Friday, October 14, 2011

5 goals for living well with rheumatoid arthritis

By Michael W. Rosen, M.D.

Peeling an orange. Lacing up your shoes. Taking the dog for a stroll.

These everyday tasks may be simple for some. But, for those living with rheumatoid arthritis (RA), they might be a real challenge.

This form of arthritis causes joint pain, stiffness and inflammation. RA can be mildly uncomfortable for some people. But, for others it's often very painful. In many cases, symptoms come and go — sometimes called a flare-up. If you're newly diagnosed with this condition, you may be concerned about how it could affect your life.

Moving forward: 5 goals for your care
Fortunately, much has been learned about managing RA. And, treatments have improved dramatically.

It's important to work closely with your doctor to care for your condition — so you can stay as active and comfortable as possible. Together, you'll develop a personal treatment plan. This will help you find ways to:

1. Ease discomfort, achiness and joint pain
2. Reduce inflammation and swelling in and around joints
3. Slow down or stop joint damage
4. Maintain your ability to do daily tasks
5. Improve your overall sense of well-being

Your plan may include:

Medications. There are several medications for RA that have been approved by the Food and Drug Administration. These medicines can lessen pain and inflammation. Some may help slow the progression of RA, as well.

Rest and exercise. People with RA need a good balance between the two. Extra rest may be particularly helpful when symptoms flare up. And, regular exercise — including aerobic, strength and stretching activities — is important to help keep muscles strong and joints mobile. It may also ease pain and fatigue — and help people sleep better, maintain positive attitudes and control their weight.

Self-care strategies. These steps may help reduce stress on joints and make life easier:
  • Heat or cold therapy*, per your doctor's instructions
  • Splints to help support joints and reduce swelling — on wrists and ankles, for example
  • Special tools for tasks — such as long-handled shoehorns and comfort-grip handles on zippers and other utensils
Stress management. This might also include relaxation techniques, support groups or counseling.**

Be sure to talk with your doctor if you have questions or concerns about your care plan. If your condition changes, your treatment may need to, as well.

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