A member asked:

Daughter has pain top of feet & knees rheumo says from flat feet even though she has pos ana and high esr can rheumo be wrong? whst else could it be?

7 doctors weighed in across 3 answers
Dr. Richard Wasserman answered

Specializes in Allergy and Immunology

Get second opinion: It is hard to account for an elevated ANA and ESR with flat feet. You don't say how positive the ANA is or how elevated the ESR is. If it is a low positive ANA and mildly elevated esr, the tests may have no importance. Orthotics should help flat feet.

Answered 6/10/2014

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He is right: The arthritis can exacerbate the condition but seeing a podiatrist to correct the flat feet will help.

Answered 3/15/2013

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Not one or the other: A rheum. Problem just by itself can cause foot pain or flatfeet can by itself can cause foot pain or they can both contribute to foot pain. You are looking for a single cause, but it may very well be both. Address the flat feet with proper shoes and added orthotic support and listen to your rheum about your daughter's overall medical condition.

Answered 12/10/2015

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