Foot pain is common symptom in rheumatoid arthritis however the prevalence remained unknown, further clinicians overlook seeking information about foot pain which result in under treatment. Foot symptoms and signs are not involved in Disease activity scoring system (DAS28) for Rheumatoid Arthritis. We conducted a cohort study in group of patient with diagnosis of Rheumatoid arthritis to see how common is foot pain and how was it manage.
We study 76 patients with established diagnosis of Rheumatoid arthritis who attended Rheumatology out patient’s clinic by questionnaire and subsequently their medical notes, laboratory results and radiology results reviewed.
The study was approved by local ethic committee.
The total number of the patients was 76, 24 male and 52 female. The average age was 60.41 years old. About 70% have sero-positive Rheumatoid arthritis and 20% sero-negative and the rest were not characterised. From the study group 88% reported foot pain symptoms at some stage, from those more than half of them reported foot pain symptoms as early symptoms of their presentation and about 3 out of 4 considered it as one of their main problems.
35% of the patients were reported to have definitive erosive changes in their plain film x ray. Just about 31% of our study group voluntarily had discussion about foot pain with their doctors in the clinic for that just about 37% referred and assessed by physiotherapist from those almost 31% had cushion or insole made for them.
Foot pain is one of the most common and genuine Rheumatoid arthritis a symptom which is always needs to look for so can be managed properly which reduce the patients disability and symptomatology.