons, ligaments and connective tissue (fascia) inflame where they connect to the bone. In certain cases, this inflammation may lead to calcification at the insertion site. The most commonly affected areas are the heels where the Achilles tendon and the plantar fascia insert. This can lead to pain when standing or walking.

http://www.psoriasis.org/publications/advance/200501_acr.php

In the past my rheumy rx'd heel pads for me, eh, they didn't do much the best I could do was stay off my feet. I was walking tippie toe in Vegas this past week...prob making things worse! lol...There are some stretches you can try too...some people do well with phonophoresis or some gentle PT.

What are you using for treatment?

Kare

Wow that's interesting. Well before I was diagnosed one of the earliest places that I had my mystery pains (which my doctor told me was probably from my mountainbiking, lol) was in my achilles.

[ouchyk]

PA is a great impersonator....how many times did I have " tennis elbow " and I've never picked up a tennis racket? :rolleyes: crazy disease eh?

Achilles is one of those places that is " classic " PA from what my rheumy told me...I have a tendency to have severe swelling in my ankles from it and really there isn't a whole heck of a lot you can do about it as in you can't shoot cortisone as it can rip...so I have a bootcast for this purpose, only problem is what happens when it's in both achilles?! :eek: again, I have stretches that I do before I hop out of bed...

have a good day, say I BELIEVE 10 times while the Sox are playing tonight, we shouldn't have lost that game last night :p

Karen

[docmks]

Hi Imuise, I don't think we've met, so welcome to the boards. Sounds like it could be PA feet all right. One of my first big areas. If you haven't already, see a rheumy or an orthopedic doctor and get some xrays made. The doc will look for bone spurs...bone spurs on the calcaneus *heel* bone are classic for PA. Even if you don't have fully developed spurs at this time you sound like you are experiencing inflammation in the achilles tendon attachment. You can also get inflammation in the plantar fascia that runs toward the ball of your foot. So watch for stiff achy feet in the morning and try to get thee to a rheumy. There are boots you can wear in your sleep and stretches you can do. But it needs to be diagnosed and treated properly first so try to see a doc. Good luck, MK

[AnnieB]

I have tons of foot problems. Some of them are due to PA and some are not. The worst pain improved greatly when I started to take Humira. Before that, I could hardly walk on bad days with ankle pain and forefoot pain due to inflammation. That said, I still have to wear orthotics and I do stretches that I got from a physical therapist. I guess what I am trying to say is that you can definitely get foot pain from PA, but your heel might hurt for other totally unrelated reasons! If you are treating your PA and it does not get better, you may want to visit a podiatrist or an orthopedist.

[marinersarenumber1]

When PA came on like a hurricane, my feet were affected almost immediately. Now on Enbrel, they feel so much better, but I still have residual pain in the mornings, or if I sit for long periods. I continue to walk and hike alot, despite the discomfort. It does help to walk, and I stretch and massage my feet, too. I try not to take Aleve or Tylenol - Just masques the problem even though I "feel" better. Good luck!