Spa treatment for rheumatoid arthritis

There are two criteria for the disease by which indications for the sanatorium treatment of rheumatoid arthritis are evaluated: inflammation activity and functional ability.

For treatment in a sanatorium to be effective and safe, the activity of rheumatoid arthritis should be minimal or not at all (the disease is in remission). This means the following:

  • The number of swollen joints at the time of treatment is minimal.
  • The erythrocyte sedimentation rate is not increased.
  • ADC and PSA are moderately increased or within normal limits.
  • There are no active extraarticular manifestations.
  • On a visual scale, the patient indicates a high state of their own health.

A doctor can send a patient to a sanatorium only with a combination of minimal activity with a moderate degree of activity restriction. This means the following:

  • Self-service saved.
  • Perhaps the implementation of professional activities.
  • Unprofessional activity may be limited or maintained.

With severe joint damage and an active inflammatory process, sanatorium treatment should not be used. This may worsen the condition of the patient.

Sanatorium treatment methods

The doctor and patient should choose a place of sanatorium treatment according to several criteria. However, the main one is the presence of the necessary methods and procedures for the treatment of rheumatoid arthritis in a medical institution.

With rheumatoid arthritis, the following components of spa treatment may be useful:

  1. Climatotherapy.
  2. Physiotherapy.
  3. Physiotherapy.
  4. Balneotherapy.

It is necessary to disassemble each of the treatment methods in more detail.

Shishkevich Vladimir, orthopedic and traumatologistShishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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Climate impact

Since rheumatoid arthritis is based on autoimmune inflammation, treatment should be focused on eliminating this process. Many natural and climatic factors help to reduce the activity of inflammation.

Factors that prevent the autoimmune process and increase the body’s resistance are:

  • Aerotherapy – exposure to fresh air away from the city reduces the risk of inflammatory, infectious processes, intoxications.
  • Heliotherapy – spending time in the sun helps to fill the body with vitamin D, which is extremely important for the function of the musculoskeletal system.
  • Thalassotherapy – treatment with sea waves and the marine climate – perfectly relieves the activity of the inflammatory process.

It is recommended to choose a sanatorium that meets the above criteria.

One of the most important components of treatment for rheumatoid arthritis is therapeutic exercises. Whatever joint is affected, it requires constant training.

Performing exercises allows you to achieve these effects:

  1. Training the muscles surrounding the joint.
  2. Restoring normal anatomical interactions of articulation elements.
  3. Strain compensation.
  4. Improved synovial fluid circulation.
  5. Improving blood flow and normalizing metabolic processes.
  6. Reducing the severity of arthritis symptoms.

These effects can be achieved only with the correct, dosed and complex exercise therapy. This can be ensured by qualified specialists who are in every medical sanatorium.

Physical education is complemented by walks in the fresh air, swimming in sea water. Swimming is one of the best ways to improve joint function while avoiding excessive stress on them.

It is also recommended to go Nordic walking in the nature of the sanatorium. This will help strengthen muscles, increase overall resistance and endurance of the body.

Avoid running, jumping and other high-amplitude movements. Even with minimal activity of arthritis, they can cause exacerbation due to additional damaging effects.

Physiotherapy

Properly selected physiotherapy perfectly treats rheumatoid arthritis. And the best place for a full physiotherapy of joints is a suitable sanatorium.

It is necessary to choose a spa institution with a sufficient amount of physiotherapy, which is indicated for rheumatoid arthritis. Among the treatment methods that best affect the condition of the joints are the following procedures:

  • Magnetotherapy.
  • Electrophoresis of drugs.
  • UHF therapy.
  • Phonophoresis and exposure to ultrasound.
  • Ozokerite.
  • DMV therapy.
  • Inductothermy.
  • Paraffin treatment.

Choose a spa institution that has in its arsenal a sufficient range of physiotherapeutic procedures.

Even with minimal disease activity, these methods can achieve a number of beneficial effects.

Among them are improved microcirculation, increased resistance to local protective factors, strengthening the synovial membrane, and removing joint edema.

