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Open Access 08-06-2024 | Rheumatoid Arthritis | Review

A clinical practice guideline for the management of the foot and ankle in rheumatoid arthritis

Authors: Laura Ramos-Petersen, Andres Reinoso-Cobo, Ana-Belen Ortega-Avila, Jonatan Garcia-Campos, Jose-Antonio Bernal, Raquel Cantero-Tellez, Jose-Maria Martin-Martin, Rafael Caliz-Caliz, Sergio Tejero, Laura Cano-Garcia, Gabriel Gijon-Nogueron

Published in: Rheumatology International | Issue 8/2024

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Abstract

Rheumatoid arthritis causes progressive joint destruction in the long term, causing a deterioration of the foot and ankle. A clinical practice guideline has been created with the main objective of providing recommendations in the field of podiatry for the conservative management of rheumatoid arthritis. Thus, healthcare professionals involved in foot care of adults with rheumatoid arthritis will be able to follow practical recommendations. A clinical practice guideline was created including a group of experts (podiatrists, rheumatologists, nurses, an orthopaedic surgeon, a physiotherapist, an occupational therapist and patient with rheumatoid arthritis). Methodological experts using GRADE were tasked with systematically reviewing the available scientific evidence and developing the information which serves as a basis for the expert group to make recommendations. Key findings include the efficacy of chiropody in alleviating hyperkeratotic lesions and improving short-term pain and functionality. Notably, custom and standardized foot orthoses demonstrated significant benefits in reducing foot pain, enhancing physical function, and improving life quality. Therapeutic footwear was identified as crucial for pain reduction and mobility improvement, emphasizing the necessity for custom-made options tailored to individual patient needs. Surgical interventions were recommended for cases which were non-responsive to conservative treatments, aimed at preserving foot functionality and reducing pain. Moreover, self-care strategies and education were underscored as essential components for promoting patient independence and health maintenance. A series of recommendations have been created which will help professionals and patients to manage podiatric pathologies derived from rheumatoid arthritis.
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Metadata
Title
A clinical practice guideline for the management of the foot and ankle in rheumatoid arthritis
Authors
Laura Ramos-Petersen
Andres Reinoso-Cobo
Ana-Belen Ortega-Avila
Jonatan Garcia-Campos
Jose-Antonio Bernal
Raquel Cantero-Tellez
Jose-Maria Martin-Martin
Rafael Caliz-Caliz
Sergio Tejero
Laura Cano-Garcia
Gabriel Gijon-Nogueron
Publication date
08-06-2024
Publisher
Springer Berlin Heidelberg
Published in
Rheumatology International / Issue 8/2024
Print ISSN: 0172-8172
Electronic ISSN: 1437-160X
DOI
https://doi.org/10.1007/s00296-024-05633-1

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