Chiappetta Workshop Live Episode #8: Orthotic Solutions for Arthritis

Custom Orthotics for Foot Arthritis Pain: Comfort and Lasting Relief

, by Tony Chiappetta, 10 min reading time

Tony Chiappetta dives into how personalized orthotics can make a real difference for people living with foot arthritis, using the story of a customer with rheumatoid arthritis.

Targeted Relief for Foot Arthritis Pain and Inflammation

Living with arthritis can be a daily challenge—especially when it comes to foot arthritis pain. Swelling, inflammation, and the persistent discomfort can turn every step into a reminder of your condition. But there’s hope for relief: custom orthotics. In a recent episode of Workshop Live, Tony Chiappetta dives into how custom orthotics can make a real difference for people living with foot arthritis, using the story of a customer with rheumatoid arthritis as an example.

How Orthotics Help Alleviate Foot Arthritis Pain

For those with arthritis, particularly rheumatoid arthritis, the feet often become a focal point for pain and irritation. Tony shares that many customers—like this one—look to custom orthotics not just for comfort, but to actively offload pressure, even out weight distribution, and ideally reduce inflammation on sensitive areas like the metatarsal heads and toes for foot arthritis pain relief.


The process starts with careful assessment. At Chiappetta Shoes, Tony notes they use the Quadrastep Foot Typing System, which helps them tailor the orthotic to the patient’s unique foot structure. In this example, the patient had a D16 foot type, characterized as flatter but stable. Her main challenge? Big toe nodules that became aggravated after starting with new orthotics.

"She felt better from a balance standpoint ... but she's feeling pressure on the foot. So now we gotta help the offloading process."

Addressing Arthritis Symptoms: Tailoring Custom Orthotics

What sets custom orthotics apart is the ability to tweak and adjust them as your needs evolve. In Tony’s workshop, when the customer noticed additional rubbing and joint expansion from foot arthritis on her big toe after two weeks, the team jumped into action:

The Adjustment Solution

  • Toe Cutouts: By carefully cutting out an area around the problematic toe and filling it with super-soft SR poron material, they reduced direct pressure while maintaining cushioning. This smart tactic prevents ulcerations from forming on sensitive joints from foot arthritis. 

  • Toe Crests: Adding this behind the big toe creates a gentle lift, which repositions pressure and protects spots prone to irritation.

  • Metatarsal and Scaphoid Pads: These additional features help redistribute pressure across the foot and provide targeted arch support, promoting a better gait and relieving hotspots common with foot arthritis. 

  • Material Matters: Using a combination of 55-durometer multi cork, cushion cork, and extra-soft foams means the insole adapts and softens where you need it most.

Improving Foot Arthritis Comfort and Mobility

One of the most impactful benefits of orthotics is how they enhance comfort and mobility for those with foot arthritis. In fact, orthotics can serve as an effective, non-invasive treatment for arthritis in the foot by addressing the causes of discomfort. By targeting pressure points and aligning the foot, orthotics can improve balance, reduce fatigue, and make walking less painful. Strategic cushioning and adjustments help minimize joint irritation while encouraging natural movement—giving people the confidence to stay active and independent.

Summary

Custom orthotics are an effective treatment for foot arthritis.

Personalized care and ongoing adjustments are essential to managing foot arthritis symptoms.

Strategic features like toe cutouts, metatarsal pads, and soft foams help improve comfort, enhance mobility, and support long-term foot health for those living with foot arthritis.

Your Foot Pain Solution

If you or someone you know is experiencing foot arthritis pain, our certified pedorthic experts are here to help! We offer free foot assessments, make custom orthotics in-house, and provide free orthotic adjustments.

Over-the-Counter Insert Solutions for Foot Arthritis

Chiappetta Shoes - Tony Chiappetta

Tony Chiappetta

Tony is a certified pedorthist and an owner of Chiappetta Shoes, a family-run business. With decades of experience, Tony specializes in crafting custom orthotics to alleviate foot pain. Through his hands-on approach, he empowers customers to achieve lasting comfort and mobility.

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