What Is the Most Effective Treatment for RA?

Rheumatoid arthritis (RA) is a condition that affects the joints and causes inflammation, joint paint, stiffness after long periods of inactivity, and fatigue. The symptoms of RA present themselves differently in most patients, and can actually go into remission. There are effective treatments--both surgical and non-surgical--to control the pain and stiffness associated with rheumatoid arthritis.

Surgery

• The most effective treatment for rheumatoid arthritis is joint replacement surgery. During this procedure, a surgeon replaces an entire joint with a plastic or metal prosthesis. This is usually a last resort and is generally recommended when a person has suffered severe joint damage. Many times during this procedure a tendon that has also been affected by RA will be repaired, and any bone deformities will be removed.

NSAIDs

• Over-the-counter medications called NSAIDs (non-steroidal anti-inflammatory drugs) are recommended for RA treatment. These include ibuprofen, aspirin and naproxen. These medications can help relieve minor inflammation and pain when used correctly and for an extended period of time.

Corticosteriods

• Prescription medications called corticosteroids are sometimes prescribed by doctors. Drugs such as methylprednisolone and prednisone can reduce pain and inflammation and can help slow down the deterioration of joints. These medications are given as short-term solutions because their extended use can cause them to become ineffective.

DMARDs

• DMARDs (disease-modifying anti-rheumatic drugs) are normally used in conjunction with NSAIDs and corticosteroids to help reduce the amount of joint damage suffered by RA patients. These drugs are much more effective if the disease is diagnosed early. DMARDs that are commonly used include injectable gold, methotrexate, azathioprine, chloroquine and sulfasalazine.