What is rheumatism? Rheumatoid arthritis or rheumatoid arthritis affects the synovial lining of the joints and causes inflammation, stiffness and pain in the joints. These treatment options help relieve pain, improve joint function, and reduce the possibility of joint deformity.... **Rheumatoid arthritis is a terrible disease.... If left untreated, this disease progresses and lowers the patient's quality of life and sooner or later leads to disability.... Orthopedic specialist in Shiraz.** Symptoms of rheumatoid arthritis Pain, stiffness and inflammation of the joints are among the main symptoms of rheumatoid arthritis. The sensitivity and feeling of stiffness in the joints in the morning are also considered as early symptoms of this disease. Usually, the small joints of the body such as the hand joints are affected first and then the larger joints such as the joints, inflammation of the knee joint and inflammation of the knee joint. They are rheumatoid and they severely affect the quality of life of patients. Rheumatoid arthritis symptoms usually worsen for a while and then decrease. These symptoms are caused by various factors such as stress, certain foods, or weather changes. X-ray images or blood tests. - **X-ray:** This test uses radiation to produce images of internal tissues, bones and organs....- **Nodule biopsy:** Small tissue samples are placed under a microscope to check for cancer or other abnormal cells....- **Blood test:** This test is done to find specific antibodies called.... MRI:** With the help of these tests, the extent of bone damage and inflammation is checked. be... Read more: types of joint injuries + introduction of treatment methods Treatment of rheumatism The main goals of treating rheumatoid arthritis are to reduce inflammation and joint pain, improve function and reduce or prevent further complications and damage to the joints. It is also important to use a comprehensive approach to treat patients by considering physical, mental and emotional factors. - **Synovectomy:** Surgery to remove the inflamed synovium (covering the joint) that is performed on knees, elbows, wrists, fingers and hips... - **Joint fusion:** In cases where joint replacement is not a suitable solution, fusion surgery is recommended to stabilize or reset the joint and relieve the pain of physiotherapy... Physical methods are an essential part of the complex treatment of this disease, and some are in the acute stage of the disease where there is an active exudative process. and some others are prescribed during the period when the disease enters the recovery stage.. Therefore, in the acute stage of the disease and abnormal injuries, the joints involved in ultraviolet radiation are treated with daily joint irradiation.. Radiation is used 15 times, and all the damaged joints are irradiated 2-3 times... It is possible to electrophoresis glucocorticoids (prednisolone, dexamethasone, etc.) to the joints Inflamed (this method takes 18 to 20 minutes daily and each course includes 12 sessions).... Read more: Types of joint injections for arthritis pain in Shiraz ### Exercise for rheumatism of the joints #### 1 .... Active hip and knee flexion exercises Straighten your leg and lie on the floor (or lie on the bed if the floor is hard)... then bend the affected knee as gently as possible (bring the ankle as close to the hip joint as possible)... when you feel a stretch in the thigh muscle, stay in this position for 10 seconds.. then return to the starting position and repeat the movement for 10 seconds to repeat the exercise.. standing with your feet shoulder-width apart and arms extended in front of you do....slowly bend your knees and Take a semi-sitting position....hold the chair for balance if necessary....keep your back straight and your chest up and avoid bending forward.... With your feet flat on the floor, hold this position for 5 seconds as you move slowly do this movement and then stand up....slowly in three sets of 10 Give.... #### 3... static training of the quadriceps muscles Lie on your back, straighten your legs and place a folded towel under your knees....press the front of the thigh muscle (quadriceps) towards the towel and tighten the knee....hold for 10 seconds and release for 20 seconds....do this exercise 10 times....#### 4....leg extension Lie on your back on the floor or bed, arms by your sides and toes up....keep your leg straight and slowly raise it several inches while tightening your leg muscles....tighten your abs and push your lower back down....hold for a count of 5, then lower your leg as slowly as possible....repeat this movement and then repeat the exercise with the other leg.###... leg lift from the side Cross your legs and lie on your side..Bend the bottom for support..Straighten the upper leg and raise it 45 degrees..Stay in this position for 5 seconds and then lower the leg and rest for a while...Repeat the exercise 10-15 times...Change the side and repeat the exercise...##### Raise....straighten the legs and lie on the stomach....Tighten the glutes and hamstrings of one leg and lift it towards the ceiling.... Stay in this position for 3 to 5 seconds and then lower the leg and repeat the exercise... Do the movement 10 to 15 times and then do the exercise with the other leg.... As you should increase the weight so that you don't feel back pain.... Raise the leg less and if you still have pain, stop the exercise... #### 7.... The last degree of knee extension Sit on the mat and place a rolled towel just below the knee....make sure the heel of the foot is touching the floor....bend the other knee and place the sole of the foot on the towel....place the palms behind the head on the mat....this is the starting position....bend the leg so that the toes are towards the ceiling....raise the leg and keep the leg level and place the leg on the calf..to the starting position...recovery .... Do the exercise 3 times a day, 4 repetitions in 3 sets of 8... #### 8.... Hamstring rotation Hamstrings are the muscles behind the thighs.Lie on your stomach.Slowly bring your heels as close to your hips as possible and stay in this position..Do the exercise in three sets of 15.You can also do the exercise in a standing position and lift one leg while holding a chair..If the exercise is easy, you can slowly increase the weight from 3 to 5.. lbs.... ### Final Result Physiotherapy for joint rheumatism leads to speeding up recovery and reducing the risk of recurrence of the disease... The treatment of joint rheumatism should be done exclusively under the supervision of a specialist doctor... It is necessary to avoid self-medication or stopping the use of prescribed drugs without the doctor's approval... This will lead to the deterioration of the patient's condition and accelerate the progress of the disease....