Treatment of Rheumatoid Arthritis (continuation)
A common-sense approach to living with the disease is also an important factor in controlling rheumatoid
arthritis. This may call for an adjustment of daily routines to include naps and rest periods during the
day. Physiotherapy usually includes special exercises to retain joint function and application of hot
compresses. Splinting of affected joints, particularly the fingers, may also be considered advisable.
Where weight loss has contributed to general debility, a special diet may be initiated. Only in the most
advanced and immobilizing cases is orthopedic surgery considered for the replacement of diseased joints.
Importance of Attitude
Attitude is a very important element in the overall treatment of rheumatoid arthritis. Many people fear
the potentially crippling effects of the disease, and retreat from normal activities. Others try to ignore
the condition and carry on as usual, despite pain and other symptoms. Both approaches can lead to
unnecessary exacerbation of the disease. Most people experience long periods of remission, during which
they have few or no symptoms. But flare-ups may occur without warning. A cooperative, positive attitude
helps one cope with the unpredictable nature of the disease.
Very few people become so severely affected that they cannot carry on normal activities. Renoir continued
to paint magnificent pictures despite severe rheumatoid arthritis, and there are any number of other
inspiring examples of people who have lived long, rich, productive lives despite the disease. There are
a number of aids, ranging from special eating utensils and button-hooks to raised toilet seats and electric
stair chairs, which make performing routine daily tasks easier.
Summing Up
While rheumatoid arthritis is more severe than osteoarthritis, it is considerably rarer and usually can be
successfully controlled when symptoms are brought to the doctor's attention promptly. It may take some time
and patience to arrive at the right medication in the proper dosage, but the combination of drugs, exercise,
rest and good nutrition can usually reduce symptoms to the point where they do not interfere with most
normal activities.
