Could inserts for shoes ease psoriasis-induced foot pain?

Joint pain

Synopsis

There are many ways in which psoriasis and psoriatic arthritis can cause foot pain. Inserts for shoes can help by limiting friction and relieving inflamed joints, among other things. It is important to address arthritis as early as possible in order to avoid permanent joint damage.

See More

Painful joints might hide something else

I want to know what it is

Expert Answers

Dr. Ron Vender:

If a psoriasis patient has ill fitting shoes, the constant friction and rubbing can Koebnerize the areas and thickened psoriasis can appear on the feet, causing more discomfort. Inserts in shoes can certainly help create a better fit and reduce friction. Also, people with psoriasis often have psoriatic arthritis as well. Proper inserts in shoes can help relieve the discomfort that can be associated with inflamed joints. Furthermore, it is not uncommon for patients with this type of arthritis have a plantar fasciitis, which can be eased by foot inserts. In any case, it is important to have inserts that support the heels and balls of your feet. You should also protect your toes and avoid them becoming swollen and sore. If psoriatic arthritis is not attended early enough, it can lead to deformities of the toes and foot. Please be sure to seek early medical attention if there is any concern or suspicion of arthritis.

See More
Sandra Walsh:

Yes, orthotics can ease foot pain associated with psoriatic arthritis. Custom made shoe inserts can cushion the sore and tender areas of the foot and take pressure off the painful areas. You may also benefit from wearing a shoe that is made for people with arthritis or people with diabetes. If you have a severe deformity of the foot, you may require custom made shoes. Speak to your dermatologist about a referral to a rheumatologist who specializes in the diagnosis and treatment of joint disease if you are having pain or swelling in the joints of your feet. Untreated psoriatic arthritis can lead to permanent damage of the joint.

Psoriasis on the soles of the feet can also be painful as the skin is thick and cracks. Orthotics could possibly help if they cushion the painful area or prevent the shoes from rubbing on the skin. The rubbing motion of the shoe against the skin can trigger psoriasis and make the psoriasis much harder to treat in that area.

See More

Painful joints might hide something else

I want to know what it is