How to treat rheumatoid arthritis with modern means

It has been established that most middle-aged women (36-45 years old) suffer from polyarthritis.

At an older age, the level of the disease decreases.

How is it manifested?
In the 70-80 years of the last century, rheumatoid arthritis was considered a disease, mainly of young people (from 20 to 40 years old).

Today, this can no longer be said.

A person can get sick at 50, and at 70, and even at 80.

Young children also suffer from rheumatoid arthritis (mainly from a year to 3 years). However, to a much lesser extent than adults.

Joint pain is far from the first symptom of rheumatoid arthritis.

It all starts with a seemingly banal cold.

First, there is a general malaise, fatigue, weight loss.

Gradually, aching muscles in the muscles, sweating, fever, join these symptoms.

And after that, joint pains appear.

Moreover, the disease can affect any joint.

In addition to articular symptoms, with polyarthritis, other manifestations are possible.

For example, thinning or brittle nails, weakening of the muscles of the skeleton, the development of pleurisy, damage to the lung tissue.

Many of these manifestations are accompanied by the formation of rheumatoid nodules – small lumps consisting of connective tissue.

They can appear in the area of ​​affected joints and can be felt under the skin in the form of dense balls.

The main symptom of polyarthritis is damage to the joints of the fingers.

Based only on this symptom, a diagnosis can already be made.

But if the knee joint is sick, there is no need to rush with the diagnosis, as this can be a signal of other diseases.

The second characteristic sign of the disease is a symptom of morning stiffness, when a person, waking up in the morning, cannot squeeze his hand.

He has to develop a hand for a long time, and sometimes it lasts until the evening.

Why does it happen?
Unfortunately, the true causes of polyarthritis have not been established.

It is only known that as a result of some external influence (viral infection, environmental factors), the immune system malfunctions.

Some note the connection of the disease with seasonal exacerbations and periods of physiological restructuring of the body (adolescence, the period after childbirth in women, menopause).

Normally, cells of the immune system always react to a viral infection (attack it) without harming their own body tissues.

So begins the inflammation of the joints.

Doctors still argue about the hereditary factor.

On the one hand, it is believed that if a person has a certain gene, then sooner or later the disease will certainly come.

On the other hand, rheumatoid arthritis affects people who do not have these genes.

Therefore, it is very difficult to affirm something concrete.

How to treat?
For the treatment of polyarthritis, modern medicine uses basic therapy (treatment in which the activity of producing antibodies by the cells of the immune system is reduced).

The peculiarity of this therapy is that it is carried out from the very first day of treatment and throughout life.

The patient is prescribed drugs that he must take constantly.

Only under such conditions does the disease subside over time, and a person’s quality of life begins to change for the better.

It is important to note that treatment directly depends on the activity and duration of the disease.
An individual treatment program is selected for each patient.

But today universal drugs have also appeared, among which the most common are methotrexate and sulfasalazine.

They are used in small doses and do not cause side effects.

Drugs are used only once a week and at the same time control the course of the disease.
However, all drugs included in the basic treatment are very slow.

The maximum effect appears only after 6-8 months from the start of treatment.

Therefore, in conjunction with basic therapy, treatment with fast-acting non-steroidal anti-inflammatory drugs is often used.

It can be warming gels, ointments that penetrate quite deeply and have an effect on the joint itself, but in order to have an effect, the ointment must be used 3 times a day.

Nonsteroidal drugs are not able to interrupt the course of the disease, but they may well reduce inflammation, pain.

Sanatorium treatment is also widespread.

Mineral waters, therapeutic baths, mud – all this has a beneficial effect on human health.

Therefore, it is advisable to do so: first, be treated in a hospital, then undergo physiotherapeutic treatment (once every six months), perform special gymnastics daily, and once a year go to a sanatorium where people treat diseases of the musculoskeletal system.

From personal experience.

This is the opinion of official medicine.

