BETTER UNDERSTANDING HOW TO MANAGE LUPUS

How to relieve joint pain?

The relief of joint pain, arthralgia or arthritis (pain + joint swelling) is primarily based on the prescription by your doctor of nonsteroidal anti-inflammatory drugs (after checking for the absence of contraindications, including active kidney damage) and drugs against pain. If only one painful joint persists, it can be relieved by an intra-articular injection of cortisone (corticosteroid infiltration). Synthetic antimalarials (hydroxychloroquine /chloroquine  have their best indication here. The main goal is to achieve the reduction, and then, if possible, stop cortisone, without a resumption of pain or the progression of the disease to a more severe form.

Sometimes joint pain can justify other treatments such as methotrexate (widely used in rheumatoid arthritis) or, in the most intractable forms, other immunosuppressive  and biologics treatments such as belimumab or Anifrolumab.

Takeaways
  • Joint pains must be relieved as they greatly handicap the patient.
  • Pain relief should be offered as well as synthetic antimalarials that are very effective.
  • Sometimes it is necessary to use other molecules such as methotrexate and, more rarely, biomedicines such as belimumab in the most treatment-resistant forms.
  • Sometimes in very incapacitating chronic arthritis, very effective cortisone infiltrations can be proposed.

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