How is arthritis managed?

Arthritis management is a multifaceted approach that aims to reduce symptoms, maintain joint function, and improve quality of life for individuals with this chronic condition.

Self-management programs based on self-efficacy theory, which include joint protection and physical activity, have been shown to significantly improve physical functioning, self-efficacy, and self-management behaviors in patients with rheumatoid arthritis (RA).
Self-management strategies, including education and support from healthcare professionals, can reduce pain and disability while improving self-efficacy and quality of life, particularly in older adults with arthritis .
A multidisciplinary approach to RA management, which includes both pharmacological and non-pharmacological interventions, is essential for reducing disease activity and preventing systemic complications.
The Arthritis Self-Management Programme (ASMP) has been effective in improving perceptions of control, health behaviors, and health status, as well as reducing healthcare resource use in community-dwelling individuals with arthritis.
Pain management in RA involves understanding the multiple mechanisms contributing to pain, including inflammation and joint damage, and may require a combination of analgesic, immunomodulatory agents, psychological interventions, and surgery.
Biological response modifiers (BRMs), such as TNF inhibitors and IL-1 receptor antagonists, have shown promise in altering joint remodeling and attenuating symptoms of RA, although they may carry risks such as increased infection rates.
Case management by practice nurses, in addition to information provided by general practitioners, can lead to significant improvements in quality of life and reductions in health service utilization for arthritis patients.
Comprehensive evaluation of arthritis pain and individualized interventions, including medications, physical modalities, and cognitive interventions, are crucial for successful pain management.
Achieving clinical remission in established RA is challenging, and a multidisciplinary team approach is advocated to manage the associated morbidity and mortality of the disease.

In conclusion, arthritis management is a complex process that requires a combination of self-management education, pharmacological treatments, and multidisciplinary care. Self-management programs are particularly effective in improving patient outcomes, while biological therapies offer a targeted approach to symptom relief. Pain management is a critical component, necessitating a tailored approach to each patient's needs. The overall goal is to achieve and maintain remission, prevent joint damage, and enhance the quality of life for individuals with arthritis.

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How is arthritis managed?

Summary

Sources and full results

Effectiveness of a self-management program for joint protection and physical activity in patients with rheumatoid arthritis: A randomized controlled trial.

A self-management program based on self-efficacy theory, focused on joint protection and physical activities, significantly improved physical functioning, self-efficacy, and self-management behaviors in rheumatoid arthritis patients after 6 months.

A review of the efficacy of the self-management model on health outcomes in community-residing older adults with arthritis.

Self-management programs in older adults with arthritis show small efficacy in improving functional health, but cognitive-behavioral markers show potential for larger overall effects.

The Role of Self-management in Inflammatory Arthritis

Self-management in inflammatory arthritis is essential for patients to achieve and maintain independence, and healthcare professionals should provide guidance and professional training to support this effort.

Management of Rheumatoid Arthritis: An Overview

Early and accurate diagnosis and personalized treatment are crucial for effective management of rheumatoid arthritis, with DMARDs showing promising results.

A randomized controlled study of the Arthritis Self-Management Programme in the UK.

The Arthritis Self-Management Programme effectively improves perception of control, health behaviors, and health status in UK settings, with no significant differences in arthritis type.

Mechanisms, impact and management of pain in rheumatoid arthritis

Understanding rheumatoid arthritis pain mechanisms is crucial for effective management, with various treatments, psychological interventions, and surgery potentially helping manage pain.

Biological response modifiers in the management of rheumatoid arthritis.

Biological response modifiers (BRMs) may be more effective and safer than traditional treatments for rheumatoid arthritis, affecting joint remodeling and reducing symptoms.

Case management of arthritis patients in primary care: a cluster-randomized controlled trial.

Providing arthritis self-management information through GPs alone is not enough; combining it with case management provided by practice nurses shows promising results.

Managing Pain in Rheumatic Diseases

Effective pain management in arthritis patients requires comprehensive evaluation and individualized interventions, including medications, physical modalities, adaptive behaviors, exercises, orthotics, surgery, and cognitive interventions.

Established rheumatoid arthritis: rationale for best practice: physicians' perspective of how to realise tight control in clinical practice.

A multidisciplinary team approach is crucial for achieving clinical remission in established rheumatoid arthritis patients, reducing pain, disability, and co-morbidities.

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