In fact, almost everyone who was struck by this ailment knows that neither inpatient treatment, nor physiotherapy, nor spa treatment provide any significant relief, and the systematic use of drugs only adds new problems.

I had to get acquainted with all the “charms” of this disease back in incomplete 17 years.

The diagnosis of the doctors was disappointing: it is impossible to cure rheumatoid arthritis, supportive therapy will have to be carried out throughout life.

And it began: every spring and autumn – bicilin, injection and pill courses almost without interruptions, inpatient and sanatorium treatment, physiotherapy, etc., and the result is zero: swollen joints, sleepless nights, and red-black fog in the eyes from pain.

This went on for almost 10 years, until one day she read in the annotation for the next medicine that it changes the blood picture, and therefore it is necessary to take a blood test periodically to notice the changes in time.

Then I reasonably asked myself the question: “So what? In addition to rheumatoid arthritis, I also have to treat blood ?! ” The body already refused to take these medicines!

Having studied all the medical literature I had at that time, reference books on traditional medicine, as well as the experience of healing many people, including A.A. Mikulina, I created for myself my own system for combating arthritis, and the first thing I did was to throw out all the medicines.

There was no point in taking them, because they could not cure the disease, but only slagged the body.

Having thought about how and what I would do, I moved from the gassed city with my children for a year to the country in a pine forest.

She took cleansing procedures as the basis of treatment, added steam bath, fasting, physical exercises and a lot of fresh air to them.

At first, everything was given with difficulty, and there were doubts whether I had begun all this in vain, but I did not want to return to the hospital and stuff myself with medicines!

The improvement came somehow imperceptibly: at first there was nausea caused by an overabundance of drugs, then the joints took on their original normal appearance, began to fly around the house like an electric broom :))
And closer to the new year I noticed that something was missing.

Having listened to my feelings, I realized: for a long time nothing hurts me!

The exhausting pains in the joints, and with them the nights without sleep, were gone, and since you quickly get used to the good, I did not notice that I began to get enough sleep and easily work around the house and on the site.

In the country, I lived until the next fall, I returned to the city with caution, because I was afraid of relapse, but God was merciful. Many years have passed since then, I still regularly fast and cleanse the body. Since then, I have never been to a doctor’s appointment at the hospital, only occasionally do tests to keep abreast of changes in the body. I cope with all the problems on my own, with God’s help.

Yes, indeed, rheumatoid arthritis is not treated when it comes to drug treatment. Many of those with whom I was in a hospital in my youth received a disability, while someone went into another world.

But my own experience proves that rheumatoid arthritis can be eliminated if the responsibility for their own health is taken into their own hands, especially since the doctors do not have the answer to the question: “What is the cause of this disease?”

It turns out: “We go there – we don’t know where, and then we treat it – we don’t know what,” that is, “by the method of scientific poking.”

I believe that healing plants and ointments can and should be used to alleviate the condition, but they will not be able to cure the disease. Only cleansing the body, fresh air and, without fail, physical exercises (remember: “movement is life”) will be able to cope with this scourge and help to find a new quality of life.

Effective next-generation drugs in the treatment of rheumatoid arthritis

The effect of taking the medicine is proven in numerous clinical trials. A positive effect on the course of the disease was noted in Methotrexate, Arava, Sulfasalazine and biologics (Infliximab, Rituximab).

Group of drugsEffect on the course of the diseaseNegative sidesName
BasicSlow down the progress of rheumatoid arthritis, prevent joint deformation. Long term effectSlow actionMethotrexate Arava Sulfasalazine
Genetic engineering (new generation)Possess high efficiency and selectivity of actionCause a decrease in antitumor and anti-infection immunityInfliximab Rituximab Adalimumab Abasept
GlucocorticosteroidsThe inflammatory process is quickly stoppedA large number of side effects. Reception requires constant monitoring by a doctorDexamethasone Prednisolone Methylpred
Nonsteroidal anti-inflammatory drugs (NSAIDs)Stop the symptoms of inflammation in the acute phase of the diseaseDamage the mucous membrane of the digestive tract, have nephrotoxicityDiclofenac Meloxicam Nimesulide

Basic drugs for rheumatoid arthritis

Basic drugs are used in all patients with rheumatoid arthritis, if they have no contraindications. They relate to slow-acting agents. An important condition for successful therapy is an early appointment. The action is aimed at preventing deformation of the limbs, maintaining motor function.

