I've been having pain and cramp in my toes and soles of my feet for over 5 years. All that time I've been wearing orthotic insoles but even with the insoles I'm in pain after walking for 30 mins. I've been told after a scan that the lupus has attacked the small joints in my feet and there is nothing but orthotics and wearing wide width shoes that will help. Does anyone have any tips on how to deal with this awful pain. I also find if my feet get too hot or cold without walking it sets if the pain. I also have Hughes syndrome and raynauds .