TREATMENT AND PROGNOSIS :
Treatment options varies from indivduals.The main treatments include physiotherapy.diet control,joint replacement therapy,and certain medications to get relieve from symptoms.
- Medications that block uric acid productio:
- Drugs such as allopurinol (Aloprim, Lopurin, Zyloprim) and febuxostat (Uloric) help limit the amount of uric acid your body makes. Side effects of allopurinol include fever, rash, hepatitis and kidney problems. Febuxostat side effects include rash, nausea and reduced liver function. Febuxostat also may increase the risk of heart-related death.
- Medications that improve uric acid removal. Drugs such as probenecid help improve your kidneys' ability to remove uric acid from your body. Side effects include a rash, stomach pain and kidney stones.
It is medicine of alternative for those unable to tolerate NSAIDs. Colchicine may interact with other commonly prescribed drug such as atorvastatin and erythromycin.
It is found to be as affective NSAIDs. They provide relief when they are injected into the joints.
Interleukin 1 inhibitor canakinumab showed moderate effectiveness for pain relief and reduction of joint swelling.
Physical exercises provides greater releif from pain in arthritis and it also increases the flexibility of the joints to certain degrees.
Patients suffering from arthritis can benefit from both physical as well as occupational therapy. In arthritis the joints become stiff and the range of movement are limited to the extent.. Physical therapy has been shown to significantly improve function, decrease pain, and delay need for surgical intervention in advanced cases. Exercise prescribed by a physical therapist has been shown to be more effective than medications in treating osteoarthritis of the knee. Exercises mostly focuses on the flexibility and strength of the joints. Occupational therapy can provide assistance with activities.
They are various treatment options available for the treatment of arthritis and medications which has lower side effects are selected as the first choice of treatment in arthritis.
Peglitose and Lecinurad is given to reduce the uric acid level.
Depending on the type of arthritis, the medications that are given may be different. For example, the first-line treatment for arthritis is acetaminophen(paracetamol) while for inflammatory and non inflammmatory arthritis such as ibuprofen. Opioids and NSAIDs may be less well tolerated. However, topical NSAIDs may have better safety profiles than oral NSAIDs. For more severe cases of osteoarthritis, intra-articular corticosteroid injections may also be considered.
Orthroscopic surgery for arthritis does not provide much effect.
People with hand arthritis can have trouble with simple activities daily doing tasks (ADLs), such as turning a key in a lock or opening jars, as these activities can be cumbersome and painful. Adaptive aids or assistanve aids are available in the market to assist the patient and simplyfing those task to them. but they are generally more costly than conventional products with the same function. It is now possible to 3D print adaptive aids, which have been released as open source hardware to reduce patient costs. Adaptive aids can significantly help arthritis patients and the vast majority of those with arthritis need and use them.