Balneotherapy

A good sanatorium is always famous for various methods of balneotherapy – exposure to healthy waters. This method of therapy is great for eliminating the manifestations of rheumatoid arthritis.

With autoimmune disease, such balneotherapy methods are suitable:

  • Mud therapy.
  • Exposure to sodium chloride waters.
  • Hydrogen sulfide.
  • Radon baths.
  • Silicon nitric waters.
  • Iodine-bromine effect.

Such methods of therapy not only remove the characteristic symptoms of the pathological process, but also stop the pace of its progression.

Sometimes, due to balneological exposure, an exacerbation of the disease occurs. At the first sign of deterioration, it is necessary to voice your well-being to a specialist, he will help to adjust the treatment plan.

Performance criteria

After the patient has undergone spa treatment, the doctor should evaluate its effectiveness. This process is important primarily for the patient, since with a positive effect, he will be sent to re-treatment after a certain period of time. The lack of effect or worsening of the condition should cause a change in treatment tactics.

The doctor evaluates a number of parameters identified for the diagnosis of rheumatoid arthritis. To do this, use the international scale of disease activity – DAS28.

Sanatorium therapy is considered favorable with the following changes in the human condition:

  • The number of painful joints decreased by at least 1.
  • The number of swollen or swollen joints decreased.
  • The titer of C-reactive protein decreased by 1 mg in deciliter.
  • On a visual scale, the patient shows 10 points less than before the sanatorium.

Special indices, such as SDAI, are also calculated, which help the doctor objectify changes in the patient’s health status.

From the above, it must be concluded that a second visit to your doctor after the sanatorium is necessary to monitor the effectiveness of therapy.

Sanatoriums in Russia

Choosing the best medical resort is quite difficult. You need to know the list of the most favorable sanatorium treatment centers for arthritis in Russia. Evaluate each institution on your own, and then discuss the possibility of treatment with your doctor.

For the best treatment of rheumatoid arthritis in Russia, the following institutions should be considered:

  1. With mud and sodium chloride waters: Zelenogradsk, Lake Medvezhye, Lipetsk, Sarkivevsky Mineralnye Vody, Pyatigorsk, Elton, Totma, Uvildy.
  2. With hydrogen sulfide waters: Khilovo, Klyuchi, Sernovodsk-Caucasus, Sochi.
  3. With radon baths: Pyatigorsk, Belokurikha, Urguchai.
  4. With nitrogen waters: Nachiki, Talaya, Kuldur.
  5. With iodine-bromine waters: Ust-Kachka, Nalchik.

In order for the trip and treatment process to proceed most favorably, consider the distance of the sanatorium from your place of residence.

Sanatoriums for children

A particular problem is inflammatory joint diseases in children. Children or juvenile rheumatoid arthritis should also be treated in a sanatorium whenever possible.

A children’s sanatorium is also quite difficult to pick up. It is necessary to take into account its distance from the place of residence, the possibility of living with parents, the full number of medical procedures and their suitability for the child’s body.

The following specialized institutions carry out treatment of children:

In case of difficulties, it is possible to clarify the possibility of a child staying in a sanatorium with representatives of a particular institution by mail or phone.

Sanatorium treatment of rheumatoid arthritis

Clinicians have accumulated extensive experience allowing us to state that spa treatment is an important and one of the most effective stages in the rehabilitation of children with rheumatoid arthritis.

In Yevpatoria, a specialized sanatorium “Health” was opened. Spa treatment of children with rheumatoid arthritis is also carried out in other regions and countries: Odessa, Pyatigorsk, Akhtal, Tskhaltubo, Lipetsk, Goryachy Klyuch and others.

Indications: 1) the articular form of rheumatoid arthritis in the remission phase with minimal and moderate activity; 2) the articular-visceral form of arthritis in the phase of remission and with minimal activity; 3) condition after joint surgery for arthritis.

Contraindications: 1) articular and articular-visceral forms of rheumatoid arthritis in the acute phase or with an exacerbation of the process, moderate and high degree of activity; 2) arthritis with the phenomena of amyloidosis of internal organs; 3) patients currently receiving hormone therapy; 4) general contraindications, excluding the direction of the patient to the resort.

