What Is Inflammation?
How Are Inflammatory Joint Diseases Treated?
There are a number of treatment options for inflammatory diseases, like arthritis, including medications, rest, exercise, and surgery to correct joint damage. The type of treatment prescribed will depend on several factors, including the type of disease, the person's age, type of medications he or she is taking, overall health, medical history, and severity of symptoms.
The goals of treatment are the following:
- Correct, control, or slow down the underlying disease process
- Avoid or modify activities that aggravate pain
- Relieve pain through pain medications and anti-inflammatory drugs
- Maintain joint movement and muscle strength through physical therapy
- Decrease stress on the joints by using braces, splints, or canes as needed
What Drugs Are Used to Treat Inflammatory Diseases?
There are many drugs available to decrease joint pain, swelling and inflammation, and possibly prevent or minimize the progression of the inflammatory disease. They are often used in combination due to their differing effects. The medications include:
- Nonsteroidal anti-inflammatory drugs (NSAIDs such as aspirin, ibuprofen, or naproxen)
- Corticosteroids (such as prednisone)
- Antimalarial medications (such as hydroxychloroquine)
- Other oral drugs including methotrexate, sulfasalazine, leflunomide, azathioprine, penicillamine, and cyclophosphamide
- Biologic drugs such as infliximab, etanercept, adalimumab, certolizumab, golimumab, abatacept, tocilizumab, and rituximab
Some of these medications are also used to treat other conditions such as cancer or inflammatory bowel disease, or to reduce the risk of rejection of a transplanted organ. However, when "chemotherapy" types of medications (such as methotrexate or cyclophosphamide) are used to treat inflammatory diseases, the doses are sometimes significantly lower and the risks of side effects tend to be less than when prescribed in higher doses for cancer treatment.
When you are prescribed any medication, it is important to meet with your doctor regularly so he or she can detect the development of any side effects.