Osteoarthritis Of The Foot
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[edit] Osteoarthritis Of The Foot
This type of arthritis usually takes a longer time to develop and for this reason it usually is found in the older person. Nevertheless it can lead to crippling arthritis and foot deformity.
This foot osteoarthritis affects mainly the first metatarsophalangeal joint (bunion or hallux valgus), the forefoot (midtarsal osteoarthritis) or the ankle (subtalar osteoarthritis). Inappropriate footwear (high heels in women), trauma (soccer players), excessive weight gain and diabetes mellitus are all risk factors. I refer the reader to the link on osteoarthritis regarding the diagnostic tests and treatment. There is some indication that osteoarthritis may be linked to many years of exposure to high insulin levels (syndrome of insulin resistance). This has some implications regarding a possible dietary modification as avoidance of starchy foods and of sugar may have a preventative and healing influence (for literature see link on "syndrome of insulin resistance" above).
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References:
1. ABC of rheumatology, second edition, edited by Michael L. Snaith , M.D., BMJ Books, 1999. Chapter 5.
2. The Merck Manual, 7th edition, by M. H. Beers et al., Whitehouse Station, N.J., 1999. Chapter 270.
3. Wheeless' Textbook of Orthopaedics: http://www.wheelessonline.com/
4. The Merck Manual, 7th edition, by M. H. Beers et al., Whitehouse Station, N.J., 1999. Chapter 60, p.487.
5. Goldman: Cecil Textbook of Medicine, 21st ed.(©2000)W.B.Saunders
6. Ferri: Ferri's Clinical Advisor: Instant Diagnosis and Treatment, 2004 ed., Copyright © 2004 Mosby, Inc.
7. Rakel: Conn's Current Therapy 2004, 56th ed., Copyright © 2004 Elsevier
