It is possible that the main title of the report Arthritis, Juvenile Rheumatoid is not the name you expected. Please check the synonyms listing to find the alternate name(s) and disorder subdivision(s) covered by this report.
Early and rapid administration of disease-modifying antirheumatic
medicines (DMARDs), such as those that alter
immune system function, can have beneficial long-term
effects on the course of rheumatoid arthritis. But in a crisis of
rheumatoid arthritis pain, acute management of the immediate problem will
improve your comfort while the disease-modifying medicines are starting to
work. Rest and nonsteroidal anti-inflammatory drugs (NSAIDs) may help increase
comfort during a crisis. NSAIDs such as aspirin, ibuprofen, and naproxen are
available over the counter and work to suppress the inflammatory response that
causes joint pain and swelling. Your health professional may also sometimes
recommend corticosteroids, either orally or by injection into the muscle or
joint, to help treat a flare-up of rheumatoid arthritis.
Surgical intervention has a significant role in the treatment of
rheumatoid arthritis. The most common role of surgery is to correct the
deformities caused by joint destruction in rheumatoid arthritis. But joint
replacement can also be performed. Typical areas operated on for rheumatoid
The neck, to stabilize the portion of the upper
spine where it meets the base of the skull.
Hands and wrists, to
correct deformities and allow improved fine-motor functioning.
and knees, usually to perform joint replacement.
Ankles and toes,
where joint destruction and deformity may occur and diminish your ability to
Seek the care of orthopedic or plastic surgeons or podiatrists who
have a particular interest or experience in the surgical treatment of
inflammatory arthritis, as outcome can be particularly dependent on the
experience of the surgeon.
Physical and occupational therapy
Both physical and occupational therapy may help maintain function in
Occupational therapists may be especially helpful in
teaching people with significant loss of mobility how to use orthotic devices
to open jars, use utensils, and perform other activities of daily living.
Physical therapists can assist you in maintaining
strength and range of motion of joints affected by rheumatoid arthritis and
instruct you in an appropriate
Primary Medical Reviewer
Anne C. Poinier, MD - Internal Medicine
Specialist Medical Reviewer
Stanford M. Shoor, MD - Rheumatology
June 11, 2010
WebMD Medical Reference from Healthwise
June 11, 2010
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