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Saturday, October 08, 2011

Gout and bad fitting shoes :Ill wedded companions

A new report in Arthritis Care & Research supports people living with gout wear poorly fitting shoes with lack of cushioning. Favoured shoes of the subjects provided minimal stability and motion control. Comfortable footwear according, Professor Keith Rome, Auckland, University of Technology, is essential for people coping with gout. Most of the New Zealand study subjects had flat feet, and many were obese and had cardiovascular conditions. Seven had diabetes. Foot pain, foot-related functional limitation, and foot-related adverse impact on activities of daily living were assessed using the Foot Function Index and the Leeds Foot Impact Scale. A podiatrist assessed the study subjects’ footwear during a typical visit to their rheumatology outpatient clinics. Subjects had not received any instructions regarding footwear before the assessment. More than 60% of shoes (30 pairs) had no cushioning at all, and another 36% (18 pairs) had only heel or forefoot cushioning. Only 13 pairs of shoes (26%) had adequate heel counter stiffness, 25 (50%) had adequate midfoot sole sagittal stability, and 21 (42%) had midfoot sole frontal stability. Twelve pairs of shoes (23%) had no fixation whatsoever. More than half of the footwear had a flexion point distal to the level of the first metatarsophalangeal joint (MPJ). In all, 60% of patients said that the cost of footwear contributed to their choice of shoes. The study is published in Arthritis Care & Research, a journal of the American College of Rheumatology.

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