What treatment options can help manage rheumatoid arthritis?

Question

Hi doctor,

I am a 68-year-old retiree and have been living with rheumatoid arthritis for the past decade. Lately, I have noticed that my symptoms are becoming harder to manage. I used to enjoy woodworking and gardening, but the joint pain in my shoulders and knees has worsened despite taking Methotrexate. My grip strength has decreased, and I am struggling with tasks like opening bottles or using tools.

I am concerned about losing my independence and would like to know if my treatment plan needs to be adjusted. What options do I have for better pain management while staying active?

Kindly provide your insight.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

Methotrexate is a foundational medication for managing rheumatoid arthritis (RA). However, your doctor may suggest additional therapies if it is no longer providing adequate relief.

Biologic treatments like tumor necrosis factor (TNF) inhibitors (e.g., Adalimumab, Etanercept) or Janus kinase (JAK) inhibitors (for example: Tofacitinib) target specific immune pathways to reduce inflammation and prevent joint damage. These treatments can significantly improve pain, swelling, and mobility for people whose symptoms persist on methotrexate alone.

Pain management strategies can also help you.

Occupational and physical therapy can teach techniques to protect your joints, improve strength, and adapt tasks to reduce strain.

Using assistive devices, like jar openers or ergonomic tools, can ease daily activities and allow you to continue enjoying hobbies like woodworking and gardening.

Gentle, low-impact exercises such as swimming, Tai Chi, or yoga can improve joint flexibility and reduce stiffness.

Maintaining a healthy weight reduces pressure on weight-bearing joints, like your knees, and following an anti-inflammatory diet may help manage symptoms.

Plan for regular follow-ups with your rheumatologist to adjust treatment as your condition evolves.

You can also get emotional support from arthritis communities, and counseling can provide encouragement and practical advice for staying active and independent. Consult your specialist doctor, discuss with them, and take the medicines with their consent.

I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.