How to treat rheumatoid arthritis of the foot?

Rheumatoid arthritis of the foot is a local manifestation of systemic disease, and most patients are female. Some people suffer from rheumatoid arthritis and are tortured to death by the pain. After suffering from this disease, the pain will worsen on rainy days. It can be said to be a living weather forecast. Patients should avoid using air conditioning for a long time and seek timely diagnosis and treatment. So, how to treat rheumatoid arthritis of the foot?

The local manifestation is pain in the sole of the foot, which worsens when walking. It is more common in the metatarsophalangeal joints in the early stage, and can later affect any part of the foot and may be accompanied by tenosynovitis. There is swelling and pain around the joint along the tendon sheath, and obvious deformity of the forefoot. It may also cause deformities such as pointed feet, inversion of the foot, valgus of the foot, hallux valgus, and toe flexion and valgus, which will hinder standing and walking. The functional impairment is more obvious when there are various changes in other joints of the lower limbs. ESR increases during an attack. X-rays showed joint space narrowing, osteoporosis, joint destruction and dislocation, etc. Fusion of the tarsal bones is not uncommon.

Conservative treatment includes rest, use of drugs such as salicylic acid, gold salts and steroids. Intra-articular injection of steroids has satisfactory anti-inflammatory and analgesic effects, but it must be performed under a clear diagnosis and measures to prevent infection. After the lesion is localized to a certain extent, early surgery can be performed, such as incising the tendon sheath and removing the thickened synovium. When the tarsal and ankle joints are ankylosed in the functional position, osteotomy or arthrodesis should be performed. For forefoot deformities, especially those with multiple claw toe deformities, Hoffmann metatarsal head resection can be performed. If all metatarsal heads are surgically removed, there will be a significant obstacle to weight-bearing, so this surgery is limited to claw toe deformity caused by rheumatoid arthritis. Fowler used a transverse incision on the dorsum of the foot instead, and made an elliptical excision and suture of the plantar skin slightly behind the metatarsal head on the plantar surface of the foot, moving the forward-moving subcutaneous fat tissue back to the posterior side to facilitate weight-bearing.

Pay attention to the combination of work and rest. Work and rest are the main measures for good health. Clinically, although some rheumatoid arthritis patients have basically controlled their conditions, they often suffer from increased or relapses of fatigue during the recovery period of the disease, so they should pay attention to work and rest.

Whether it is food supplements or medicine supplements, it is beneficial for rheumatoid arthritis of the feet. Although milk, soy milk and chocolate are very nutritious, patients should not eat too much of them if they have dampness and heat in their bodies. I feel bloated and don't want to eat a full meal. We should improve our living environment, avoid living in humid places, pay attention to weather changes, keep warm, and maintain a good mood.