People affected with mild to moderate rheumatoid arthritis with foot involvement have marked reduction in mobility and functional capacity.
In the acute onset of RA, the feet are involved in 15.7% of cases. įoot and ankle specialists encounter many cases of arthritis at numerous sites and from varying etiologies (Table 1). It can occur at any age but the peak incidence is seen in the fourth to sixth decades of life. It affects 0.5%-1% of the population worldwide, with women being affected 2-3 times more frequently than men. This arthropathy affects both small and large joints in the upper and lower extremities. Rheumatoid arthritis (RA) is a chronic, progressive disease that preferentially affects the synovial membranes of joints and eventually leads to bone and cartilage destruction if not diagnosed and treated early in the disease process. Key words: Rheumatoid arthritis, diagnostic criteria, inflammatory synovitis, DMARDĪddress correspondence to:Megan Wilder, DPM Franciscan Foot and Ankle Institute, Federal Way, WA, Email: Podiatric Medicine and Surgery Resident (Postgraduate Year 2), Franciscan Foot and Ankle Institute, Federal Way, WAĢ Podiatric Medicine and Surgery Resident (Postgraduate Year 1), Franciscan Foot and Ankle Institute, Federal Way, WAģ Attending Staff, Franciscan Orthopedic Associates, Franciscan Medical Group, Federal Way, WA A literature review and review of updated diagnostic criteria are presented. Diagnostic work-up requires patient history, physical examination, imaging modalities, and laboratory markers. As first line providers a good understanding of the disease and its classification criteria is imperative. Foot and ankle specialists may be the first providers to recognize symptoms at their earliest stages. Rheumatoid arthritis is a chronic, progressive disease that affects the synovial membranes of joints, and leads to bone and cartilage destruction of both small and large joints in the upper and lower extremities. The Foot and Ankle Online Journal 7 (1): 6
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