A Qualitative Study Exploring Foot Pain and Its Impact on Daily Function in Early Rheumatoid Arthritis

Background: Rheumatoid arthritis (RA) is a chronic autoimmune disease frequently associated with significant foot pain, even in early stages. This study aimed to explore how patients with early RA perceive foot pain and its impact on daily activities. Methods: Semi-structured interviews were developed based on the Spanish Foot Function Index (FFI-Sp) in 25 patients with RA of less than five years’ duration. Four key themes emerged: (1) limitations in performing daily activities due to foot-related problems; (2) descriptions of pain, such as burning and throbbing sensations; (3) emotional responses, including frustration and sadness; and (4) perceived changes in mobility, balance, and muscle strength. Results: Patients reported pain as influenced by both intrinsic disease mechanisms and external factors. Conclusions: These findings highlight the early and substantial impact of foot involvement in RA and support the need for multidisciplinary interventions—encompassing orthopaedic care, psychosocial support, and patient education—to improve functional outcomes and quality of life. Level of Evidence: V (Qualitative study).