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October 2, 1937


JAMA. 1937;109(14):1108-1111. doi:10.1001/jama.1937.02780400024007

The joints which are affected most frequently by chronic arthritis are those of the feet and the hands. Sometimes the disease subsides quickly, but in most instances some permanent damage remains in these joints. More attention is usually given to rehabilitation of the hands, and adaptation in use is more readily obtained. Persistent disability of the feet, however, is frequently observed. Normal activity and work are prevented by deformity, stiffness and pain. If the patient remains ambulatory, effective treatment is difficult and often impossible. Deformity and pain in the feet may increase after the arthritis is apparently quiescent as determined by both clinical and laboratory tests. Much, if not all, of the disability can be prevented by adequate early treatment. Deformities can often be corrected when the disease is quiescent, and a fairly close approach to normal walking may again be obtained. It is the purpose of this paper to