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figure 8.1   An attempt by a patient to make the footwear fit by cutting the uppers
wider than the footwear available from high street retail outlets. Although
there is no research to demonstrate the same problem in RA patients, it
is perceived that there is the same issue because of the extent of forefoot
deformity in this patient group. Often these patients resort to wearing
sandals through the whole year or adapting their footwear in a variety of
ways such as cutting the uppers to accommodate deformity ( Figure 8.1 ).
Appropriate retail or specialist footwear can therefore be of value for a
range of patient groups for whom plantar pressure relief, reduced skin
abrasion, reduction in foot pain and improved stability would be
advantageous.
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