Physiotherapy
3 min read

Rheumatoid Arthritis and Physiotherapy

Published on
July 2024
Contributors
Kruti Kulkarni
Physiotherapist
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Rheumatoid Arthritis and Physiotherapy

Rheumatoid arthritis is an autoimmune condition. This occurs as body’s immune system mistakenly attacks the synovium (the lining of the membranes that surround the joints). This results in inflammation that can damage joint tissues, causing pain, swelling and potentially leading to joint deformity.

Symptoms

- Joint pain and swelling: Commonly in the wrists, hands, and knees. Typically affecting both sides
- Inappropriate footwear
- Sitffness: Especially in the morning lasting more than 30 minutes or after periods of inactivity
- Fatigue: General tiredness and a lack of energy
- Fever: Low-grade fever may be present
- Loss of function and mobility: As the disease progresses, it can impair joint function

Causes/Risk Factors

- Genetic factors – Certain genes can make a person more susceptible to RA
- Environmental factors – Infections and certain exposures may trigger RA
- Gender – Women are more likely to develop RA
- Age – Although RA can occur at any age, it most commonly begins between ages 40-60
- Smoking – Increases the risk and severity of RA

Treatments

- Medications

  • Nonsteroidal Anti-inflammatory drugs (NSAIDs)
  • Corticosteroids
  • Disease-Modifying Antirheumatic drugs (DMARDs)
  • Biologic Agents

- Physiotherapy

  • Personalised exercise therapy
  • Other modalities: Splints, wax therapy, lifestyle advice, hydrotherapy, TENS

- Surgery

  • Joint replacements

RA is a chronic condition with no cure, but with early diagnosis and appropriate treatment, many people can manage their symptoms and lead active lives. Understanding and managing RA often involves a comprehensive approach, including regular monitoring and a combination of treatments tailored to the individual’s needs.