Many years of experience in treating patients in the conditions of the specialized sanatorium “Zdravnitsa” made it possible to develop differentiated methods of balneotherapy, which are part of six unified medical complexes.

The first complex is indicated for children in the inactive phase of arthritis with proliferative and proliferative fibrotic changes in the joints. After a period of adaptation (7-10 days), baths from the brine of Lake Moynaki are appointed every other day, the water temperature is 36 ° C. On days of taking baths, exercise therapy, massage, inhalation, ultraviolet irrigation of the pharynx and nose are also used.

Between the baths, methods of physiotherapy are appropriate for supplementing and enhancing the anti-inflammatory effect of balneofactors: electrophoresis of lidase, sodium thiosulfate, potassium iodide, microwave therapy.

In the third period (after a 2-3-week break to avoid relapse, negative reactions of the cardiovascular and nervous systems), mud therapy is carried out in the form of applications on the affected joints, adjacent muscles and reflexogenic zones. Depending on age, 8-10 procedures are prescribed every other day. For preschool children, mud therapy is used with great care because of the tendency to relapse.

Mud applications are prescribed only with good tolerance of brine baths.

In summer, on days free of procedures, bathing in the sea may be recommended according to indications. The appointment of sea bathing should be approached with great caution, since such children are hypersensitive to cold exposure. Bathing is prescribed in the warm season, in the afternoon or in the morning, once a day, for 3-5 minutes, followed by an increase of up to 8 minutes. You can not combine swimming in the sea with other medical procedures – swimming in the estuary, mud therapy, sand baths because of the danger of exacerbation of the disease.

With an exacerbation of the disease and in the subacute period, swimming in the sea is contraindicated. It is prescribed for improving the condition of the child.

With multiple lesions of the joints, sand baths of natural solar heating are used. At the beginning of treatment, the temperature is usually 37-38 ° C, then gradually rises to 42 ° C. The duration of the bath is 20-30 minutes. The course of treatment is 20-25 baths (depending on the age and condition of the child).

The second complex is performed for children with minimal activity of rheumatoid arthritis in the presence of exudative-proliferative changes in the joints. In the preparatory period, in summer, sun baths of diffuse radiation or air baths (with a light cold load) are prescribed, and the rest of the year – aerotherapy. UFD is widely used in erythemal doses to the area of ​​affected joints and reflexogenic zones, electrical procedures: UHF followed by electrophoresis of novocaine, calcium preparations, ultrasound or phonophoresis of hydrocortisone, amplipulse or dynamic currents.

If necessary, anti-inflammatory and desensitizing agents are prescribed. Good effect is obtained from brine baths.

In the presence of muscle atrophy, stiffness in the joints after 10-12 days, you can conduct a course of treatment with an underwater shower massage using the UVM-Tangentor apparatus. At the same time, as a result of the combined thermal and mechanical effects of the water jet, active hyperemia develops in the massed tissues, the blood flow to the affected joint increases, its trophism improves. With limited movement in the joints without severe muscle atrophy, kinesitherapy is performed.

The third complex is prescribed for children with minimal activity of rheumatoid arthritis in the presence of proliferative and proliferative fibrous changes in the joints and is identical to the second. However, after 2-3 weeks after a decrease in the activity of the process, mud applications can be used. With poor tolerance, mud therapy can be replaced with underwater massage or kinesitherapy in the pool

In summer, the second and third complexes are complemented by swimming in the estuary. Thalassotherapy is not indicated.

The fourth complex is performed for children with moderate activity of rheumatoid arthritis in the presence of exudative-proliferative and proliferative-fibrous changes in the joints. In the preparatory period, hardware physiotherapy is recommended to reduce the activity of the process: phonophoresis of hydrocortisone to the joints, UHF followed by electrophoresis of novocaine, chingamine (delagil), sinusoidal modulated currents sequentially to the segmental reflexogenic zone and affected joints from the Amplipulse-4 apparatus, erythema doses Ural region of the affected joints and adrenal glands. At the same time, therapy is carried out with anti-inflammatory non-steroidal agents (indomethacin, brufen, voltaren), acetylsalicylic acid, desensitizing, quinoline drugs.

