Arthritis

Treatment:

OVERVIEW:
There are many different kinds of arthritis and treatment may vary depending on the particular cause, how severe the disease is, which joints are affected, how the person is affected, and the person's age, occupation, and daily activities.

Treatment may focus on eliminating the underlying cause of the arthritis. Usually, the cause is not curable and the treatment therefore aims at reducing pain and discomfort and preventing further disability. Following the prescribed therapy is crucial. Caring for your arthritis and responding to your body's needs will give the best results.

Symptoms are treated as appropriate. Sometimes they are helped with simple modifications in daily activities along with adequate rest and exercise; while other times, more extensive therapies are needed. Usually treatment consists of a combination of the above-mentioned activities along with heat or cold treatments, using methods to ensure joint protection, various medications, and possibly surgery.

MEDICATIONS:
Medications to reduce joint pain and joint swelling may include aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs, corticosteroids, gold salts, penicillamine, the antimalarial drug hydroxychloroquine, and immunosuppressive drugs, which are drugs that slow the immune system. (Note: These medications can have severe side effects. You should consult with your health care provider before taking any medication, even over-the-counter medications, for more than a couple of days!)

SURGERY:
In some cases, surgery to rebuild the joint (arthroplasty) or to replace the joint (such as a total knee joint replacement) may be recommended to help maintain a more normal lifestyle.

LIFESTYLE CHANGES:
Both rest and exercise are important. Warm baths, massage, and stretching exercises may be helpful. Making some modifications in daily activities or using assistive devices to ensure joint protection is recommended.

OTHER THERAPY:
Physical therapy for muscle and joint rehabilitation may be recommended in severe cases.

Expectations (prognosis):

Some arthritis-related disorders can be completely cured with treatment. Others are chronic, or long-term and treatment aims at controlling the pain and minimizing joint damage. Chronic arthritis frequently goes in and out of remission (lessening in severity of symptoms).

Complications:

• chronic pain
• lifestyle restrictions or disability

Calling your health care provider:

Call for an appointment with your doctor if joint pain persists beyond 3 days or if there is severe unexplained joint pain, especially if it is accompanied by other unexplained symptoms such as fever or weight loss.