Introduction
Rheumatoid arthritis (RA) is a chronic autoimmune condition that affects many people in the UK, causing pain, swelling, and stiffness in the finger joints. RA can make everyday tasks like gripping objects or typing painful and difficult. Fortunately, there are several effective treatments available in the UK to help manage the symptoms of RA and prevent further joint damage. In this article, we will explore the most common treatments for rheumatoid arthritis in the fingers, from medications to surgery.
What is Rheumatoid Arthritis?
Rheumatoid arthritis occurs when the body’s immune system mistakenly attacks the lining of the joints, causing inflammation. Over time, this inflammation can lead to joint damage and deformity. RA most commonly affects the small joints in the fingers and hands, making it difficult to perform simple tasks like holding a cup or buttoning a shirt.
Non-Surgical Treatments for Rheumatoid Arthritis
• Medications: One of the most effective ways to manage rheumatoid arthritis is through medication. Disease-modifying antirheumatic drugs (DMARDs) are commonly prescribed to slow the progression of the disease and prevent further joint damage. Biologic therapies, which target specific parts of the immune system, are also available for more severe cases. Both DMARDs and biologics are available through the NHS and private healthcare providers in the UK.
• Physical Therapy: Hand exercises can help improve the flexibility and strength of your finger joints, reducing pain and improving function. NHS physiotherapists can provide a range of exercises tailored to your condition, and many can be done at home with minimal equipment.
• Occupational Therapy: Occupational therapists can recommend assistive devices to help you manage daily tasks. For example, adaptive grips can make it easier to hold objects without straining your finger joints. This can be especially helpful for people with advanced RA who struggle with tasks like cooking or dressing.
Surgical Options Available in the UK
• Synovectomy: This procedure involves removing the inflamed tissue surrounding the joint, helping to reduce pain and prevent further damage. Synovectomy is typically recommended for people with severe RA who have not responded to other treatments.
• Joint Fusion: In cases where the joint has been severely damaged, joint fusion may be recommended. This surgery involves fusing the bones in the joint together to prevent movement and reduce pain. While it limits flexibility, it can provide significant relief from chronic pain.
• Joint Replacement: For those with advanced RA, joint replacement surgery may be an option. Finger joints can be replaced with artificial ones, allowing for improved function and reduced pain. Joint replacement surgery is available through both the NHS and private healthcare providers in the UK.
When to See a Rheumatologist or Hand Surgeon
If you are experiencing persistent pain or stiffness in your fingers that is not relieved by medication or therapy, it may be time to see a rheumatologist or hand surgeon. Early treatment can help prevent further joint damage and improve your quality of life. Your GP can refer you to a specialist for further evaluation and treatment options.
Conclusion
Rheumatoid arthritis can be a debilitating condition, but with the right treatment, it is possible to manage the symptoms and prevent further joint damage. Whether you are looking for non-surgical treatments or considering surgery, there are many options available in the UK. Contact a hand surgeon to discuss the best treatment plan for your condition.