Looking through the 'window of opportunity': is there a new paradigm of podiatry care on the horizon in early rheumatoid arthritis?

Woodburn, J., Hennessy, K., Steultjens, M. P. M., McInnes, I. B. and Turner, D. E. (2010) Looking through the 'window of opportunity': is there a new paradigm of podiatry care on the horizon in early rheumatoid arthritis? Journal of Foot and Ankle Research, 3(1), 8. (doi:10.1186/1757-1146-3-8) (PMID:0478038) (PMCID:PMC2883976)

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Abstract

Over the past decade there have been significant advances in the clinical understanding and care of rheumatoid arthritis (RA). Major paradigm changes include earlier disease detection and introduction of therapy, and 'tight control' of follow-up driven by regular measurement of disease activity parameters. The advent of tumour necrosis factor (TNF) inhibitors and other biologic therapies have further revolutionised care. Low disease state and remission with prevention of joint damage and irreversible disability are achievable therapeutic goals. Consequently new opportunities exist for all health professionals to contribute towards these advances. For podiatrists relevant issues range from greater awareness of current concepts including early referral guidelines through to the application of specialist skills to manage localised, residual disease activity and associated functional impairments. Here we describe a new paradigm of podiatry care in early RA. This is driven by current evidence that indicates that even in low disease activity states destruction of foot joints may be progressive and associated with accumulating disability. The paradigm parallels the medical model comprising early detection, targeted therapy, a new concept of tight control of foot arthritis, and disease monitoring.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:McInnes, Professor Iain
Authors: Woodburn, J., Hennessy, K., Steultjens, M. P. M., McInnes, I. B., and Turner, D. E.
College/School:College of Medical Veterinary and Life Sciences > Institute of Infection Immunity and Inflammation
Journal Name:Journal of Foot and Ankle Research
Publisher:BioMed Central
ISSN:1757-1146
ISSN (Online):1757-1146
Copyright Holders:Copyright © 2010 The Authors
First Published:First published in Journal of Foot and Ankle Research 3(1):8
Publisher Policy:Reproduced under a Creative Commons License

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