A couple months ago I was bravely (albeit stupidly), trying on an old pair of high heels that I keep around because I like to look at them. Suffice it to say, my ankles did not have the strength to wear the thin heels and I fell off my shoe. The swelling started immediately, but despite ice and heat, it has not subsided. I still tend to be sore and favour that foot. I wonder if incidents like these are what causes intense RA symptoms to stay.