Hi . I can't personally speak to this issue, but I'm tagging our patient leader who has had a couple ankle and foot surgeries. Also, I can tell you that 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. She has significant foot damage and cannot stand/balance without shoes. Her podiatrist has her wearing Hoka brand for their support, with inserts. In addition, in this article another patient leader, Lynn Marie, wrote about here experience with a podiatrist and dealing with shoes and RA-related foot issues: https://rheumatoidarthritis.net/living/buy-shoes-arthritis-foot-pain. Hope this information helps and that others chime in with their experiences. Best, Richard (RheumatoidArthritis.net Team)