What is the treatment to halt joint damage in rheumatoid arthritis?

Question

Hello doctor,

I need advice regarding my mother’s condition. She is 68 years old and has been living with RA for 15 years. Her joints have deteriorated significantly, to the point where she can barely move her hands or knees. The doctor has prescribed some medications, but I am noticing that her mobility is continuing to decline. Her most recent X-rays showed some bone erosion, and her RF level was 110 IU/mL. She used to be very active, but now she struggles with tasks like opening jars or gardening, which she enjoys doing.

I am concerned about her future mobility and whether there is any way to halt the progression of this disease. At this point, she spends most of her time sitting in a chair, appearing sad and frustrated. While the medications seem to offer some relief, they do not stop the ongoing joint damage. She can hardly walk without assistance, and her hands are extremely painful.

I am worried about her quality of life and what the future holds. The doctors have indicated that this is a progressive disease, but I find it hard to accept that there is no way to stop it. Is there any treatment that can completely halt joint damage? Are there any newer treatment options available?

Kindly provide your guidance.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

Rheumatoid arthritis is a progressive condition but can be managed, and its progression can be paused using alternative methods, such as physiotherapy treatments. These treatments involve various techniques that, when followed correctly, can provide better results.

With your current age, the process can be controlled through lifestyle modifications.

Perform some physical activity every day, focusing on slow, sustained movements.
Begin with low-impact, non-weight-bearing activities for the first 20 days.
Gradually increase to partial weight-bearing activities based on the body’s response.
After four to five weeks, when you reach the progressive phase, you can start full weight-bearing activities, provided no symptoms from the previous stages are present.
Stretching exercises can help reduce symptoms gradually.
Applying alternating cold and warm water packs can decrease swelling in the joints.
Joint damage can be reduced with a combination of exercise and a proper diet.
Ensure you get enough sleep, as it is important for overall health.
Include breathing exercises every two hours to help relax your body.
Reduce mental stress by meditating and incorporating activities that are free of hassle.
Maintain constant movement and relaxation of the joints while avoiding excessive load on them.
Modify daily activities by focusing on short, prioritized tasks to avoid overexertion.
Ergonomic modifications in your office space can significantly reduce strain on the joints. Taking frequent breaks during work hours can also help alleviate symptoms.

I hope this has helped you.

Kindly follow up if you have more doubts.

Thank you.