The treatment of rheumatoid arthritis is based on the prescription of drugs (oral or injection), functional rehabilitation and equipment, and sometimes surgery. The management of rheumatoid arthritis should be multidisciplinary. According to each patient, its evolution and the severity of its disease, it calls on the rheumatologist, various medical and paramedical actors: general practitioner, functional rehabilitation physician, orthopedic surgeon, psychiatrist or psychologist, physiotherapist, occupational therapist podiatrist, nurse, social worker, etc. With the rheumatoid arthritis treatment in Ayurveda you can have the perfect deals.
The goals of rheumatoid arthritis treatment are to relieve pain, reduce symptom intensity, stabilize existing lesions, prevent new lesions, improve quality of life, and, if possible, improve the quality of life. Induce remission (i.e., absence of symptoms, absence of signs of inflammation, and arrest of progression of joint damage). There are two types of rheumatoid arthritis drug therapies: immediate-action treatments to quickly reduce symptoms (crisis treatments) and treatments to prevent long-term progression of rheumatoid arthritis (DMARDs).
The treatment is adapted to each person and combines different therapeutic means. The doctor may modulate the treatment according to the severity of the symptoms observed, according to the patient’s specific terrain (for example, the existence of another chronic disease or an allergy to a type of medication), depending on the effectiveness of the treatments prescribed until then, but also according to the type of activity of the patient (patient still in activity or retired patient, urban patient or rural patient, etc.).
The indispensable role of patient information
The information of the patients is essential so that they can participate actively in the management of their rheumatoid arthritis. Its goal is to enable them to live better with the disease, to promote adherence to prescribed treatments and to limit complications. The information provided must be tailored to each patient and vary according to the stage of the disease. The patient is informed about the characteristics of his illness, the principles of the treatment offered to him and his expected benefits, as well as the possible risks of adverse effects. The coordinates of the patient associations are also communicated to him.
How is rheumatoid arthritis followed?
Throughout the disease, patient monitoring is essential and must be performed regularly: every month in the event of an increase or change in the background treatment, every three to six months when the disease is stabilized. The evaluation of the activity of the disease is done on objective criteria: clinical examination, DAS 28 score, HAQ score, blood test, etc. The effectiveness of the treatments and their possible undesirable effects are evaluated during these visits, so as to adapt them if necessary.
In the follow-up of the arthritis, it is also necessary to realize X-rays of the hands, the wrists and the feet, or the joints where the patient feels symptoms. X-rays are performed every six months in the first year, then every year for three years, then every two to four years if the disease is stabilized.