How to treat rheumatism in hand joints

Sep 13, 2022 Source: Cainiu Health
Dr. Liu Aihua
Introduction
If hand joint involvement is caused by rheumatoid arthritis, nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly selected for their analgesic, anti-swelling, and anti-inflammatory effects. These are frequently used to improve arthritis symptoms, along with disease-modifying antirheumatic drugs (DMARDs), with corticosteroids or biologic agents generally preferred as first-line treatment. If the condition is due to osteoarthritis, NSAIDs may be used in combination with diacerein or glucosamine.

Rheumatoid arthritis is originally a systemic autoimmune disease, and patients may experience various symptoms. It can occur at any age, though it is more commonly seen in adolescents through middle-aged and older adults, with a relatively higher incidence rate. It is also a recurrent condition that may lead to severe disability. Therefore, understanding rheumatoid arthritis is very important. So, how is hand joint rheumatism treated?

  How is hand joint rheumatism treated?

If hand joint involvement is caused by rheumatoid arthritis, non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used. These medications help relieve pain, reduce swelling, and alleviate inflammation, improving arthritic symptoms. Disease-modifying antirheumatic drugs (DMARDs) are also frequently prescribed, with corticosteroids or biologic agents typically being the first-line treatment. If the condition is due to osteoarthritis, NSAIDs may be combined with diacerein or glucosamine.

Imaging tests such as X-rays or MRI are recommended. Blood tests should include rheumatoid factor, anti-CCP antibodies, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), and serum uric acid levels. A thorough medical history should also be obtained. After diagnosis, symptomatic treatment should be tailored based on whether the condition is rheumatoid arthritis, osteoarthritis, or psoriatic arthritis. This may include using NSAIDs to reduce inflammation, swelling, and pain. Additionally, for osteoarthritis, oral glucosamine may be beneficial; for rheumatoid arthritis or psoriatic arthritis, immunosuppressive agents may be prescribed; and for gouty arthritis, treatment should focus on lowering serum uric acid levels.

Rheumatoid arthritis can be highly detrimental. Therefore, if you experience joint pain—especially symmetrical joint pain—you should promptly visit the rheumatology department at a hospital. We hope this information has been helpful. Wishing you good health and a happy life.

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