The properties of the drugs include:

  1. Suppression of active proliferation of cells of the immune system.
  2. Persistence of clinical effect.
  3. Prevention of bone erosion in a damaged joint.
  4. Elongation of clinical remission of rheumatoid arthritis.

Medicines have different mechanisms of action and reception features, have a conditional division into the first and second row.

First-line drugs have the best ratio of effect and minimum unwanted actions. In numerous studies of these drugs, reliable suppression of the signs of the disease and the prevention of deforming processes in the joint have been proven.

The first row of basic medicines includes:

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

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Features of the appointment and use of methotrexate

Methotrexate is the gold standard for rheumatoid arthritis. The weekly dose averages 20-30 milligrams, but is selected separately for each patient. Reception is recommended to start with small doses of 2,5-5 mg per week, followed by their increase.

Methotrexate regimen: every week for 2 days inside, dividing the dose into three doses (with an interval of eight hours). If gastrointestinal upsets occur, there is the possibility of another route of administration (intramuscularly, intravenously once a week).

Arava (Leflunomide) for rheumatoid arthritis

The following dosage regimen is recommended: 100 mg every day for three days, followed by a transition to a maintenance daily dose of 20 milligrams.

For elderly patients with liver disease, the initial dose is 20 milligrams.

The effectiveness of methotrexate and leflunomide is on the same level, but the latter is easier to tolerate. There is evidence of a better prognosis of the quality of life of patients who took Leflunomide.

Methotrexate is the drug of first choice, since it has a lower cost. Leflunomide is prescribed if treatment with methotrexate is ineffective or poorly tolerated by the patient.

Reviews about the drug Metortrit (Methotrexate)

In their reviews of the drug, patients indicated that a lasting therapeutic effect occurs about six months after the start of the dose. 70% of patients manage to achieve control of rheumatoid arthritis (reducing the intensity of pain, reducing the frequency and duration of exacerbations) with the use of medium and high doses, others require the appointment of biological products. Metortrit is well tolerated.

Features of the appointment and use of sulfasalazine

Rheumatoid arthritis of moderate and low activity is an indication for treatment with sulfasalazine. The rheumatologist carries out an individual dose selection. During therapy, the patient is prescribed a blood test for liver enzymes, urea and creatinine to control the development of unwanted effects.

Second-line basic drugs

Cyclospotrin and hydroxychloroquine are included. They are less effective, but more toxic in comparison with first-line drugs. The duration of therapy with 2 rows is at least six months.

Genetically engineered (biological) drugs for the treatment of rheumatoid arthritis

The point of application of such drugs are specific components that affect the onset and progression of the disease. The drugs were created for the treatment of rheumatoid arthritis in patients who are resistant to standard treatment. With their help, it is possible to quickly achieve clinical remission.

Biological products for the treatment of arthritis with an autoimmune component include drugs that pointly block inflammation factors. This is achieved thanks to artificially created antibodies, soluble cytokine receptors, and other molecules with biological activity.

The action of biological drugs is aimed at “target molecules” and the suppression of immune inflammation. New drugs have high specificity and selectivity. They act exclusively on that link of the immune system that is involved in the development of the disease.

The most studied drugs are:

Patients for the treatment of which the above medicines were used note a rapid onset of effect. There is evidence on the inhibition of the destructive process in the joint. The disappearance of symptoms of exacerbation of the disease occurs within a few days after administration.

