Rheumatoid Arthritis | Treatment

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How is RA treated?

Medicines you can buy without a prescription that reduce inflammation, such as aspirin, ibuprofen (one brand name: Motrin), ketoprofen (brand name: Orudis) or naproxen (brand name: Aleve), or relieve pain, such as acetaminophen (one brand name: Tylenol), can help you feel better. Your doctor can also prescribe medicine for you, such as prescription pain relievers or prescription nonsteroidal anti-inflammatory drugs (NSAIDs). These medicines reduce pain and swelling, but they do not slow the damage to your joints. These medicines should be used wisely. You only need the amount that makes you feel well enough to keep moving. Using too much medicine may increase the risk of side effects.

Medicines that manage your immune system (called immunosuppressants) can also be used to fight RA. When you have RA, your immune system is out of control. These drugs bring it back to normal. However, these medicines can lower your immune system's response to infections.

If you have only a few sore joints, your doctor may prescribe steroids (such as prednisone). Steroids reduce pain and swelling and slow the damage to your joints, but they can only be used for a little while. The longer steroids are used (many months or years), the less effective they become. They can also cause side effects, such as easy bruising, bone thinning, cataracts and diabetes.

Antirheumatic (say: "anti-roo-mat-ick") medicines can help fight RA. If these medicines are started early enough, they can slow the damage to your joints. These medicines work slowly, and it can take a few weeks to start feeling better. Your doctor may do a blood test to make sure these medicines are safe for you. Some of these medicines should not be taken if you are pregnant. Your doctor may talk to you about birth control before you use any antirheumatic medicines.

Surgery may be an option for cases of RA that are not effectively treated with medicine. Surgery can help you regain joint movement, ease pain and correct deformities caused by RA. Ask your doctor about the benefits and risks of surgery.

Talk to your doctor about all the treatment options for RA.

Can RA be cured?

RA is a lifelong disease. Sometimes, if it's treated, it will go away for a little while, but it usually comes back. It is important to see your doctor as soon as you begin to experience symptoms.

What can I do to care for myself if I have RA?

Regular, gentle exercise can strengthen the muscles around your joints and relieve fatigue. Mild water aerobics or walking are good exercises to start with. Stop if you feel pain in a new joint while exercising. If the pain does not get better, you should call your doctor.

Losing weight if you are overweight and eating a healthy diet can also help RA.

In order to lessen the stress on affected joints, you can use devices to help you do everyday activities. Grabbing tools can help you pick items up. Canes can make walking easier. Ask your doctor about the tools that are available to make your daily life easier.

To ease pain, you can also apply heat or cold to your painful joints. Heat relaxes tense muscle and cold can numb pain. An easy way to apply heat is to take a 15-minute hot shower or bath. Cold packs or soaking joints in cold water are effective ways to apply cold treatment. However, you should not use these methods if you have poor circulation.

What can I do?

  • Exercise regularly.
  • Lose weight if you are overweight.
  • Eat a healthy diet.
  • Use heat to reduce pain and stiffness (such as a hot shower or a heating pad).

Source

Diagnosis and Management of Rheumatoid Arthritis by JA Rindfleisch, D Muller (American Family Physician September 15, 2005, http://www.aafp.org/afp/20050915/1037.html)

Written by familydoctor.org editorial staff

Reviewed/Updated: 04/14
Created: 03/06

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