Balneotherapy is carried out according to a gentle method, usually against the background of drug therapy, with sodium chloride (brine) baths; the duration and number of procedures are determined by the age of the patients.

Mud therapy in patients with moderate activity due to the possibility of severe balneoreaction or relapse of the disease is not used.

The fifth complex is prescribed to patients with minimal activity of rheumatoid arthritis, accompanied by visceritis, in the presence of exudative-proliferative and proliferative-fibrous changes in the joints. In the preparatory period, physiotherapeutic methods of treatment are actively used for children with moderate disease activity. In addition, electrophoresis of calcium preparations to the “collar” zone is widely used. Drug therapy – anti-inflammatory, quinoline drugs, vitamins, galascorbin – is carried out according to indications.

Balneotherapy in the form of brine baths, sage brine, oxygen baths in brine water is carried out according to a gentle method, depending on age. Mud therapy for these patients is not indicated. With good tolerance of previous procedures, you can prescribe underwater massage or kinesitherapy in the pool. In summer, this complex can be supplemented (with caution) by swimming in the estuary.

The sixth complex is carried out in patients with moderate activity visceritis, long-term treatment with glucocorticosteroid drugs, as well as in patients with various complications of hormonal therapy and adrenal hypofunction. In the preparatory period, along with medications, inductance is used to stimulate the adrenal glands, ultraviolet radiation from the area of ​​the projection of the adrenal glands, UHF. Particular attention should be paid to climatotherapy – aerotherapy, sun baths of diffuse radiation, careful conduct of hardening procedures. Balneotherapy is started and carried out extremely carefully (!), Only if there is a tendency to improve clinical and laboratory parameters. In this case, use sage-sea baths or baths made of oak bark according to a gentle method.

In case of eye damage (subacute and sluggish keratouveitis) on days free of general balneotherapy, mud therapy is carried out according to a special technique (contraindication is secondary glaucoma).

In a sanatorium, patients should be under the supervision of an orthopedist and receive the necessary orthopedic care. In the absence of the effect of repeated complex conservative treatment of rheumatoid arthritis with recurrent synovitis, according to indications, surgical treatment is performed – synovectomy.
The timely organization of the motor regime is of great importance – massage, mechanotherapy, health path, choreography.

In the active phase of rheumatoid arthritis, especially in the presence of visceritis, non-steroidal anti-inflammatory drugs and quinoline derivatives are prescribed. You can not consider drugs as a means of potentiating the effect of balneotherapy. Children who have been treated with glucocorticosteroid and cytostatic drugs for a long time should be sent to the resort no earlier than 3-6 months after their cancellation in order to avoid exacerbation of the disease. In these patients, adaptive capabilities are low, and the use of balneotherapy or mud therapy is very limited.

The success of treatment also depends on the time of year. Patients in the inactive phase of the disease with minimal activity can be sent for sanatorium-resort treatment throughout the year, with moderate – it is better in the spring and summer. It is also better to send children of early and preschool age in a warm season. To consolidate and improve the results of the previous rehabilitation of children, it is necessary to re-send for treatment to the resort.

Rheumatoid arthritis: treatment in a sanatorium and physiotherapy

Despite the fact that the first information about rheumatoid arthritis appeared before our era, effective methods of treatment have been developed recently. So, patients resort to various folk remedies, oriental medicine, and also adhere to traditional treatment (medicines, physical culture, diet, etc.) – all this in combination can reduce the activity of the disease.

Sanatorium treatment, in addition to the main treatment, can completely relieve rheumatoid arthritis

But most experts focus on the quality treatment of rheumatoid arthritis in the sanatorium, in their opinion, which allows not only to consolidate the effect of treatment, but also completely relieve the patient from this disease.

Thus, for many years, spa therapy has remained one of the central methods of treatment. In this article we will consider what types of therapy are used in sanatoriums today, as well as their effect on the body of a patient with rheumatoid arthritis.