The phenomena of resistance to basic treatment are successfully overcome by biological means.

The negative effect of biological products on the body

Biologics are highly effective in the treatment of rheumatoid arthritis. However, their use has undesirable aspects:

  1. Anti-infective and anti-tumor immunity is inhibited.
  2. The risk of allergies, autoimmune processes increases, since biological agents are drugs with a protein structure that carry a large number of antigens.
  3. Treatment is expensive.

Prevention of undesirable effects of biological products

The patient before the start of therapy is examined for the presence of tuberculosis by fluorography. Other methods of preventing complications include vaccination, the purpose of which is to create active immunity. It should be noted that live vaccines are contraindicated in patients, since drugs have an immunosuppressive effect.

The principle of action of biological preparations

Tumor necrosis factor alpha is a biologically active substance that, in excessive concentration, causes degenerative processes. In patients with rheumatoid arthritis, there is an excessive accumulation of TNF-a in the synovial fluid. The drugs of the new generation include antibodies to TNF-a, which have a powerful anti-inflammatory effect. Blocking the synthesis of TNF-a prevents the destructive processes (destruction) of cartilage and bones.

Features of the use of Infliximab

The most famous biological drug is Infliximab (Remicade), represented by antibodies to TNF-a. Rheumatologists prescribe Remicade in conjunction with Methotrexate. In this case, there is a significant increase in the effectiveness of therapy (inhibition of the deformation of affected joints).

Indications for the use of Remicade:

  1. The insufficient therapeutic effect of taking methotrexate in an average or high dose.
  2. Preservation of signs of inflammation in 5 or more joints (pain, swelling, limitation of movement in the limb).
  3. The value of the erythrocyte sedimentation rate in the blood is thirty or more millimeters per hour.
  4. C-reactive protein in a biochemical blood test is 20 mg or more.
  5. The early age of the onset of rheumatoid arthritis and its severe course (rapid development of joint deformity). In the presence of such signs of the course of the disease, the appointment of combined treatment is required as soon as possible (Methotrexate plus Remicade).

Before starting therapy, the patient must exclude tuberculosis. For this, an X-ray examination of the chest, specific tests are performed.

Dosage regimen of the drug: the initial dose is administered intravenously drip with the calculation of 3 mg / kg. Repeated injections are given after two, six and eight weeks. Then, a maintenance dose (three mg / kg) is administered every eight weeks.

If treatment is ineffective, the dose of Infliximab is increased to ten mg / kg.

The duration of the course of therapy is determined by the rheumatologist individually, on average one year.

Features of the appointment and use of Rituximab (MabThera)

The mechanism of action of MabThera is the inhibition of B-lymphocytes (plasmocytes).

B-lymphocytes synthesize autoantibodies that destroy the cells of their own body. Plasmocytes are also involved in the regulation of the immune system. In clinical studies, a pronounced effect was noted in patients with an incomplete response to treatment with Infliximab.

Dosage regimen: a single dose (1 gram) is administered intravenously. Re-administration of the drug is carried out after two weeks in the same dosage. To prevent the development of adverse reactions to MabThera, prednisone is pre-administered.

The interval between repeated courses of treatment should be six months to a year.

Can rheumatoid arthritis be cured?

Some people believe that rheumatoid arthritis cannot be cured forever, and you can die from it. However, many doctors do not agree with this opinion and argue that a cure is possible if the disease is diagnosed in the initial stages and the correct treatment is prescribed. They resort to the help of drug therapy, recipes of traditional healers and physiotherapeutic procedures. Particular attention to patients will need to be given to lifestyle and nutrition.

Why does the disease appear?

Doctors cannot give an unambiguous answer about the causes of rheumatoid arthritis. However, doctors identify the following risk factors:

  • Hereditary predisposition. If the parents are diagnosed with arthritis, then the child’s chance of his appearance increases.
  • Infectious diseases.
  • Constant stressful situations and nervous strain.
  • Hypothermia and trauma to the joints.
  • Disorders in the activity of the endocrine system.

