Hi . Many here know all too well that feet issues can be among the worst. Quite a few have had some success seeing a podiatrist. My wife, Kelly Mack (a contributor here), was diagnosed at age two, 45 years ago - before modern treatments, with the damage to show for it. Due to the damage to her feet she can only balance and walk with shoes on. That said, the podiatrist has been essential in taking care of her feet, making sure she has the right shoes and inserts, etc... Our contributor Lynn Marie wrote here about RA, foot pain, and what she has found helpful - including a podiatrist: https://rheumatoidarthritis.net/living/mtp-joint-pain. Concerning the cortisone shots, they certainly are an option that has helped many people in various joints, but only a doctor can do the proper diagnostics to determine if and exactly where it would be applicable. Hopefully others will chime in with their thoughts. Best, Richard (Team Member)