Treatment of Acute Flare-ups of Rheumatoid Arthritis

Written by Li Jing
Rheumatology
Updated on September 19, 2024
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During the acute phase of rheumatoid arthritis, typical treatment includes absolute bed rest and avoiding intense physical activities, followed by a diet rich in fresh fruits and vegetables containing vitamins. Medication-wise, sodium diclofenac or meloxicam are used, which are non-steroidal drugs that relieve joint pain. If these drugs are not effective, steroids such as methylprednisolone are administered, initially at doses of 20 mg or 40 mg, until the pain eases, then gradually reducing the steroid dosage. During steroid treatment, it's also important to prevent side effects, namely, by supplementing with calcium and incorporating drugs that protect the stomach lining. (The above medications should be used under medical supervision.)

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Written by Wang Cheng Lin
Orthopedics
1min 6sec home-news-image

The difference between osteoarthritis and rheumatoid arthritis.

Osteoarthritis and rheumatoid arthritis have distinct differences. Osteoarthritis commonly occurs in middle-aged and elderly women and is caused by the wear, degeneration, and rupture of joint cartilage, leading to swelling and pain due to friction during joint movement. On the other hand, rheumatoid arthritis is caused by bacterial infections leading to the proliferation of synovium in the joints, causing swelling and pain. Over time, this condition can damage the joint's cartilage and meniscus, severely affecting joint mobility. The treatments for these two diseases are different. Osteoarthritis can be alleviated through rest, oral medication, and physical therapy to ease local pain. If these methods are ineffective after more than six months, surgical treatment may be necessary, mainly total knee replacement. However, the treatment for rheumatoid arthritis primarily relies on medication to relieve local pain by removing rheumatism. (The use of medication should be under the guidance of a doctor.)

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Written by Yang Ya Meng
Rheumatology
48sec home-news-image

Foods to Avoid with Rheumatoid Arthritis

Patients with rheumatoid arthritis should adhere to a light diet and avoid spicy foods, overly nourishing and greasy foods. Specifically, the following foods should be avoided: vegetables such as celery, coriander, shiitake mushrooms, leeks, and seaweed. In terms of meat, one should reduce consumption of warming foods like lamb, beef, and dog meat. Also, it is advisable to limit intake of high-protein seafood such as shrimp, crab, and sea cucumber. Regarding fish, preference should be given to freshwater fish, while the consumption of sea fish should be minimized. These are the foods that should be avoided by those suffering from rheumatoid arthritis.

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Written by Li Jing
Rheumatology
1min 7sec home-news-image

What is the best medicine to take for rheumatoid arthritis?

Rheumatoid arthritis is a clinical manifestation of rheumatic fever, which is a delayed sequelae that occurs after infection with streptococci. The most common symptoms include fever, arthritis, rheumatic heart disease, subcutaneous nodules, or marginal erythema. It mainly occurs in adolescents and is most commonly triggered by cold weather and damp environments. In cases showing joint symptoms, the first choice of medication is nonsteroidal anti-inflammatory drugs (NSAIDs). Additionally, it is crucial to actively treat the primary disease, which means eliminating the causative factor by eradicating the streptococcal infection. Eradication of the streptococcal infection involves the use of long-acting penicillin, and it is necessary to complete the treatment course of two weeks. Moreover, appropriate rest during the acute phase and avoiding exertion is needed. (Please use medication under the guidance of a professional physician and do not self-medicate.)

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Written by Yang Ya Meng
Rheumatology
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Can people with rheumatoid arthritis drink alcohol?

Patients with rheumatoid arthritis can drink a small amount of alcohol, but long-term heavy drinking is not recommended. This is mainly because patients with rheumatoid arthritis need to take non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief due to joint pain. The most significant side effect of these painkillers is their impact on the gastrointestinal tract. As alcohol is known to be harsh on the stomach, patients who take NSAIDs while drinking alcohol are at a higher risk of developing complications such as gastrointestinal bleeding. Therefore, it is advised that patients with rheumatoid arthritis should not engage in long-term heavy drinking. (Medication should be used under the guidance of a doctor.)

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Written by Li Jing
Rheumatology
51sec home-news-image

Treatment of Acute Flare-ups of Rheumatoid Arthritis

During the acute phase of rheumatoid arthritis, typical treatment includes absolute bed rest and avoiding intense physical activities, followed by a diet rich in fresh fruits and vegetables containing vitamins. Medication-wise, sodium diclofenac or meloxicam are used, which are non-steroidal drugs that relieve joint pain. If these drugs are not effective, steroids such as methylprednisolone are administered, initially at doses of 20 mg or 40 mg, until the pain eases, then gradually reducing the steroid dosage. During steroid treatment, it's also important to prevent side effects, namely, by supplementing with calcium and incorporating drugs that protect the stomach lining. (The above medications should be used under medical supervision.)