{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:58:05Z","timestamp":1772161085201,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2011,1,24]],"date-time":"2011-01-24T00:00:00Z","timestamp":1295827200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2011,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label\/><jats:p><jats:bold>Background.<\/jats:bold> Rheumatoid arthritis (RA) as a chronic systemic disease, commonly affects the feet, impacting negatively on patients' quality of life. Specialist podiatrists have a prime role to play in the assessment and management of foot and ankle problems within this patient group. However, it has been identified that in many areas there is no specialist podiatry service, with many patients being managed by non\u2010specialist podiatrists. Therefore, the North West Clinical Effectiveness Group for the Foot in Rheumatic Diseases (NWCEG) identified the need to develop \u2018practitioner facing\u2019 guidelines for the management of specific foot health problems associated with RA.<\/jats:p><\/jats:sec><jats:sec><jats:label\/><jats:p><jats:bold>Methods.<\/jats:bold> Members of a guideline development group from the NWCEG each reviewed the evidence for specific aspects of the assessment and management of foot problems. Where evidence was lacking, \u2018expert opinion\u2019 was obtained from the members of the NWCEG and added as a consensus on current and best practice. An iterative approach was employed, with the results being reviewed and revised by all members of the group and external reviewers before the final guideline document was produced.<\/jats:p><\/jats:sec><jats:sec><jats:label\/><jats:p><jats:bold>Results.<\/jats:bold> The management of specific foot problems (callus, nail pathology, ulceration) and the use of specific interventions (foot orthoses, footwear, patient education, steroid injection therapy) are detailed and standards in relation to each are provided. A diagrammatic screening pathway is presented, with the aim of guiding non\u2010specialist podiatrists through the complexity of assessing and managing those patients with problems requiring input from a specialist podiatrist and other members of the rheumatology multidisciplinary team.<\/jats:p><\/jats:sec><jats:sec><jats:label\/><jats:p><jats:bold>Conclusion.<\/jats:bold> This pragmatic approach ensured that the guidelines were relevant and applicable to current practice as \u2018best practice\u2019, based on the available evidence from the literature and consensus expert opinion. These guidelines provide both specialist and non\u2010specialist podiatrists with the essential and \u2018gold standard\u2019 aspects of managing people with RA\u2010related foot problems. Copyright \u00a9 2011 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.200","type":"journal-article","created":{"date-parts":[[2011,6,13]],"date-time":"2011-06-13T19:34:14Z","timestamp":1307993654000},"page":"86-92","source":"Crossref","is-referenced-by-count":56,"title":["Guidelines for the Management of the Foot Health Problems Associated with Rheumatoid Arthritis"],"prefix":"10.1002","volume":"9","author":[{"given":"Anita E.","family":"Williams","sequence":"first","affiliation":[{"name":"Directorate of Prosthetics, Orthotics and Podiatry and the Centre for Health Sport and Rehabilitation Sciences Research University of Salford  Salford UK"},{"name":"North West Clinical Effectiveness Group for the Foot in Rheumatic Diseases (Guideline Development Group) University of Salford  Salford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samantha","family":"Davies","sequence":"additional","affiliation":[{"name":"Pennine Acute Hospitals NHS Trust  Manchester UK"},{"name":"North West Clinical Effectiveness Group for the Foot in Rheumatic Diseases (Guideline Development Group) University of Salford  Salford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Graham","sequence":"additional","affiliation":[{"name":"Directorate of Prosthetics, Orthotics and Podiatry and the Centre for Health Sport and Rehabilitation Sciences Research University of Salford  Salford UK"},{"name":"North West Clinical Effectiveness Group for the Foot in Rheumatic Diseases (Guideline Development Group) University of Salford  Salford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abbie","family":"Dagg","sequence":"additional","affiliation":[{"name":"Wakefield District Community Healthcare Service  Wakefield UK"},{"name":"North West Clinical Effectiveness Group for the Foot in Rheumatic Diseases (Guideline Development Group) University of Salford  Salford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kerry","family":"Longrigg","sequence":"additional","affiliation":[{"name":"East Lancashire Primary Care Trust  Nelson Uk"},{"name":"North West Clinical Effectiveness Group for the Foot in Rheumatic Diseases (Guideline Development Group) University of Salford  Salford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Lyons","sequence":"additional","affiliation":[{"name":"NHS Wirral Podiatry Department  Bomborough UK"},{"name":"North West Clinical Effectiveness Group for the Foot in Rheumatic Diseases (Guideline Development Group) University of Salford  Salford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Bowen","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of Southampton  Southampton UK"},{"name":"North West Clinical Effectiveness Group for the Foot in Rheumatic Diseases (Guideline Development Group) University of Salford  Salford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,1,24]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Arthritis and Musculoskeletal Alliance(2004).Standards of Care for People with Inflammatory Arthritis. Available athttp:\/\/www.arma.uk.net"},{"key":"e_1_2_7_3_1","first-page":"92","article-title":"Extending the scope of practice for podiatrists: A consideration of the use of diagnostic ultrasound imaging","volume":"6","author":"Bowen CJ","year":"2003","journal-title":"British Journal of Podiatric Medicine"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keh435"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-008-0940-y"},{"key":"e_1_2_7_6_1","article-title":"\u2018If I didn\u2019t have RA I wouldn\u2019t give them house room\u2019: The relationship between RA, footwear and clothing choices","author":"Goodacre LJ","year":"2010","journal-title":"Rheumatology"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/17453670710015067"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.21176"},{"key":"e_1_2_7_9_1","volume-title":"The Foot and Ankle in Rheumatoid Arthritis. A Comprehensive Guide","author":"Helliwell P","year":"2006"},{"key":"e_1_2_7_10_1","first-page":"97","article-title":"A pharmacological case history of a patient with rheumatoid arthritis with particular reference to podiatric practice","volume":"52","author":"Jones CJ","year":"1997","journal-title":"Journal of British Podiatric Medicine"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.foot.2010.06.004"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kel215a"},{"key":"e_1_2_7_13_1","volume-title":"Services for people with rheumatoid arthritis","author":"National Audit Office","year":"2009"},{"key":"e_1_2_7_14_1","unstructured":"National Institute for Clinical Excellence(2009).Guidance for the management of rheumatoid arthritis in adults.http:\/\/guidance.nice.org.uk\/CG79\/Guidance\/pdf\/English"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/msc.56"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-009-1312-y"},{"key":"e_1_2_7_17_1","unstructured":"PRCA(2010).PRCA Standards of Care for People with Musculoskeletal Foot Health Problems. 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