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Yes, rheumatoid arthritis (RA) can start in the feet and ankles before affecting other joints. In about 20% of RA patients, foot and ankle symptoms are the first signs of the disease. Here are some key points to consider for your upcoming rheumatologist appointment on December 20:

Key Points to Discuss
- Foot and Ankle Show Full Answer

Yes, rheumatoid arthritis (RA) can start in the feet and ankles before affecting other joints. In about 20% of RA patients, foot and ankle symptoms are the first signs of the disease. Here are some key points to consider for your upcoming rheumatologist appointment on December 20:

Key Points to Discuss:
- Foot and Ankle Symptoms:
- Mild avascular synovial thickening in the 2nd-4th MTP joints bilaterally.
- Suspected left tibiotalar and anterior talofibular ligamentous strain.
- Thickening of the right plantar fascia and suspected small intrasubstance tear.
- Bilateral plantar fibromas.

- Hand and Wrist Symptoms:
- Negative synovitis survey.
- Mildly thickened right median nerve.

- Other Medical Conditions:
- Overlap symptoms with IBS, GERD, and Sjogren’s Syndrome.
- Nodules found on CT scan (right lower lobe lung and right adrenal gland).

- Recent Imaging Results:
- Renal/pelvic ultrasound: Mild malrotation of the right kidney, prominent column of Bertin in the left kidney.
- Left forearm x-ray: Healing status of distal metadiaphyseal fracture.

Questions to Consider:
- Could the foot and ankle symptoms indicate early RA involvement?
- Are there specific treatments or exercises for the foot and ankle issues?
- Should additional tests be done to confirm the suspected ligamentous strain and plantar fascia tear?
- How to manage the overlap symptoms with IBS, GERD, and Sjogren’s Syndrome?
- What follow-up is needed for the nodules found on the CT scan?

Additional Notes:
- Ensure to bring up all your symptoms, medical conditions, and current medications.
- Discuss the results from your recent ultrasounds and x-rays in detail.

This comprehensive approach will help you cover all necessary aspects during your appointment.

 AI-generated responses are not a substitute for medical advice. These services are not intended to diagnose, treat, or cure any condition or disease. Always ask your doctor about specific health concerns.

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