Management of the rheumatoid arthritis is generally medical, but therapeutic approaches and measures as well as surgical interventions can minimize and slow the effects of the disease. The evaluation and treatments rendered in an ongoing manner. It is best for the disease to be managed from a multidisciplinary perspective approach, this means including the principal rheumatologist, orthopedic surgeon, nurses, physiotherapists, occupational therapists, orthotists and the social worker, for a more holistic approach.
The management during the acute stage is primarily a medical perspective, characterised by frequent visits and even in-staying in the hospitals for increased rests, pain management and education. In the sub-acute phase, there will be more visits and treatments by the physiotherapists and occupational therapists, depending on the level of systemic and local effects of rheumatoid arthritis.
During this stage, there is also a chance of the hand occupational therapist attending to the patient with the disease for splinting and mobilization of the affected finger and hand joints, if the patient is able tolerate. The benefits of physiotherapy and occupational therapy is positive, and often increases the general mobility and pain management of the joints, equating to a better quality of life.
The drugs/pharmaceuticals that is often prescribed at this point in time include anti-inflammatories, painkillers, and hydrocortisone injections into the joint(s). There need to be careful management and monitoring of the effects of the abovementioned drugs when ministering to the patients, as some may have unpleasant side effects, but with safe administration, they are very effective.
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