ABC of Rheumatology: RHEUMATOID ARTHRITIS--II: TREATMENT

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Abstract
Physical therapy In a physiotherapy department local measures such as heat, cold, and electrotherapy may be used to reduce pain and generally form part of a rehabilitation programme of exercises designed to improve muscle strength and encourage mobility in affected joints. The aims of occupational therapy are to educate patients; to protect joints; to analyse function and to improve it by means of exercise and use of aids and appliances; and to provide splints when necessary. Role of physiotherapy for rheumatoid arthritis Education of patients Reduction of pain and swelling Mobilisation of joints to minimise deformity Strengthening of muscles and prevention of disuse atrophy Increase range of movements and function Few of the individual techniques used in physiotherapy and occupational therapy have been subjected to controlled trials, but there is no doubt that therapists who are skilled in handling atrophied, inflamed, and stiff tissues and familiar with the problems faced by patients with arthritis greatly help in treatment and rehabilitation. Role of podiatry for rheumatoid arthritis Local redistribution of loading to prevent formation of calluses Provision of specialised footwear Provision of customised orthoses and insoles to improve foot and toe posture and function Provision of foot care to prevent local infection

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