How is rheumatoid arthritis treated?

  After being diagnosed with rheumatoid arthritis, patients are randomly confronted with treatment options and a series of questions arise, such as: “I’ve seen a lot of pictures of deformed joints on the internet, am I going to look like that even if I receive treatment?”  ”The medicine the doctor told me to take has hormones in it, and rumor has it that hormones have especially many side effects, so I don’t want to take them!”  ”I heard that biologics are very effective, is it true that biologics treatment does not require medication? Is it true that biologics can cure the disease and guarantee no recurrence?”  ”How long do I have to stick to these treatments to get well? Is it possible to stop the medication when the joints don’t hurt anymore?”  ”I’ve seen many advertisements on the Internet saying that it can cure rheumatoid arthritis radically, do you have such drugs in your hospital?”  In view of these questions, we would like to briefly introduce the treatment and effects of rheumatoid arthritis: First of all, the disability rate of rheumatoid arthritis has been significantly reduced in recent years. The pictures of deformed or even disabled joints that patients see on the Internet are mostly cases of late treatment or lack of standardized treatment. In recent years, with increased health awareness and the promotion of standardized treatment for rheumatic diseases, the effectiveness of rheumatoid arthritis treatment has improved significantly. Among the many people who strictly follow their doctors’ treatment regimens, a significant number of patients are indistinguishable from healthy people in both activity and appearance.  Secondly, rheumatoid arthritis is a chronic disease that requires long-term treatment and should not be stopped or reduced on your own. In most cases, doctors often prescribe a medication regimen. For example, hormones or NSAIDs are combined with slow-acting anti-rheumatic drugs (e.g., methotrexate, leflunomide, etc.), and sometimes botanicals (e.g., tretinoin) are added, and the specific medication regimen is adjusted on an individual basis. Drug therapy has been in the history of treatment in the field of rheumatic diseases for decades, and the treatment experience has been relatively mature. Although the drugs used to treat rheumatoid arthritis have more or less side effects, such as liver and kidney function damage, lowered white blood cells and platelets, high blood pressure, high blood sugar, etc., rheumatologists will take into account the occurrence of these conditions throughout the treatment process and make corresponding adjustments to the medication at any time in response to the results of blood tests at the patient’s follow-up visits. Therefore, as long as the patient adheres to regular treatment and regular review, there is no need to have too much psychological burden, and there is no need to overly panic about the use of hormones.  Once again, biological agents are a “new weapon” in the treatment of rheumatoid arthritis, but not a “universal weapon”. Biological agents are one of the biggest advances in the field of rheumatoid immunity in the last decade or so, mainly targeting certain key aspects of rheumatic disease pathogenesis for targeted treatment. It can control disease progression faster and has more significant effects, but also has corresponding side effects, such as infection, local reflection at the injection site, allergic reactions and so on. At present, in rheumatoid treatment, the more used are classical gram, Xumel, Ixep, Enzyme, Yamiro and so on. Adding slow-acting anti-rheumatic drugs such as methotrexate or leflunomide to the use of biological agents is more effective. It is important to note that biologics do not cure rheumatoid arthritis, and maintenance therapy with medications is still needed after the disease has stabilized.  Finally, there is no curative treatment for rheumatoid arthritis. There are many rheumatoid treatment prescriptions circulating on the Internet or among the public, claiming to cure the disease. In fact, the world’s most advanced research has not yet developed a treatment to end the disease at its root. In other words, rheumatoid arthritis is still not a curable disease. Therefore, it is recommended that patients consult a regular hospital as early as possible to avoid delaying their condition by seeking the so-called “miracle drugs”.