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Characterized by chronic inflammation of the joints and surrounding tissues, this autoimmune disease is a progressive illness that causes a variety of symptoms. These include severe aches and pain, fatigue, loss of appetite, stiffness, and a lack of energy.
Unfortunately the disease develops gradually, so it is not always possible to determine exactly when it began. Some people find that the disease is active constantly, while others show signs of symptoms intermittently. The specific symptoms, and the severity of pain and discomfort, depend entirely on the individual and can be worse if a person is inactive for a long period of time.
The main goal of treating rheumatoid arthritis is to manage the pain, maximize the functioning of joints, and reduce inflammation. The prevention of joint damage and deformity also forms part of treatment. Since the severity of the symptoms varies according to the case, treatment needs to be tailored to the needs of each patient. Generally factors, such as age, occupation, overall health, the types of joints that are inflamed, and whether the disease is active or not, are all taken into consideration when deciding on a course of treatment.
Rheumatoid arthritis treatment usually consists of a combination of medications and non-drug therapies. The types of drugs used include anti-inflammatory medications and drugs that promote remission, as well as slow down the progression of the disease.
Anti-inflammatory drugs, such as cortisone and aspirin are used for pain management and to reduce inflammation. Hydroxychloroquine, gold salts, sulfasalazine and methotrexate are commonly used to slow down the progression of joint destruction and promote remission. In cases where joint deformity is severe, surgery may be necessary.
Non-drug therapies include physical therapy and specific exercises to relieve pain and stiffness. Besides reducing inflammation, physical therapy can be used to address particular effects of the disease and preserve the structure of joints. A combination of relaxation techniques, finger splinting, ultrasound, and hot and cold therapies are used to achieve optimal results. A dietary plan is often recommended to ensure patients receive plenty of essential nutrients, especially during periods when there is a loss of appetite. To help with fatigue and restore energy, individuals are encouraged to rest.
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