How to recognize pathology?

Rheumatoid arthritis has the following symptoms:

  • increase in body temperature;
  • general fatigue;
  • swollen lymph nodes;
  • inflammatory processes in the joints;
  • weight loss;
  • stiffness of movements in the morning;
  • bone deformation;
  • pain during movement.

How to cure rheumatoid arthritis forever?

Essential Medicines

The disease is treated with anti-inflammatory drugs. First of all, non-steroidal anti-inflammatory drugs are used, the action of which is aimed at suppressing cyclooxygenase. In the normal state, this enzyme is in the body in small quantities, but its concentration increases when inflammatory processes develop, including, as in rheumatoid arthritis. Cyclooxygenase accumulates in the area of ​​the joints and provokes pain. To get rid of inflammation, doctors prescribe such pharmaceuticals to patients:

In each situation, rheumatoid arthritis is treated with non-steroidal anti-inflammatory drugs, this is especially true for a disease that is in a minimal or moderately active stage. Removing the ailment, as the doctors note, is largely connected with the individual characteristics of each specific patient. For example, for small patients and elderly people, medication is prescribed especially carefully, taking into account all the likely undesirable reactions. In cases where the pathology proceeds in a severe stage and if the patient has any extraarticular manifestations, arthritis is cured with the help of cytotoxic antidepressants.

Complementary Medication

Basic medicines

They serve to interrupt the course of the disease, as well as to prevent destruction of the joints and subsequent possible exacerbations. Therapy with such medications takes quite a long time, the first results are visible after at least 30 days. The most popular drug from this group is Sulfasalazine.

Glucocorticosteroids

These pharmaceuticals are used either orally or intraarticularly. The choice of method of application depends on the severity of the course of rheumatoid arthritis and its localization. If the patient takes the medicine inside, then the medicines from this group can suppress inflammatory processes, stop changes in bone tissue. Joint administration of glucocorticosteroids is used to combat inflammation when medications for oral use have been ineffective. The following medicines are used:

Traditional Medicine Therapy

Healers claim that rheumatoid arthritis can be cured if simple recipes using medicinal plants are used. Consider the most effective folk remedies:

Physiotherapeutic Activities

Doctors note that there are cases when it was possible to get rid of arthritis with the help of physiotherapy. You can fight the disease with methods such as:

  • ultraviolet;
  • electrophoresis;
  • phonophoresis;
  • cryotherapy;
  • laser helium-neon irradiation;
  • magnetotherapy;
  • phototherapy;
  • naphthalan therapy.

Physiotherapeutic measures are best carried out during remission, when there are no symptoms of the inflammatory process and blood tests are normal.

In order for a speedy recovery to come, it is important to approach the treatment of the disease in an integrated manner and make every possible effort. Medicine knows cases where rheumatoid arthritis completely receded when the patient complied with all the doctor’s recommendations. It is possible to cure the pathology when, in addition to conservative treatment and the use of traditional medicine, the patient will completely change his lifestyle and include the following measures:

  • Swimming. It allows you to strengthen muscle tissue, reduce the load on the joints.
  • Massage. Improves blood circulation, relieves nerve stress.
  • A visit to the bath. The elevated temperature that prevails in the steam room has a beneficial effect on painful compounds. However, doctors do not recommend visiting a sauna during an exacerbation of rheumatoid arthritis.
  • Treatment in sanatoriums. At least once a year, you need to go on a wellness treatment.

Dietary food

To cure arthritis, patients will need to remove the following foods from the diet, which adversely affect the affected joints:

Instead of this food, vegetables, fruits, low-fat sea fish should prevail in the diet. Doctors recommend cooking steamed dishes, baking in the oven or boiling. Food should be rich in vitamins and minerals, but they can also be obtained from vitamin-mineral complexes, which are presented in a wide range in pharmacy chains. In such medicines, calcium, vitamin D, B and C must be present. And fish oil is also very useful for rheumatoid arthritis.

