First, talk to your physical therapist or rheumatologist. Together, you can make a plan that's safe and works for your level of fitness.
Also let them know what you hope to do and gain from exercise. “We want to make sure [people] set realistic goals that they’ll want to strive towards,” Smith says.
For example, if you want to go hiking or get back to doing something you love, a physical therapist can provide a workout that will help you do that, he says.
To avoid get injured, Robertson recommends asking a physical therapist to show you the proper way to lift before you start strength training. “You need to have good form, especially for your hands and fingers,” he says.
When you look for a personal trainer, ask if they have experience working with people who have arthritis. You can check with your rheumatologist or local Arthritis Foundation chapter about exercise programs or classes for people with RA.
A specially fitted splint or brace may also help you lift. An occupational therapist can design one for you, Smith says. He also recommends using foam handles if you use dumbbells.