THE PAINFUL FEET OF RAYNAUD'S DISEASE

1. Raynaud's phenomena is usually bilateral, occasionally unilateral, but is rarely symmetrical.

2. It is more common in females between the ages of twenty-eight and thirty-five. When seen in children syphilis should be suspected.

3. Its relation to rheumatoid arthritis is well worthy of careful study, and that they may coexist there can be no doubt.

4. Treatment is of very great importance, and special stress should be laid upon climate and occupation. The former should be very temperate and the latter should be a vocation not requiring much weight-bearing. Cold bathing is contraindicated.

5. Proper shoes of the orthopedic type and woolen stockings should be worn at all times.

6. Internal medication may be used for improvement of general health and not for the vasomotor condition.

7. No operative procedures should be performed. No plates should be worn. Cutting of any kind about the foot or toes should be discouraged.

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