NSAIDs

• 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

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