Arthritis in Feet

Hallux Limitus/Hallux Rigidus 

Otherwise known as big toe arthritis, hallux limitus starts out as a stiff and painful big toe with limited movement. It’s caused by repetitive injuries, pronation, overly high arches and some certain genetic defects of the toe and joint.

Over time, the inflammation in the big toe joint can cause long-term damage and may progress into hallux rigidus, when the big toe is painful and can no longer bend.


One of the most painful foot conditions known to man, gout is also one of the oldest known forms of arthritis. It’s caused by the build up of uric acid in the blood, which forms when the body breaks down purines. The acid typically dissolves and is eliminated in the urine, but for some it will build up and form tiny crystals that lead to inflammation in the toes, feet and knees.

These joints may become red, hot and so painful that even the touch of a sheet or sock is unbearable.

Gout attacks can become more severe and longer-lasting with each incident. The most common risk factors are being overweight, drinking alcohol, having high cholesterol or eating lots of meat, so most patients can control their gout by controlling their diet. We can also prescribe certain medications that can shorten the severity and duration of a gout attack.

Rheumatoid Arthritis

This autoimmune disease causes inflammation in and around the joints, which shows itself as swelling, pain, tenderness, stiffness and redness. The most common flare ups are in the small joints of the hands, wrists and feet.

In fact, nine out of 10 people with rheumatoid arthritis will develop problems with their feet or ankles, according to the American Academy of Orthopaedic Surgeons. The inflammation most often impacts the toes and front of the feet first, progressing into the back of the feet and then the ankles.

RA may also cause patients to develop painful conditions like bunions, corns, hammertoe, thick skin on the bottom of the forefront, pain in the sole or ball of the foot and flat feet.


This is what’s generally referred to as arthritis, and is a gradual breakdown and loss of cartilage in the joints. That’s not a good thing, since cartilage cushions your bones every time you move and prevents them from rubbing together.

When that cartilage wears away, it can seriously impact daily life and make walking quite painful. It’s caused by a variety of things, ranging from the general wear and tear of age to previous injury, gout, hemophilia or the problems associated with flat feet or high arches.

We diagnose all types of arthritis through a thorough physical examination. We might also order X-rays or other diagnostic imaging to get a better look.

The treatment will depend on type and severity of the arthritis. This might include custom orthotics to provide support and cushion the impacted joints, physical therapy, prescribing anti-inflammatory medications or steroid injections.


If you are experiencing foot pain, call our office or make an online appointment


Staff was extremely friendly and professional. They took us back immediately and no waiting for doctor to come in. Dr Settles-Carter was amazing with my little girl. She took her time and explained every detail to my daughter. As we were leaving my little girl said Dr Settles-Carter was the best doctor ever. Coming from a 10yr old.

Bert King

It took some work, and patience, but my feet are much better now. Dr. Freels worked with me to find exercises, and more importantly, the right shoe to wear. So nice not to dread going into work, for the pain of simply walking. Despite what another review here says, they've never tried to sell me any shoes there, have always left the choice up to me.

Robert Griffith

The staff was very courteous. However, the care provided by Dr. Carter and the staff in the back was exceptional! I finally had answers for my health concerns and issues and a course or plan of treatment including the costs of the services they provide. I especially liked the hours of operation...I can see a doctor for the treatment I need without having to use my personal and sick days! Love the flexibility. Lastly, the ambiance esthetics were relaxing and beautiful.

Bonnie Ogle Taylor

The entire staff at Lexington Podiatry was very welcoming and friendly. Jill went out of her way to make sure my daughter was taken care of. We appreciate being seen so quickly (it would have taken weeks to have seen an orthopedist for her foot injury). Now, she is on the road to recovery! Great office, thanks everyone!

Team Wade 24

Had a great experience! Everyone was very nice, it was clean, the doctor took time to listen to me. She showed me my x-rays and explained them to me. I would recommend them to family and friends.

Heather Purvis

Accepted Insurance Providers

There may be providers, plans and coverage not included on this list. We will help you with navigating the options for coverage and costs. We also accept HSA, Flex accounts, Care Credit and prompt pay pricing for treatment at the clinic and surgical procedures. We do not accept Medicaid or CareSource plans at this time. Visit our New Patient page for more details.