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AB1050 Foot Pain Symptoms in Rheumatoid Arthritis is IT Important?
  1. F.A.B. Ibrahim,
  2. P. O'Connell
  1. Rheumatology Department, Beaumont Hospital, DUBLIN, Ireland

Abstract

Background Foot pain is common symptom in rheumatoid arthritis however the prevalence remained undetermined, 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.

Objectives We overtook study in group of patient with diagnosis of Rheumatoid arthritis to see how common is foot pain and how was it managed.

Methods We overtook study in 76 patients with established diagnosis of Rheumatoid arthritis who attended the Rheumatology out patient's clinic by filling questionnaire about foot pain symptoms and subsequently their medical notes, laboratory results and radiology results reviewed. The study was approved by local ethical committee.

Results The total number of the patients was 76, of which 24 males and 52 females. The average age was 60.41 years old (range 25 to 90 years old) and the average duration of the disease was more than 10 years. About 70% of the study group have sero-positive Rheumatoid arthritis and 20% have sero-negative RA 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 (75%) considered it as one of their main problems. The foot pain reported in the plantar aspect in the most of the patients 67%. 35% of the patients were reported to have definitive erosive changes in their plain film x ray however about 5% of the study group have erosive changes and they never experienced foot pain. Just about 31% of our study group voluntarily had discussion about foot pain with their doctors in the clinic, for that reason just about 37% referred and assessed by physiotherapist and about 31% had cushion or insole made for them as modality of treatment.

Conclusions Foot pain is one of the most common and genuine symptom in Rheumatoid arthritis however is hasn't been addressed sufficiently for that foot pain in Rheumatoid Arthritis patients is always needed to be looked for by the Rheumatologist so can be managed properly which reduce the patients' disability and symptomatology

Disclosure of Interest None declared

DOI 10.1136/annrheumdis-2014-eular.4629

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