Why doctors recommend treating rheumatoid arthritis in a sanatorium

Millions of patients with rheumatoid arthritis in their attempts to get rid of this disease have tried dozens of popular methods, but none of them expected such a therapeutic effect as from spa treatment. What is hidden behind the walls of our sanatoriums, and why do they have such an amazing effect?

Recall that a disease such as rheumatoid arthritis hides a complex autoimmune mechanism that causes damage to many tissues in the body. It can be restrained by drugs, but, unfortunately, it is almost impossible to completely stop it.

Rheumatoid arthritis is almost impossible to completely cure

In turn, sanatorium-resort therapy operates somewhat wider:

  • creates a favorable psycho-emotional background (it is known that stress provokes AI reactions);
  • recovery by natural resources (for example, the sea and the sun have a beneficial effect on rheumatoid arthritis);
  • effective treatment regimens (include individual complexes of exercise therapy, physiotherapy, etc.);
  • balanced diet.

From this it follows that spa treatment affects the disease from almost all sides. This provides a fixing and healing effect, which we talked about above.

Sanatorium treatment methods for rheumatoid arthritis

As already mentioned, in the sanatoriums, comprehensive treatment is carried out, while the key task is to rest the patient. Very often, patients ask if it is possible at sea with rheumatoid arthritis?

Specialists always answer unequivocally that you need to be in the fresh air at sea as often as possible, while eating and sleeping well is the basis of spa treatment.

The sea and the sun have a very beneficial effect on the health of patients

But, as a supplement, various rehabilitation and physiotherapeutic measures are used in sanatoriums.
We will try below to consider the most popular of them:

  • kinesitherapy – provides for various motor exercises aimed at restoring disability, improving mobility in the joints, strengthening muscles and so on;
  • physiotherapy – methods of influencing the body by various phenomena (electric current, magnetic waves, ultrasound, etc.).

Physiotherapy exercises in the sanatorium: popular exercises

Many patients also ask how rheumatoid arthritis and exercise are combined. To this question, doctors answer that it is necessary to use gentle complexes, as well as dose loads.

Let’s look at the popular types of spa treatment that are associated with physical activity:

    Charging with rheumatoid arthritis. This is one of the fundamental methods, the essence of which is that the patient performs a regular set of exercises in the morning.

This allows you to improve fine motor skills, restore mobility in the joints, reduce the symptoms of the disease.

Among the popular exercises: swing your arms to the sides, rotate the wrist and elbow joints, squats, bends to the sides and so on;

  • Exercise therapy for rheumatoid arthritis is a set of exercises aimed at developing self-care skills, rehabilitation, and more. This complex includes more complex exercises: squeezing a rubber ball with your hands, walking on toes, rotational movements, and more. Below we will consider several exercises from the complex;
  • Yoga for rheumatoid arthritis. Includes various asanas to achieve energy balance. You need to spend at least 30 minutes a day exercises. This will not require special skills;
    For more on yoga for rheumatoid arthritis, see the video:
  • Water exercises. So, a pool is more popular with rheumatoid arthritis, but exercises can also be performed in sea or river water. Various water games also have a beneficial effect;
  • Gymnastics with rheumatoid arthritis. This method is the basis of many sports and allows you to achieve natural flexibility, smooth movements, strengthen the muscle corset and improve mobility in the joints. Includes exercises to warm up and stretch certain muscles.
  • In the network you can find dozens of exercises that can be used for rheumatoid, but the most justified are rolls from sock to heel (8-10 times), “search of the rosary”, “playing the thread”, squeezing the toes and hands, “caterpillar” , “Accordion” and so on.

    p, blockquote 13,0,0,1,0 ->

    Physiotherapy for Rheumatoid Arthritis

    Another set of medical manipulations designed to consolidate the effect of drug treatment.

    These procedures should also be performed daily and in combination with other methods.

      Mud treatment. So, this method is very effective for rheumato >

    The effectiveness of magnetotherapy with the Almag apparatus is in doubt

    Speaking of spa treatment in general, this method has been established for many centuries and allows you to consolidate the effect of therapeutic measures.

    For many patients with rheumatoid arthritis, this is a real “life buoy”.

