How is rheumatoid arthritis treated?

Written by Yang Ya Meng
Rheumatology
Updated on September 27, 2024
00:00
00:00

The treatment methods for rheumatoid arthritis mainly fall into three categories: The first category is anti-inflammatory analgesics, which include non-steroidal analgesic drugs such as slow-release diclofenac sodium. For patients with especially high inflammatory indicators, low-dose corticosteroids may also be considered. The second category of drugs includes slow-acting drugs commonly used in the treatment of rheumatoid arthritis, such as methotrexate and leflunomide, which are immunosuppressants. If the patient does not respond well to non-steroidal analgesic drugs or immunosuppressants, biological agents can be considered as a treatment option. Common biological agents include tumor necrosis factor antagonists. (Specific medications should be taken under the guidance of a physician.)

Other Voices

doctor image
home-news-image
Written by Liu Li Ning
Rheumatology
47sec home-news-image

Does rheumatoid arthritis have anything to do with drinking alcohol?

Rheumatoid arthritis is not causally related to alcohol consumption. There is a certain correlation between rheumatoid arthritis and Group A beta-hemolytic streptococcus infection. Clinically, it is mainly manifested as joint pain or arthritis, primarily affecting major joints. Symptoms can include redness, swelling, heat, and pain in the joints, which are migratory, and generally do not leave joint deformities. During the acute phase of rheumatoid arthritis, it is important to immobilize the joints. Non-steroidal anti-inflammatory drugs, such as etoricoxib or diclofenac sodium sustained-release capsules, can be used to relieve symptoms. If accompanied by myocarditis, glucocorticoids can also be applied in combination therapy.

doctor image
home-news-image
Written by Liu Li Ning
Rheumatology
52sec home-news-image

Can people with rheumatoid arthritis drink red bean and coix seed beverage?

Patients with rheumatoid arthritis can drink red bean and coix seed beverage, which does not significantly affect the condition and is rich in proteins, potentially aiding in recovery. Rheumatoid arthritis is a common rheumatic disease, related to infections by streptococci. With the widespread use of penicillin in recent years, the incidence of rheumatoid arthritis has been decreasing. Currently, it is mainly seen in patients with recurrent streptococcal infections, such as those who frequently suffer from tonsillitis, which increases their likelihood of developing rheumatoid arthritis. Patients with rheumatoid arthritis should maintain a light diet and can appropriately consume more high-quality protein foods, such as lean meat, milk, and eggs, while avoiding or reducing spicy and stimulating foods.

doctor image
home-news-image
Written by Liu Li Ning
Rheumatology
1min 1sec home-news-image

Can rheumatoid arthritis be cured through exercise?

Rheumatoid arthritis can be somewhat alleviated by exercise in terms of disease recovery. Rheumatoid arthritis primarily manifests as migratory swelling and pain in the major joints throughout the body. The onset of the disease is somewhat associated with streptococcal infections. In recent years, due to the widespread use of penicillin, rheumatoid arthritis has become very rare in clinical settings. Since the onset of rheumatoid arthritis is related to infections, long-acting penicillin is generally used for treatment if there is no accompanying carditis. Joint pain can be treated with non-steroidal anti-inflammatory drugs such as etoricoxib or sustained-release capsules of diclofenac sodium; if carditis is present, corticosteroids can be used. Patients with rheumatoid arthritis can engage in gentle aerobic exercises like swimming, yoga, jogging, Tai Chi, etc.

doctor image
home-news-image
Written by Guan Yu Hua
Orthopedic Surgery
1min 28sec home-news-image

Difference between arthritis and rheumatoid arthritis

Arthritis is typically osteoarthritis, a chronic inflammation characterized primarily by degenerative changes in joint cartilage, followed by bone proliferation, making it a chronic disease. Early pathological changes include alterations in joint cartilage, such as subchondral bone extrusion, followed by changes in the muscles surrounding the periosteum and joint capsule. Early radiographic examinations can provide a definitive diagnosis. Its symptoms primarily manifest as pain. For rheumatoid arthritis, it generally presents as morning stiffness and joint swelling and pain more severe than in the surrounding area, which can essentially confirm a diagnosis. It usually affects large joints such as the knee, shoulder, or wrist joints, typically presenting as migratory pain. A definitive diagnosis can usually be made by testing for rheumatoid factor, with an anti-O level exceeding 500 units. Additionally, there may be a slight increase in white blood cells, accelerated erythrocyte sedimentation rate, and elevated C-reactive protein. Examination of the synovial fluid shows increased white blood cells and neutrophils. In such cases, using anti-rheumatic drugs might suffice, but it’s also crucial to ensure rest and local heat application. These two types of arthritis fundamentally differ.

doctor image
home-news-image
Written by Liu Li Ning
Rheumatology
47sec home-news-image

Do you need to take X-rays for rheumatoid arthritis?

Rheumatoid arthritis requires imaging, especially of the affected joints. It is typically necessary to do this routinely. The main purpose is to check for any bone damage, primarily to differentiate it from rheumatoid arthritis. Because rheumatoid arthritis generally does not leave joint deformities, while rheumatoid arthritis, if not treated properly, can lead to bone destruction and in severe cases, joint fusion. In addition to imaging, rheumatoid arthritis also requires complete blood count, erythrocyte sedimentation rate, C-reactive protein, anti-streptolysin O, and echocardiography among other tests to comprehensively assess the condition and determine the treatment plan.