Treatment of finger joint pain during confinement

I believe that many pregnant mothers have experienced pain in the finger joints during confinement. The pain in the finger joints during confinement brings great pain to our bodies. Many people are in pain. Indeed, the pain in the finger joints during confinement is very severe. I don’t know if you have experienced pain in the finger joints during confinement. Nowadays, the frequency of this situation is also very high. So what are some good ways to treat this situation? Many of us are also actively looking for effective treatments. Let us learn about the treatment methods for finger joint pain during confinement!

Treatment:

1. Patient education

Help patients correctly understand the disease, build up confidence and patience, and cooperate with doctors in treatment.

2. General treatment

For those with obvious joint swelling and pain, rest and joint immobilization should be emphasized. After the joint swelling and pain are relieved, attention should be paid to starting functional exercises of the joints as early as possible to relieve stiffness. In addition, auxiliary treatments such as physical therapy and topical medications can quickly relieve joint symptoms.

3. Medication

The treatment plan should be individualized, and drug treatment mainly includes non-steroidal anti-inflammatory drugs, slow-acting anti-rheumatic drugs, immunosuppressants, immune and biological preparations, and herbal medicines.

(1) Nonsteroidal anti-inflammatory drugs have anti-inflammatory, analgesic and antipyretic effects. They are the most commonly used drugs in the treatment of rheumatoid arthritis and are suitable for patients in all stages, including the active stage. Commonly used drugs include diclofenac, nabumetone, meloxicam, celecoxib, etc.

(2) Antirheumatic drugs (DMARDs) are also called second-line drugs or slow-acting antirheumatic drugs. Commonly used ones include methotrexate, taken orally or intravenously; sulfasalazine, starting with a small dose and gradually increasing, as well as hydroxychloroquine, leflunomide, cyclosporine, auranofin, and total glucosides of white paeony.

(3) Yunke, i.e. technetium [99Tc] methylene diphosphonate injection, is a non-excited isotope that has a rapid onset of symptom relief in the treatment of rheumatoid arthritis with minimal adverse reactions. Intravenous medication, 10 days as a course of treatment.

(4) Glucocorticoids are not the first choice for the treatment of rheumatoid arthritis. However, hormones can be used in the following four situations: ① Accompanied by rheumatoid vasculitis including multiple mononeuritis, rheumatoid pneumonitis and serositis, iritis, etc. ② Transitional treatment: In patients with severe rheumatoid arthritis, a small amount of hormones can be used to quickly relieve the condition. Once the condition is under control, the hormones should be reduced or slowly discontinued. ③ For patients who have not responded to regular slow-acting antirheumatic drugs, low-dose hormones can be added. ④ Local application such as intra-articular injection can effectively relieve joint inflammation. The general principle is short-term use of small doses (less than 10 mg/d).

(5) Currently, several biological agents have been approved for the treatment of rheumatoid arthritis and have achieved certain therapeutic effects, especially in the treatment of refractory rheumatoid arthritis. The application of several biological agents in rheumatoid arthritis: ① Infliximab, also known as TNF-α chimeric monoclonal antibody. Clinical trials have shown that Infliximab can achieve satisfactory therapeutic effects in patients with rheumatoid arthritis who are not responsive to treatment with methotrexate and other therapies. In recent years, emphasis has been placed on early application to achieve better results. Usage: Apply statically, repeat once every 4 weeks, usually 3 to 6 times as a course of treatment. It needs to be used in combination with MTX to inhibit the production of anti-antibodies. ②Etanercept is a fusion protein of human recombinant TNF receptor p75 and IgG Fc segment. Etanercept is effective and well tolerated in the treatment of rheumatoid arthritis and AS. Currently, there are two commercial dosage forms of Enbrel and Yisaipu in China. ③ Adalimumab (Humira) is a fully humanized monoclonal antibody against TNF-, which is not easy to induce the production of anti-antibodies. ④Anti-B cell therapy is receiving more and more attention. ⑤ The anti-CD20 monoclonal antibody Rituximab (MabThera) has achieved satisfactory results in the treatment of rheumatoid arthritis. Rituximab can also be used in combination with cyclophosphamide or methotrexate.

(6) Herbal medicines: Currently, there are many herbal medicines used for rheumatoid arthritis, such as tripterygium wilfordii, total glycosides of white paeony, and sinomenine. Some drugs have certain efficacy in treating rheumatoid arthritis, but their mechanism of action needs further study.

The above content introduces us to the treatment methods of finger joint pain during confinement. We should learn some relevant emergency treatment methods. When this situation occurs, we can urgently treat the finger joint pain during confinement so as not to let the condition worsen. I hope it can attract everyone's attention and try to reduce the occurrence of this situation in the future.