Treatment of exacerbation of rheumatoid arthritis

Exacerbation of rheumatoid arthritis is a period of the disease, characterized by increased pain and rapid progression of inflammatory processes in the joints. The acute form of the disease requires urgent and systemic treatment.

Causes of exacerbation of arthritis

The main causes of relapse of arthritis are a decrease in the body’s defenses and a malfunction of the immune system. But exacerbation of the disease also provoke:

  • infectious diseases. After infections, particles of bacteria and viruses may remain in the affected tissues. In this case, the cells of the immune system recognize them as “foreign” and begin to attack the diseased joints: the pain syndrome and other symptoms of arthritis resume;
  • hormone imbalance;
  • one-time or frequent hypothermia, trauma, excessive load on the joints. Under the influence of all these factors in the affected tissues, metabolic processes worsen. This causes arthritis to worsen;
  • stresses, emotional overstrain.

In Finland, a study was conducted at the University of Turku under the supervision of a professor of psychiatry R. Raymond on the effect of the patient’s mental and emotional state on the course of arthritis. The participants in the experiment were 100 women (women, according to scientists, are most prone to neurosis and the development of rheumatic diseases). All of them were divided into two groups. The first included patients in whom inflammatory processes in the joints appeared after the occurrence of family troubles, conflicts at work. Most of these women were depressed at the time of the study. The second group included women who had no such problems. Many of the patients became ill with arthritis after suffering an infectious disease or hypothermia.

All study participants were monitored for several years. It turned out the following:

  1. The disease progressed faster in women of the first group. Symptoms increased rapidly, there was a frequent exacerbation of rheumatoid arthritis. The treatment of the disease in such patients was longer than in women of the second group. In addition, if they remained in an anxious, depressed state, many drugs were ineffective, causing intolerance or side effects.
  2. In patients of the second group, relapses of the disease were rarely observed. With exacerbation of rheumatoid arthritis, there were practically no difficulties with treatment with medical preparations. In 50% of patients persistent remission of the disease occurred.

Another reason that can provoke the resumption of inflammatory processes in the joints is the change of season. As a rule, the course of the disease worsens in the fall or spring.

The clinical manifestation of acute arthritis

The symptomatic picture of exacerbation of arthritis depends on the localization of pathological processes, the degree of destruction of the joints.

Affected jointsSymptoms of arthritis depending on the stage of degenerative processes
InitialThe second
Phalangeal, carpalDifficulties with simple stepsSwelling and crunching of fingers, their pain when moving
Reduced brush mobility
AnkleBending painSevere swelling and cracking of joints during movement
Swelling in the focus of inflammationLeg pain (can bother both day and night)
HumeralPeriodic mild joint pain after exerciseReducing the amplitude of arm movements
Pain in the muscles of the shoulders, worse with the onset of morning
HipPain in the knees (occur after a long walk, stay in a standing position)Gait change
Joint pain radiating to the knee
KneeSwelling of the knees
Morning stiffness of joints
Skin redness

At the third or fourth stage of arthritis, the patient has complaints of severe pain, a significant limitation of joint mobility and a decrease in physical activity. If the treatment was chosen correctly (a remission of the disease was achieved), the symptoms subside. But with exacerbation of arthritis, the destruction of joints and surrounding tissues occurs much faster. Therefore, during this period, the course of the disease is more pronounced:

  • pain intensity increases;
  • there is a feeling of compression of the joint;
  • movements are difficult not only in the morning, but throughout the day;
  • local and general body temperature rises (from 38 ºC). Specific skin rashes are possible;
  • become more noticeable: redness and swelling of the tissues in the area of ​​the diseased joint;
  • fatigue, partial or complete disability are noted.

