You are in the right place. Dr. Tom Biernacki, DPM, FACFAS — board-certified foot & ankle surgeon with 3,000+ surgeries — explains exactly what arthritis in foot joints means and what actually works. Call (810) 206-1402 for a same-day appointment at our Howell or Bloomfield Hills office.
Quick answer: Arthritis In Foot Joint affects roughly 1 in 4 adults in our practice. Effective treatment starts with a targeted diagnosis, conservative-first treatment, and escalation only when needed. We treat this regularly at our Howell and Bloomfield Hills practices. Call (810) 206-1402.
✅ Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026
Arthritis In Foot Joint [Causes, Symptoms & Best HOME Treatment]
Arthritis In Foot Joint: The 4 most common arthritis causes are:#1)Osteoarthritis, #2) Rheumatoid arthritis, #3) Traumatic Arthritis & #4) Gout. FIX THEM!Skip To The Complete Arthritis Treatment Guide.
What Is Arthritis?
- Athritis simply means inflammation of the joint.
- Classically people think of arthritis as bone on bone rubbing. This wear and tear type of arthritis is called Osteoarthritis, but is only one of many that can cause foot joint pain.
- There are three common other types of arthritis that may be bothering you: Rheumatoid arthritis, Traumatic arthritis & Gout.
Skip To The Complete Arthritis Treatment Guide.
The Most Likely In The Big Toe Joint:
The most likely to affect the big toe joint are Osteoarthritis & Gout.1)Osteoarthritis:
- This is the classic wear and tear arthritis.
- It is most commonly seen in the big toe joint.
- This happens as you age into your 40s and 50s (middle age).
- The hyaline cartilage in the joint begins to break down due to abnormal friction.
- This causes pressure and destruction of the bone remaining.
- The joint gets thicker and more “crusty” as bone breaks off and attempts to remodel.
- You are left with a very thick and immobile big toe joint.
- It hurts more after walking.
- It feels better while resting.

2)Gout:
- This is a crystal arthritis.
- Uric acid crystals deposit themselves within and around the joint.
- This is due to poor blood flow & a cooler temperature of the foot compared to other joints.
- It appears one morning out of nowhere & lasts 1-2 days.
- It presents as extreme pain.
- Bone damage is usually not associated unless you have many attacks over many years.
- This can occur after alcohol consumption & heavy protein intake.
- This can also be related to elevated blood uric acid levels.
- Some genetic factors prevent clearance or breakdown of uric acid.

3) Rheumatoid Arthritis:
- This is a systemic autoimmune disease.
- The immune system attacks cartilage in the hands and feet.
- Usually both feet and both hands are affected.
- Usually numerous joints in the hands and feet are affected.
- If it is just the big toe joint, it’s likely not rheumatoid arthritis.
- Pain is worse while resting.
- Pain gets better with increased movement & blood flow.

Any Broken Or Injured Joint:
4)Traumatic Arthritis.
- This presents & progresses almost exactly like osteoarthritis.
- It can occur in any joint.
- This happens because the joint surface areas are never perfectly aligned.
- This happens commonly in the heel, the ankle and the big toe.

The Complete Arthritis Treatment Guide.
Conservative Foot Treatment Options in Michigan: From Orthotics to EPAT
Related Treatment Guides
Michigan patients with foot and ankle conditions benefit from access to the full range of conservative treatment options at Balance Foot & Ankle. Custom orthotics fabricated from a 3D scan of the patient’s foot provide structural correction for flatfoot, high arch, and biomechanical overload conditions that OTC insoles cannot adequately address. EPAT (extracorporeal pulse activation therapy) provides a non-surgical treatment option for plantar fasciitis, Achilles tendinopathy, and other tendon conditions that resist initial conservative care — clinical evidence shows 70-80% cure rates for chronic plantar fasciitis. Ultrasound-guided injection therapy allows precise corticosteroid, PRP, or local anesthetic delivery to specific anatomical targets including the plantar fascia insertion, retrocalcaneal bursa, Morton’s neuroma interspace, and ankle joint. Physical therapy coordination with specific home exercise prescription addresses strength and flexibility deficits that perpetuate foot and ankle conditions. Michigan patients who want conservative treatment options before considering surgery can call Balance Foot & Ankle at (810) 206-1402 for an evaluation at our Howell or Bloomfield Hills office.
Medical References & Sources
- American Podiatric Medical Association — Patient Education
- American Orthopaedic Foot & Ankle Society — Foot Conditions
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📍 Located in Michigan?
Our board-certified podiatrists treat this condition at two convenient locations. Same-day appointments often available.
Arthritis in Your Foot Joints?
Foot joint arthritis affects over 30 joints in each foot. Our podiatrists pinpoint which joints are involved and create a targeted treatment plan for lasting relief.
📞 Or call us directly: (810) 206-1402
Clinical References
- Thomas MJ, et al. Prevalence and factors associated with foot pain. J Foot Ankle Res. 2011;4:29.
- Hennessy K, et al. Custom foot orthoses for rheumatoid arthritis. Arthritis Care Res. 2012;64(3):311-320.
- Turner DE, et al. The effect of rheumatoid arthritis on the foot. Musculoskeletal Care. 2003;1(1):1-18.
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4330 E Grand River Ave
Howell, MI 48843
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Bloomfield Hills Office
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Same-week appointments available at both locations.
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Hoka Clifton 10 — max cushioning reduces joint impact for arthritic feet.
Wide Walking Shoe
New Balance 990v6 — wide toe box accommodates arthritic first-MTP (hallux rigidus).
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When to See a Podiatrist
Foot and ankle arthritis progresses silently — cartilage doesn’t regrow, but joint fusion, cheilectomy, and biologic injections can restore function at every stage. Balance Foot & Ankle offers the full arthritis spectrum: bracing, injections, and reconstructive surgery. Start with a consult so we can image the joint and give you a realistic 5-year outlook.
Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Hills
Visit Balance Foot & Ankle — Same-Day Appointments Available
Our podiatry team serves patients throughout Michigan including Howell, Brighton, and Bloomfield Hills. If you’re dealing with heel pain, ingrown toenails, or a foot injury, we have same-day appointment availability.
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Natural topical pain relief I use in our clinic. Arnica + camphor formula — apply directly to the area 3–4x daily. ($20–25)
Shop Doctor Hoy’s →Frequently Asked Questions
When should I see a podiatrist?
If symptoms persist past 2 weeks, affect your normal activity, or are accompanied by red-flag symptoms (warmth, redness, swelling, inability to bear weight).
What does treatment cost?
Most diagnostic visits and conservative treatments are covered by Medicare and major insurers. Out-of-pocket costs vary by your specific plan.
How quickly can I get an appointment?
Most non-urgent cases see us within 5 business days. Urgent cases (sudden pain, possible fracture) typically same or next business day.
Ready to fix this for good?
Reading goes only so far. The fastest path to relief is a 30-minute office visit with Dr. Biernacki — same-day Howell or Bloomfield Hills. Call (810) 206-1402 or use our online booking.
Dr. Tom Biernacki, DPM is a board-certified foot & ankle surgeon (ABFAS & ABPM) at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has made him one of the most-followed foot & ankle educators on YouTube.


