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While the prevalence and impact of musculoskeletal problems are high, most attention has been directed towards the back, knee and hip disorders. Foot pain is known to be common in older adults and accounts for a significant burden on health services. The aim of this study was to assess the impact of foot and ankle joint pain, considering age, presence of co-morbidities and other site joint pain, in a large community sample.
In the North Yorkshire Health study, 16,222 people over 55 years participated in a detailed survey of the prevalence and impact of lower limb joint problems. Self-assessment of overall body pain and functional activities of daily living were assessed. Participants indicated the presence of joint pain, stiffness or swelling during the last 3 months which had lasted for more than 6 weeks on a manikin: data were captured on the foot and the ankle.
The prevalence of self-reported foot and ankle joint pain was substantial: 184.33 per 1000, second only to knee problems. While foot pain was common, it was mostly associated with joint pain at other sites; only 1 in 11 of those with foot and ankle pain reported it only in the foot. Logistic regression modeling revealed while established factors such as co-morbidities, knee and hip problems contributed to functional impairment, foot and ankle problems contributed to an additional increased risk of having difficulty standing and walking by two fold (OR = 2.314, 95%CI 2.061–2.598), going up and down stairs by 71% (OR = 1.711, 95%CI 1.478–1.980) and getting up from a seated position by 44% (OR = 1.438, 95%CI 1.197–1.729).
These results suggest that not only are foot problems in the over 55 age group extremely prevalent, they have a considerable impact on functional abilities.
Vos T, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the global burden of disease study 2015. Lancet. 2016;388(10053):1545–602. CrossRef
Hill CL, et al. Prevalence and correlates of foot pain in a population-based study: the north West Adelaide health study. J Foot Ankle Res. 2008;1(1):1–7. CrossRef
Finney A, et al. Multisite peripheral joint pain: a cross-sectional study of prevalence and impact on general health, quality of life, pain intensity and consultation behaviour. BMC Musculoskelet Disord. 2017;18(1):535. CrossRef
Wranker LS, Rennemark M, Berglund J. Pain among older adults from a gender perspective: findings from the Swedish National Study on aging and care (SNAC-Blekinge). Scand J Public Health. 2016;44(3):258–63. CrossRef
Molgaard C, Lundbye-Christensen S, Simonsen O. High prevalence of foot problems in the Danish population: a survey of causes and associations. Foot (Edinb). 2010;20(1):7–11. CrossRef
Gill TK, et al. Predictors of foot pain in the community: the north West Adelaide health study. J Foot Ankle Res. 2016;9(1):1–8. CrossRef
Gay A, et al. Associations between body mass index and foot joint pain in middle-aged and older women: a longitudinal population-based cohort study. Arthritis Care Res. 2014;66(12):1873–9. CrossRef
Menz HB, et al. Characteristics of primary care consultations for musculoskeletal foot and ankle problems in the UK. Rheumatology. 2010;49(7):1391–8. CrossRef
Ferguson R, et al. Encounters for foot and ankle pain in UK primary care: a population-based cohort study of CPRD data. Br J Gen Pract. 2019;69(683):e422–9. CrossRef
Fear J, et al. Prevalence of hip problems in the population aged 55 years and over: access to specialist care and future demand for hip arthroplasty. Rheumatology. 1997;36(1):74–6. CrossRef
Tennant A, et al. Prevalence of knee problems in the population aged 55 years and over: identifying the need for knee arthroplasty. Br Med J. 1995;310:1291–3. CrossRef
Keenan AM, et al. Multiple joint problems in the population: prevalence and impact on function. Arthritis Rheum. 2006;55(5):757–64. CrossRef
Kleinbaum DG, Klein M. In: Dietz K, et al., editors. Logistic Regression. A self-learning text. Statistics for biology and health. New York: Springer-Verlag; 2002.
Glantz SA, Slinker BK. Primer of applied regression and analysis of variance. New York: McGraw-Hill Inc; 1990.
Garrow AP, Silman AJ, Macfarlane GJ. The Cheshire foot pain and disability survey: a population survey assessing prevalence and associations. Pain. 2004;110:378–84. CrossRef
Thomas E, et al. The north Staffordshire osteoarthritis project--NorStOP: prospective, 3-year study of the epidemiology and management of clinical osteoarthritis in a general population of older adults. BMC Musculoskelet Disord. 2004;5(1):2. CrossRef
Roddy E, Muller S, Thomas E. Onset and persistence of disabling foot pain in community-dwelling older adults over a 3-year period: A prospective cohort study. J Gerontol A Biol Sci Med Sci. 2011; 66 A(4):474–80. CrossRef
Badley EM, Wood PHN, Thompson RP. The prevalence and severity of major disabling conditions - a reappraisal of the government social survey on the handicapped and impaired in Great Britain. Int J Epidemiol. 1978;7(2):145–51. CrossRef
Hettiarachchi C, et al. Prevalence and impact of joint symptoms in people with stroke aged 55 years and over. J Rehabil Med. 2011;43(3):197–203. CrossRef
Hoy D, et al. The global burden of low back pain: estimates from the global burden of disease 2010 study. Ann Rheum Dis. 2014;73(6):968–74. CrossRef
- The prevalence and impact of self-reported foot and ankle pain in the over 55 age group: a secondary data analysis from a large community sample
Philip G. Conaghan
- BioMed Central