Rheumatoid Arthritis (RA) is a multifaceted autoimmune disorder that not only impacts joints but also significantly affects the feet and ankles of individuals afflicted. Astonishingly, more than 85% of RA patients endure foot or ankle pain during the progression of the disease. Even more alarming is that within the initial year of diagnosis, up to 57% report experiencing symptoms in these crucial areas.
The root cause of this foot distress can be traced to inflammation and structural alterations within the bones and ligaments. Hindfoot instability, resulting from these factors, frequently results in forefoot deformities such as hallux valgus, subluxation, and erosion of the metatarsophalangeal (MTP) joints, as well as hammer or claw toes in the lesser digits. These adaptations not only disrupt foot and ankle movement but also subject the forefoot to heightened pressure loading, intensifying pain during weight-bearing activities and mobility.
Timely intervention is essential in averting debilitating foot deformities and walking impairments. Traditionally, orthotics and customized footwear have been the primary interventions of choice.
By delving into the intricate biomechanics of foot pain in RA and exploring innovative interventions, we can strive to alleviate the suffering experienced by those grappling with this debilitating condition.
Foot pain in rheumatoid arthritis poses a significant hurdle, necessitating our focus and inventive solutions. It's time to intensify our efforts in addressing this often overlooked facet of RA care.
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