    Treatment of rheumatoid arthritis in the sanatoriums of Russia

    Rheumatoid arthritis is a severe inflammatory disease of the joints. The basis is an autoimmune process, human antibodies begin to attack his own tissues, which causes inflammation and joint deformities.

    This problem requires ongoing treatment and symptom control. During exacerbation of arthritis, it is necessary to reduce the activity of the process as soon as possible, and supportive therapy helps to prevent the appearance of new attacks.

    Sanatorium treatment of rheumatoid arthritis is one way to prevent relapse of the disease. This treatment method is also recommended for juvenile arthritis in children.

    What procedures are carried out in the sanatorium? Who is this treatment indicated for? What sanatoriums do you need to go to treat rheumatoid arthritis? We will try to answer these questions.

    Indications for spa treatment

    There are two criteria for the disease by which indications for the sanatorium treatment of rheumatoid arthritis are evaluated: inflammation activity and functional ability.

    For treatment in a sanatorium to be effective and safe, the activity of rheumatoid arthritis should be minimal or not at all (the disease is in remission). This means the following:

    • The number of swollen joints at the time of treatment is minimal.
    • The erythrocyte sedimentation rate is not increased.
    • ADC and PSA are moderately increased or within normal limits.
    • There are no active extraarticular manifestations.
    • On a visual scale, the patient indicates a high state of their own health.

    A doctor can send a patient to a sanatorium only with a combination of minimal activity with a moderate degree of activity restriction. This means the following:

    • Self-service saved.
    • Perhaps the implementation of professional activities.
    • Unprofessional activity may be limited or maintained.

    With severe joint damage and an active inflammatory process, sanatorium treatment should not be used. This may worsen the condition of the patient.

    Sanatorium treatment methods

    The doctor and patient should choose a place of sanatorium treatment according to several criteria. However, the main one is the presence of the necessary methods and procedures for the treatment of rheumatoid arthritis in a medical institution.

    With rheumatoid arthritis, the following components of spa treatment may be useful:

    1. Climatotherapy.
    2. Physiotherapy.
    3. Physiotherapy.
    4. Balneotherapy.

    It is necessary to disassemble each of the treatment methods in more detail.

    Climate impact

    Since rheumatoid arthritis is based on autoimmune inflammation, treatment should be focused on eliminating this process. Many natural and climatic factors help to reduce the activity of inflammation.

    Factors that prevent the autoimmune process and increase the body’s resistance are:

    • Aerotherapy – exposure to fresh air away from the city reduces the risk of inflammatory, infectious processes, intoxications.
    • Heliotherapy – spending time in the sun helps to fill the body with vitamin D, which is extremely important for the function of the musculoskeletal system.
    • Thalassotherapy – treatment with sea waves and the marine climate – perfectly relieves the activity of the inflammatory process.

    It is recommended to choose a sanatorium that meets the above criteria.

    One of the most important components of treatment for rheumatoid arthritis is therapeutic exercises. Whatever joint is affected, it requires constant training.

    Performing exercises allows you to achieve these effects:

    1. Training the muscles surrounding the joint.
    2. Restoring normal anatomical interactions of articulation elements.
    3. Strain compensation.
    4. Improved synovial fluid circulation.
    5. Improving blood flow and normalizing metabolic processes.
    6. Reducing the severity of arthritis symptoms.

    These effects can be achieved only with the correct, dosed and complex exercise therapy. This can be ensured by qualified specialists who are in every medical sanatorium.

    Physical education is complemented by walks in the fresh air, swimming in sea water. Swimming is one of the best ways to improve joint function while avoiding excessive stress on them.

    It is also recommended to go Nordic walking in the nature of the sanatorium. This will help strengthen muscles, increase overall resistance and endurance of the body.

    Avoid running, jumping and other high-amplitude movements. Even with minimal activity of arthritis, they can cause exacerbation due to additional damaging effects.

    Physiotherapy

    Properly selected physiotherapy perfectly treats rheumatoid arthritis. And the best place for a full physiotherapy of joints is a suitable sanatorium.

