ABSTRACT
The foot is a rather neglected area in rheumatology and orthopaedic teaching and yet foot problems are a common reason for consultation in primary care.
Many foot problems are due to structural deformities such as loss of the transverse or longitudinal arch or ‘pes cavus’, or claw foot. Other problems are due to generalised or systemic conditions such as rheumatoid arthritis, seronegative spondyloarthropathies, osteoarthritis, gout or diabetes. Some conditions such as bunions (hallux valgus) (Figure 24.1) may be aggravated by ill-fitting or inappropriate footwear. Pain in the forefoot may be due to ‘Morton’s neuroma’ a condition where the interdigital nerve becomes trapped causing neuralgic type pain frequently between the third and fourth toes.
