Claustre J, Simon L, Serre H
Rev Rhum Mal Osteoartic. 1979 Dec;46(12):673-8.
The rheumatoid foot may obtain relief from practical local measures that prevent the excessive use of drug therapy. These include the decrease in inflammatory phenomena thanks to local injections of corticoids (eventually synoviorthesis), the prevention of deformations through the use of various apparatuses, the protection of the skin of the palms and the nails that are fragile and rapidly altered by local hygiene care. The maintaining of sufficient support and normal walking through the use of plantar prostheses or custommade toe prostheses and by wearing shoes of excellent quality, the maintainance and preservation of articular flexibility and muscular trophicity by adapted kinestherapy and ergo therapy. Major deformations that, while they cannot be modified do not require surgery, can be alleviated with "custom-made shoes" which are at the same time light, adapted and good looking. Whatever the treatment used, local measures are the most effective at any given time.
类风湿性足部疾病可通过一些切实可行的局部措施得到缓解，从而避免过度使用药物治疗。这些措施包括：通过局部注射皮质类固醇（最终进行滑膜切除术）减轻炎症现象；使用各种器具预防畸形；保护手掌皮肤和指甲，因为它们脆弱且局部卫生护理会使其迅速改变。通过使用足底假体或定制的脚趾假体以及穿着优质鞋子来维持足够的支撑和正常行走；通过适当的运动疗法和职业疗法来维持和保持关节灵活性和肌肉营养状况。对于虽无法矫正但无需手术的严重畸形，可使用轻便、合适且美观的“定制鞋”来缓解。无论采用何种治疗方法，局部措施在任何特定时间都是最有效的。
