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Rheumatoid Arthritis
Physiotherapy management

For appointments/enquiries, please SMS/Call/WhatsApp xx

Physiotherapy And Hand Therapy Management Of The Rheumatoid Hand

Rheumatoid arthritis is a chronic disease characterized primarily by inflammation of the synovial tissue of the joints and tendon sheaths, with other systemic complications. This diseases’ course vary from individual to individual (there is no specific, fixed or constant pathway of progression), and 20-30% of these patients have complete or partial resolutions. These patients generally do well, with a variable amount of joints affected.

Rheumatoid arthritis affecting the hands are common – mainly the wrist joint, knuckles, the thumb are the most often affected. The knuckles at the ends of the fingers are not usually affected though. Because of the involvement of joints more proximal (further up, nearer the elbow) are more affected, this causes imbalances and results in deformities where the wrist and fingers slant towards the ulnar side of the hand. Synovial inflammation weakens joint structures and cartilage, causing more muscle-tendon imbalance, laxity and even dislocation. In severe cases, tendon rupture occurs.

Physiotherapy / Hand Therapy Evaluation

It is necessary to do an initial assessment of the hand, the disease progression and challenges before starting any interventions – this is for the baseline setting, where we can work together with the patient for a joint cooperation management.

Observation and Palpation

We observe and note the (ab)normal postures of the hands, check for any observable deformities, skin conditions or the presence of atrophy. If deformities are present, we need to understand when did they start and how fast they developed. The presence of crepitus (cracking) within the joints needs to be noted as well, for joint stability and tendon integrity.

Objective Measurement

Objective assessments includes the assessment and evaluation of range of motion of each joints, pinch and grip strength, dexterity (nimbleness), engagement and performance of daily living activities (e.g. brushing teeth, buttoning etc) as other objective tests.

Physiotherapy Or Hand Therapy Treatments

There are three (3) stages of rheumatoid arthritis – acute, subacute and chronic stages; and therapy implications and approaches differ from stage to stage. Goals are relatively similar across the stages, which remain as to maintain or increase function, minimize pain and deformity. In the acute stage, rest if often reinforced to decrease pain, swelling and inflammation, coupled with proper positioning of the limbs or joints to prevent joint deformities and contractures, as well as gentle active range of motion exercises will be prescribed to maintain joint mobility and integrity. These exercises needs to be done 3-4 times daily. In the subacute stage, focus will be on increasing tolerance and participation; joint protection strategies and energy conservation techniques will be taught. In the chronic stage, focus is on joint protection, activity participation, energy conservation and daily exercises to maintain and increase strength and tolerance.

See a list of physiotherapy advice for people with arthritis

Splinting

Our physiotherapist or hand therapist may determine if a splint would be beneficial to protect and preserve your joints, and may prescribe one to you. They may be custom fabricated, or one that is commonly purchased at local pharmacies. Resting splints, for whole hands or wrists, are used when there is swelling and inflammation in the hands or joints. During the flare-ups, joints and soft tissues are more susceptible to damage, so splinting protects the joints strongly, as well as reduces pain and swelling experienced. In many cases, splinting preserves the normal joint integrity and movement, by preventing deformitizing imbalances.

Picture courtesy of James Heilman, MD

The best way to reduce joint pain, quite frankly, may simply be to pursue natural treatment for arthritis with a joint relief supplement with chondroitin and glucosamine. Multiple studies demonstrate these two compounds not only reduce joint pain, they may also protect cartilage and offer greater mobility. That's more that most arthritis medications offer, and probably safer as well.

Try Joint Relief Solution. A blend of natural ingredients, including glucosamine and chondroitin, it's also formulated with willow bark extract. You might be surprised to learn that willow bark has the same active ingredient as aspirin, and shows dramatic reduction in pain symptoms, with less reliance on NSAIDs as well.

Where to next?

  1. Make A Physiotherapy, Hand Therapy or Deep Tissue Release Singapore Appointment
  2. Arrange A CallBack or Make An E-Enquiry Here
  3. See the list of physiotherapy conditions we treat 
  4. See the list of orthopedic surgeons we serve in Singapore
  5. Return to Urbanrehab's Physiotherapy, Hand Therapy and Sports Massage Singapore Home Page from our rheumatoid arthritis page
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Our Physio & Rehab Expertise

Specialist Rehab Group works with specialist physiotherapists and specialist rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.

Areas of specialization

  • physiotherapy: back and neck (spine), sports, shoulder, hip, knee, ankle
  • hand therapy: forearm, wrist, hand and fingers
  • podiatrist: leg, calf, ankle, foot and toes
  • read more on our specializations here

All our therapists are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCM). See our entire team here by location and specialization.

Initially, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover. They then provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

To call for inquiries or appointments, please contact us at:

SMS/Call/Whatsapp: 96402670

Email: ask@specialistrehabgroup.com

Tell A Friend About Us

We appreciate you as a patient and want you to know that the #1 way we grow as a clinic is through word of mouth referrals from valued patients like yourself.

We do not rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients.

When you have the opportunity, please take the time to tell your family, friends and physicians about the positive results and experience you have had in our clinic.

Thank you so much, and stay healthy!

SPECIALIST REHAB APPOINTMENTS & ENQUIRIES
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Disclaimer
We are a wholly Singapore Private Limited group of licensed physiotherapists, hand therapists, podiatrists, chiropractors, sports massage therapists, clinical pilates practitioners and TCM physicians practicing in our scope of rehabilitation and its areas of specializations. As listed in our website are the list of services we provide our clients as referred by their medical doctors or by self referrals/word of mouth.

The range of rehabilitation results vary from patients to patients, depending on a variety of factors and reasons such as severity of condition, genetics, gender and age. However, we will still deliver the best evidence-based-practice of physiotherapy, hand therapy, TCM, sports training and deep tissue release therapy that we can deliver.

The information available on this site is for educational purposes only, if you need a full professional advise on physiotherapy, hand therapy and occupational therapy, please schedule an appointment with us by contacting our staff by Call/SMS/WhatsApp at xx, thanks!

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You can also text or WhatsApp and we will call you back too =)

EMAIL US

ask@specialistrehabgroup.com

Physio, Rehab &  Insurance

Your physio, hand therapy and rehab with us may be covered under your medical insurance or cashless - find out more here.

OUR SERVICES

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Testimonials

Finally I know what I have, my pain decreased and now I'm back to work!

Derrick
Regional Sales Manager

OMG. The pain levels in my hands have dropped dramatically, about 60-70%

Deepak
Banker

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