Understanding Rheumatoid Arthritis (RA)

Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a chronic autoimmune disease that primarily affects the joints, causing pain, inflammation, and stiffness. It may also affect organs such as the lungs, heart and eyes. Here’s a symptom checker to help you find out if you might be suffering with Rheumatoid arthritis but remember these symptoms could be something else:  RA Symptom Checker

While there is no cure for RA, various treatments aim to manage its symptoms and improve the quality of life for those living with the condition. One such valuable treatment option is physiotherapy, which can play a significant role in alleviating pain, enhancing joint function, and maintaining overall well-being for RA patients. I remember 30 years ago we were really careful with prescribing exercise, now I talk to clients about how to get ready to join kettlebell classes! Exercise is a fundamental aspect of managing RA, even if it’s just maintaining walking.

WHAT IS RHEUMATOID ARTHRITIS?

Before delving into the benefits of physiotherapy, let’s briefly understand what rheumatoid arthritis is. RA is an autoimmune disorder where the immune system mistakenly attacks the synovium (the lining of the membranes that surround the joints). This results in inflammation and the release of enzymes that can damage the joints and surrounding tissues, causing pain, swelling, and stiffness. Over time, RA can lead to joint deformities and a reduced range of motion.

THE ROLE OF PHYSIOTHERAPY IN RHEUMATOID ARTHRITIS

Here are some key ways in which physiotherapy can help:

  1. Pain Management: RA-related pain can be debilitating, making daily activities a challenge. Physiotherapists employ various techniques to reduce pain and inflammation. Manual therapy, like joint mobilisation and soft tissue manipulation, can provide immediate relief and anti inflammatory laser can be magical.
  2. Improved Joint Function: The stiffness and reduced range of motion in RA can make it difficult to move and carry out daily tasks. Physiotherapists design customised exercise programs to improve joint flexibility and strength. Range-of-motion exercises, stretching, and gentle joint mobilization techniques can help you regain mobility. Our Pilates Rehab Instructor looks after several clients with RA in both 1:1 sessions and classes. We also offer a 1:1 hydrotherapy introduction at Herongate pool in Hungerford with a warm jacuzzi afterwards which our clients with RA tell us really helps. Exercise in water can be so much easier than land based exercise.
  3. Assistive Devices and Orthotics: Physiotherapists can recommend and provide guidance on the use of assistive devices, such as braces, splints, and orthotic inserts, to support and protect affected joints. These devices can help reduce pain and improve function.
  4. Strengthening and Endurance: RA often leads to muscle weakness due to inactivity and joint pain. Physiotherapy programs include exercises that target muscle strengthening and endurance, helping patients better support their joints and maintain functional independence. We use Keiser weight training machines in our gym using air pressure instead of iron weights – so much easier to use in clients with RA. 
  5. Education and Self-Management: We can educate you about your condition, teaching you techniques for managing pain and inflammation at home. We also offer advice on lifestyle modifications, such as maintaining a balanced diet and managing stress, which can positively impact RA symptoms.
  6. Psychological Support: Living with a chronic condition like RA can take a toll on mental health. Physiotherapists provide emotional support and motivation to help patients cope with the psychological aspects of their condition, promoting overall well-being. We’re good to talk to and we care.

Physiotherapy plays a crucial role in improving the quality of life for individuals affected by this chronic autoimmune disease. By focusing on pain management, joint function, posture correction, and patient education, physiotherapists can help RA patients lead more active, fulfilling lives. It’s essential for individuals with RA to work closely with their healthcare team, including physiotherapists, to develop a comprehensive treatment plan that addresses their unique needs and goals. With the right guidance and support, many RA patients can achieve better symptom control and an improved overall quality of life through physiotherapy.

National Rheumatoid Arthritis Society (NRAS)

The National Rheumatoid Arthritis Society (NRAS) has a wealth of information including support

If you suffer from Rheumatoid arthritis, whether you’ve had it for years or are newly diagnosed, speak to one of our team to see how we can help with your strength and mobility for daily life.

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