Arthritis Archive

Hand therapy is an effective way to overcome lost hand function due to injuries or underlying conditions. A course of therapy typically lasts for six weeks. It involves working with a certified hand therapist (CHT) who can develop and then guide someone through a tailored program of physical and functional exercises. CHTs also can make splints, offer emotional support, and help people learn to manage hand pain and swelling. It’s best to start hand therapy before an injured hand has healed completely.

For people who have both heart disease and arthritis, two of the main treatments—exercise and medications—require careful planning and attention. Joint pain makes certain types of exercise difficult, and commonly used drugs for both conditions can have potentially serious interactions.

Rheumatoid arthritis (RA) affects two to three times as many women as men. Scientists are uncovering RA's potential genetic and hormonal underpinnings, which point to potential reasons why women are more vulnerable. The newest treatments, called Janus kinase (JAK) inhibitors, resulted from research that has teased out delicate differences in immune system pathways. They block numerous proteins that ramp up inflammation fundamental to RA. The wide array of drug options now available for RA help doctors personalize therapies to each patient.

Certain strategies can help people avoid flare-ups of diseases that seem to be affected by cold weather. For example, people with psoriasis can ward off dry skin (which causes flare-ups) by taking short, lukewarm showers, using a humidifier at home, and moisturizing with cream-based emollients. People with asthma should try to do outdoor activities during warmer parts of the day, take a puff of a rescue inhaler before going out, and wear a mask when outdoors. And people with arthritis can exercise and try heat therapy.

Braces help some people cope with the pain, swelling, and stiffness of knee osteoarthritis. Examples include a knee sleeve, a compressive or stretchy tube that provides warmth and might help reduce knee swelling; an unloader brace, a long frame that fits on top of the leg and helps reduce pain by redistributing pressure on the knee; and a patella tracking brace, which combines the approaches of both knee sleeves and unloader braces to reduce knee pain, swelling, and pressure at the kneecap (patella).

A growing number of people ages 60 and older suffer from knee osteoarthritis. If lifestyle strategies, such as weight loss, physical therapy, exercise, and oral or topical medications don't offer sufficient pain relief, people may benefit from either corticosteroid or hyaluronic acid injections. Injections can provide immediate pain relief, reduce inflammation, and increase mobility. However, they are a temporary treatment that won't cure knee osteoarthritis or change the course of the disease.

Many people who develop rheumatoid arthritis later in life don't receive optimal medications to treat it, called disease-modifying antirheumatic drugs (DMARDs). Reasons for this include the high costs of DMARDs, concerns about drug side effects, coexisting conditions that complicate treatment, inaccessibility to health care, or perceived frailty that makes doctors nervous about prescribing DMARDs. People who feel they should be getting DMARDs (but aren't) should ask about ways to make such treatment feasible.

Osteoarthritis affects more women than men. Risk factors include earlier joint injuries, obesity, diabetes, heart disease, or family history. People can try to prevent arthritis by staying physically active, maintaining a healthy weight, and engaging in low-impact exercise.