“I like to emphasize that despite using a typical order of therapies, I tailor medication doses and changes to each individual patient and frequently reassess,” Dr. Bykerk continues. “I try to gauge [the patient’s] beliefs about medication, as well as their concepts about Western medicine and other integrative approaches. An early investment of time in these discussions cements a fruitful relationship and partnership that is more likely to improve adherence of the agreed upon treatment strategy.”
Management Beyond Medications
In addition to medications, making lifestyle changes and having a support system are integral components of RA management. Example: Weight management, dietary changes and exercise can all have positive effects. Because fatigue is a common symptom, Dr. Bykerk also discusses strategies for energy conservation and workarounds with patients to reduce unnecessary activities.
Dr. Bykerk helps patients compile their support team, which consists of nutritionists, physical and/or occupational therapists, social workers and support groups. Family members are also key members of the support team.
“I always encourage patients to stay active and work if they can, because research shows that patients who stay active and do regular exercise have less disease activity, and have significantly reduced rates of cardiovascular disease, mood disorders and secondary chronic pain syndrome,” Dr. Singh concludes.1
The ACR has various patient educational materials available. Check them out.
Karen Appold is a medical writer in Pennsylvania.
Reference
- Cooney JK, Law, R-J, Matschke V, Lemmey AB, Moore JP, Ahmad Y, et al. Benefits of exercise in rheumatoid arthritis. J Aging Res. 2011 Feb 13;2011:681640. doi: 10.4061/2011/681640.
