Misconceptions about rheumatoid arthritis treatment

  1, joint pain when there is inflammation, to apply anti-inflammatory drug treatment Clinically, many patients will think that joint pain is joint inflammation, inflammation should apply anti-inflammatory drugs, namely antibiotic treatment. In fact, rheumatoid arthritis is an autoimmune inflammation, is a sterile inflammation, the application of antibiotic therapy is ineffective. The key to treatment is to inhibit the abnormal immune response, and improve the condition of anti-rheumatic drugs DMARDs can play this therapeutic role.  Many RA patients are afraid of the adverse effects of glucocorticoids and believe that they will become dependent on them and cannot stop using them, and will get osteoporosis and femoral head necrosis, and refuse to use them. Glucocorticoids are a double-edged sword. As mentioned above, glucocorticoids have powerful anti-inflammatory and immunosuppressive effects, and can play a “bridge” role before the application of NSAIDs is ineffective and traditional DMARDs take effect. Will reduce the occurrence of adverse reactions, but also play a good effect.  3, immunosuppressant side effects, the smaller the dose, the shorter the application time the better Some RA patients believe that immunosuppressants have great side effects, can hurt the liver and kidneys, the smaller the application dose the shorter the time the better, this understanding is very common. Most of the immunosuppressants have a long onset of action, usually about 1 or 2 months, and it takes 1-6 months for clinical symptoms to improve significantly. Many patients stop using them after only one or two months, or they can reduce the dosage or stop using them after the application time is still okay and the symptoms are controlled. Clinically, the dosage should be reduced or discontinued only under the guidance of a specialist.  4, the purchase of proprietary Chinese medicine for the treatment of RA both safe and effective Clinical many patients believe that proprietary Chinese medicine is safe and non-toxic, and good therapeutic effect. So some charlatans take advantage of this psychology to confuse patients with the so-called ancestral secret recipes, prescriptions, and even add a lot of hormones to the drug, bringing many side effects to patients, the result is a waste of money, but also delayed the treatment of the disease. In fact, to date, no Chinese medicine has been recognized to be effective in controlling RA. Therefore, proprietary Chinese medicine can only be used as an adjunctive treatment measure, rather than relying solely on Chinese medicine.