• Simple analgesics

hydroxychloroquine sulphasalazine injectable gold

D-penicillamine methotrexate oral gold azathioprine cyclophosphamide cyclosporin

• Physical therapy (hydrotherapy, isometric exercises)

• Occupational therapy (splints, aids and appliances)

• Corticosteroids:

oral prednisolone intra-articular intravenous (steroid 'pulses') intramuscular

• Orthopaedic surgery:

(synovectomy, joint replacement, arthrodesis, plastic hand surgery)

• Chiropody, footwear, insoles

*DMARDs = disease-modifying antirheumatic drugs Source: After Reilly and Littlejohn 12

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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