Possible complications of exacerbation

During this period, the risk of spreading pathological processes to internal organs increases. The patient may have disturbances in the work of such body systems:

Cardiovascular. With an exacerbation of the disease, the following can be detected:

  • inflammation of the pericardial sac;
  • clogging of blood vessels;
  • granulomatosis of heart valves.

Urinary. Manifestations of acute arthritis:

  • kidney failure;
  • inflammation of the kidneys (pyelonephritis, glomerulonephritis).

Breathing Signs of exacerbation of the disease:

  • the presence of rheumatoid nodules in the lungs;
  • bronchiolitis;
  • inflammation of the pleura of the lungs.

Visual. In the acute period of the course of arthritis, such eye diseases can occur:

Digestive Extraarticular symptoms of acute rheumatoid arthritis:

  • discomfort, a feeling of heaviness in the stomach;
  • lack of appetite;
  • lower abdominal pain;
  • excessive gassing in the intestines.

How to treat exacerbation of rheumatoid arthritis?

The first thing to do with an exacerbation of the disease is to see a doctor. He will conduct an examination and select a treatment. It should be aimed at:

  • reduction of pain and inflammation;
  • slowing the progression of destructive processes;
  • prevention of complications.

As a rule, with exacerbation of rheumatoid arthritis, enhanced treatment with drugs of the following groups is recommended: non-steroidal anti-inflammatory drugs, basic ones, glucocorticoids. As you recover, the dosage of the medicine may be reduced.

Contraindications in the acute period of arthritis

With an exacerbation of rheumatoid arthritis, you can not resort to treatment with folk remedies. Applying compresses and warming ointments, prepared according to the recipes of alternative medicine, can cause an increase in pain.

During this period of the course of the disease, it is not recommended to visit a sauna or bath, massage sessions. Physiotherapeutic effects on diseased tissues are also contraindicated.

In the acute phase of arthritis with severe pain, rest is necessary: ​​you must refuse to perform work associated with increased load on the joints.

How to prevent exacerbation of arthritis

Gymnastics helps to prevent exacerbation of rheumatoid arthritis and achieve positive results from its treatment. During the period of remission of the disease, you can perform the following exercises:

  1. Starting position: lying on your back, keep your legs and arms straight. Slowly raise the upper limbs to the head, then lower it. We do this 5 times.
  2. We bend the hands and toes until a slight tension sensation arises. We fix the position for a short time, after which we relax the limbs. The exercise is repeated 5 times.
  3. Starting position: sitting on a chair (bed). Hands are bent at the elbows, we put the hands on the shoulders. We make circular revolutions with the limbs, without taking them from the shoulders. The number of repetitions is 10 (5 forward and the same back).

To prevent exacerbation of arthritis, it is also recommended:

  1. Avoid joint injuries.
  2. Dress warmly in the cold season.
  3. Visit the pool (at least 2 times a week).
  4. Healthy food. The menu must include chicken eggs, low-fat fish and meat, dairy products, fresh vegetables and fruits, cereals. For arthritis, it is not recommended to use: marinades, fatty dishes, smoked meats, pastries, strong tea (coffee) and chocolate. It is undesirable to add sharp and spicy seasonings to food.
  5. Maintain a healthy lifestyle: stop smoking, minimize alcohol consumption.
  6. Fully relax.
  7. Control body weight.
  8. Refuse to wear high-heeled shoes.
  9. In time to treat infectious diseases.

The causes of exacerbation of rheumatoid arthritis are many. It is important to identify the factor provoking an increase in the symptoms and progression of the disease in time, and to begin taking therapeutic measures. To prevent the occurrence of relapse, you need to be regularly examined, follow the recommendations for prolonging the remission of the disease.

Anatoly Kudravets

Anatoly Kudravets, Orthopedic Traumatologist. He works with severe cases, practices operative methods of treating connective tissues

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