Rearfoot arthritis can quietly disrupt the way we walk, run, and stand until everyday tasks begin to feel like uphill battles. When our hindfoot joints are inflamed or worn down, they not only cause localized pain but also distort how weight is distributed throughout our body, leading to knee, hip, and even lower back issues.
Whether you’re an athlete, a busy parent, or someone dealing with aging bones, gaining clarity on this often-overlooked form of arthritis can empower informed care decisions. Let’s explore the ins and outs of arthritis in the rearfoot region and what we can do about it.
Rearfoot arthritis refers to damage and inflammation of the joints in the back part of the foot, specifically the subtalar, talonavicular, and calcaneocuboid joints. These joints play a major role in absorbing shock and adapting to uneven surfaces. When arthritis takes hold, this natural adaptability is compromised.
Depending on the cause, arthritis here may be degenerative (like osteoarthritis), inflammatory (as in rheumatoid arthritis), or linked to past trauma.
There’s no single culprit for rearfoot arthritis, it’s often the result of multiple overlapping factors.
Osteoarthritis is the most common type we see in the rearfoot. It develops as cartilage wears down, often with age or after years of biomechanical stress. For example, someone who spent years working on hard floors or running long distances might develop localized wear and tear in one or more rearfoot joints.
These forms stem from the immune system mistakenly attacking joint tissues. Around 20–30% of individuals with rheumatoid arthritis report foot involvement, and the rearfoot, due to the complexity of its joints, is especially vulnerable.
Previous fractures, dislocations, or severe sprains in the rearfoot can alter joint alignment. Over time, this misalignment leads to increased wear on joint surfaces, eventually causing arthritis.
Anyone can develop rearfoot arthritis, but certain factors increase the likelihood:
We often see a combination of these risk factors in patients who seek our help for persistent foot pain.
Rearfoot arthritis doesn’t shout at first. It whispers through subtle but progressive discomfort. Common symptoms include:
Left unaddressed, these issues can become debilitating, leading patients to limp or develop abnormal gait patterns.
Diagnosis requires a combination of clinical evaluation and imaging.
We begin with a thorough history and physical exam to assess painful areas, range of motion, and signs of inflammation. We then use imaging like:
These insights guide us in tailoring treatment plans specific to the patient’s condition and lifestyle.
Fortunately, many patients respond well to conservative management, especially in the early to moderate stages of arthritis.
NSAIDs (like ibuprofen or naproxen) help reduce inflammation and relieve pain. Corticosteroid injections into the joint can also offer temporary, targeted relief.
Custom orthotic devices can redistribute pressure and support arch alignment. We’ve seen dramatic improvements in patients who pair orthotics with wide, cushioned footwear designed to minimize pressure on arthritic joints.
Structured exercise programs focusing on ankle mobility, calf flexibility, and core strength can reduce stress on the rearfoot. Therapists may also use ultrasound or manual techniques for symptom relief.
Avoiding high-impact exercises and opting for low-resistance activities (like swimming or cycling) allows patients to stay active while minimizing joint stress.
While most cases improve with conservative management, some situations call for surgical intervention, especially when pain severely limits function.
In severe arthritis involving multiple hindfoot joints, fusion procedures stabilize the foot and eliminate the pain source by uniting bones into a single, solid block. While this reduces flexibility, it often greatly improves stability and walking comfort.
If arthritis is limited to one area, we may use procedures to realign bones or smooth joint surfaces with less invasion. In rare instances, partial joint replacements may be considered.
Our surgical decisions always weigh benefits, risks, personal goals, and overall foot structure.
Think of physical therapy and orthotics as long-term tools rather than temporary fixes.
How we live can make or break our treatment success. We recommend:
Rearfoot arthritis isn’t a short-term hurdle, it requires long-term planning. The good news is, with a comprehensive strategy, most patients can maintain a high quality of life.
We’ve seen patients transition from chronic limping to enjoying long walks again, all through smart planning, early intervention, and consistent follow-up.
If you’re experiencing persistent foot or ankle pain, swelling, or difficulty walking, don’t wait. Our team at South Florida Multispecialty Hospital is here to provide expert diagnosis, cutting-edge treatments, and compassionate care. Reach out today to schedule an appointment and take the first step toward pain-free movement.
Arthritis of the rearfoot affects the joints in the hindfoot, such as the subtalar and talonavicular joints. Unlike arthritis in larger joints (like knees or hips), rearfoot arthritis disrupts weight bearing and walking mechanics due to the foot’s role in balance and mobility.
Osteoarthritis (wear and tear), rheumatoid arthritis (autoimmune), and past injuries (post-traumatic) are leading causes, often stemming from aging, biomechanical stress, or systemic inflammation.
Symptoms include deep foot pain, stiffness, swelling, clicking sounds in joints, and difficulty walking, particularly on uneven surfaces or after activity.
We often begin with X-rays and may follow with MRI or CT scans for a more detailed evaluation of cartilage, joint alignment, and surrounding tissues.
Treatment includes NSAIDs, orthotics, corticosteroid injections, physical therapy, and activity modifications to relieve pressure and improve function.
Surgery is considered when conservative strategies fail. Options include joint fusion for stability or joint-preserving procedures based on the location and severity of arthritis.
It alters how weight is distributed across the foot, leading to compensatory changes up the kinetic chain—affecting knees, hips, and spine over time.
Maintaining a healthy weight, choosing supportive footwear, staying active with low-impact exercise, and embracing a joint-friendly diet all support joint longevity.
Your well-being is our top priority. Reach out today to discover how our dedicated team can support your health journey.
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