    It is necessary to choose a spa institution with a sufficient amount of physiotherapy, which is indicated for rheumatoid arthritis. Among the treatment methods that best affect the condition of the joints are the following procedures:

    • Magnetotherapy.
    • Electrophoresis of drugs.
    • UHF therapy.
    • Phonophoresis and exposure to ultrasound.
    • Ozokerite.
    • DMV therapy.
    • Inductothermy.
    • Paraffin treatment.

    Choose a spa institution that has in its arsenal a sufficient range of physiotherapeutic procedures.

    Even with minimal disease activity, these methods can achieve a number of beneficial effects.

    Among them are improved microcirculation, increased resistance to local protective factors, strengthening the synovial membrane, and removing joint edema.

    Balneotherapy

    A good sanatorium is always famous for various methods of balneotherapy – exposure to healthy waters. This method of therapy is great for eliminating the manifestations of rheumatoid arthritis.

    With autoimmune disease, such balneotherapy methods are suitable:

    • Mud therapy.
    • Exposure to sodium chloride waters.
    • Hydrogen sulfide.
    • Radon baths.
    • Silicon nitric waters.
    • Iodine-bromine effect.

    Such methods of therapy not only remove the characteristic symptoms of the pathological process, but also stop the pace of its progression.

    Sometimes, due to balneological exposure, an exacerbation of the disease occurs. At the first sign of deterioration, it is necessary to voice your well-being to a specialist, he will help to adjust the treatment plan.

    Performance criteria

    After the patient has undergone spa treatment, the doctor should evaluate its effectiveness. This process is important primarily for the patient, since with a positive effect, he will be sent to re-treatment after a certain period of time. The lack of effect or worsening of the condition should cause a change in treatment tactics.

    The doctor evaluates a number of parameters identified for the diagnosis of rheumatoid arthritis. To do this, use the international scale of disease activity – DAS28.

    Sanatorium therapy is considered favorable with the following changes in the human condition:

    • The number of painful joints decreased by at least 1.
    • The number of swollen or swollen joints decreased.
    • The titer of C-reactive protein decreased by 1 mg in deciliter.
    • On a visual scale, the patient shows 10 points less than before the sanatorium.

    Special indices, such as SDAI, are also calculated, which help the doctor objectify changes in the patient’s health status.

    From the above, it must be concluded that a second visit to your doctor after the sanatorium is necessary to monitor the effectiveness of therapy.

    Sanatoriums in Russia

    Choosing the best medical resort is quite difficult. You need to know the list of the most favorable sanatorium treatment centers for arthritis in Russia. Evaluate each institution on your own, and then discuss the possibility of treatment with your doctor.

    For the best treatment of rheumatoid arthritis in Russia, the following institutions should be considered:

    1. With mud and sodium chloride waters: Zelenogradsk, Lake Medvezhye, Lipetsk, Sarkivevsky Mineralnye Vody, Pyatigorsk, Elton, Totma, Uvildy.
    2. With hydrogen sulfide waters: Khilovo, Klyuchi, Sernovodsk-Caucasus, Sochi.
    3. With radon baths: Pyatigorsk, Belokurikha, Urguchai.
    4. With nitrogen waters: Nachiki, Talaya, Kuldur.
    5. With iodine-bromine waters: Ust-Kachka, Nalchik.

    In order for the trip and treatment process to proceed most favorably, consider the distance of the sanatorium from your place of residence.

    Sanatoriums for children

    A particular problem is inflammatory joint diseases in children. Children or juvenile rheumatoid arthritis should also be treated in a sanatorium whenever possible.

    A children’s sanatorium is also quite difficult to pick up. It is necessary to take into account its distance from the place of residence, the possibility of living with parents, the full number of medical procedures and their suitability for the child’s body.

    The following specialized institutions carry out treatment of children:

    In case of difficulties, it is possible to clarify the possibility of a child staying in a sanatorium with representatives of a particular institution by mail or phone.

    Morozov Georgiy

    Georgy Morozov, rheumatologist. For more than 20 years, he has been involved in the diagnosis, treatment and prevention of joint diseases.

    Expertnews