What is the first treatment for rheumatoid arthritis?

Rheumatoid arthritis is an inflammatory condition in which the immune system targets the lining of joints. Treatment is chosen after reviewing symptoms, examination findings, blood tests, and sometimes imaging. Anti-inflammatory medication may reduce pain and swelling, but the longer-term plan may also require disease-modifying treatment from a rheumatology team.

Early management has two aims: settle active inflammation and preserve movement. Physiotherapy can support joint mobility, strength, energy conservation, and safe activity. Hand therapy is useful when finger, wrist, or thumb stiffness affects grip, dressing, or other everyday tasks.

Take prescribed medicine exactly as directed and tell the clinician about stomach, kidney, liver, heart, pregnancy, or blood-thinning concerns before using anti-inflammatory medication. Keep a simple record of morning stiffness, swollen joints, fatigue, and treatment effects so the plan can be adjusted.

Balance activity with rest during a flare. Gentle range-of-motion work can prevent stiffness, while a therapist can show you how to protect painful joints during lifting, typing, and household tasks. Do not stop prescribed treatment abruptly without medical advice.

Contact your care team if swelling and stiffness are worsening, medication causes concerning symptoms, or daily tasks become harder. Seek urgent help for a hot, very swollen joint with fever, sudden chest symptoms, severe breathlessness, or new weakness or numbness.

Which medicine is being used to control inflammation, and what warning symptoms should I watch for? Do I need rheumatology review or monitoring tests? Would hand therapy or physiotherapy fit my joint pattern? How should I adapt activity during a flare?