Clinical Immunology focuses on the immune system’s health. Learn about the diagnosis and treatment of allergies, autoimmune diseases, and immunodeficiencies.

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Care and Prevention

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While genetic factors for rheumatoid arthritis cannot be altered, the management of the disease relies heavily on lifestyle choices and proactive care. “Prevention” in the context of RA largely focuses on preventing flares, preventing joint deformity, and preventing the systemic comorbidities associated with chronic inflammation. A comprehensive care plan extends beyond the rheumatologist’s office into the patient’s daily life, encompassing nutrition, stress management, and cardiovascular health.

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Dietary Approaches

IMMUNOLOGY

Anti-Inflammatory Nutrition

Adopting a Mediterranean-style diet is highly recommended. This includes foods rich in omega-3 fatty acids (fatty fish like salmon), olive oil, nuts, and plenty of fruits and vegetables.

Gut Health

Since the microbiome may play a role in RA, maintaining gut health with fiber-rich foods and probiotics can be beneficial.

Trigger Foods

Patients are encouraged to identify and avoid personal trigger foods. Processed foods, excessive sugar, and red meat are known to promote inflammation in many people.

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Exercise and Mobility

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Low-Impact Activity

Keeping joints moving is vital. High-impact activities may damage fragile joints, so low-impact exercises like swimming, cycling, and walking are preferred.

Strength Training

Building muscle helps support the joints. Isometric exercises, which strengthen muscles without moving painful joints, are often part of the care routine.

Balance Training

RA can affect the feet and balance. Exercises like Tai Chi can improve stability and reduce the risk of falls.

Stress Management

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The Stress-Inflammation Loop

Stress triggers the release of cortisol and cytokines, which can induce a flare. Managing mental health is a physical necessity in RA care.

Mindfulness and Relaxation

Techniques such as meditation, deep breathing, and progressive muscle relaxation help lower the body’s stress response.

Sleep Hygiene

Poor sleep worsens pain and fatigue. Establishing a strict sleep routine is a critical component of self-care.

Cardiovascular Care

Heart Health Priority

RA patients have a doubled risk of heart disease. Care involves strict management of blood pressure, cholesterol, and blood sugar levels.

Smoking Cessation

Stopping smoking is the single most important preventative measure a patient can take. Smoking reduces the effectiveness of medications and increases cardiovascular risk.

Vaccinations and Infection Control

Immunosuppression Management

Because RA medications suppress the immune system, patients are more prone to infections. Care involves staying up to date with vaccines.

Key Vaccinations

The annual flu shot and the pneumonia vaccine are standard recommendations. However, live vaccines (like Yellow Fever) must generally be avoided while on biologic therapy.

Joint Protection Techniques

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Ergonomics

Using ergonomic tools and modifying how tasks are performed prevents joint strain. This includes using larger grips for pens or utensils and sliding objects instead of lifting them.

Splinting

Wearing splints on wrists or fingers during periods of high inflammation or at night can align the joints and prevent deformity.

Pregnancy and Family Planning

Medication Planning

Many RA drugs are not safe during pregnancy. Care involves planning conception during periods of remission and adjusting medications months in advance under medical supervision.

Postpartum Care

Women often experience remission during pregnancy but are at high risk for a flare after delivery. A care plan must be in place for the postpartum period.

Why Choose Liv Hospital?

Navigating a diagnosis of Rheumatoid Arthritis requires more than just a prescription; it demands a partner in health who understands the complexity of autoimmune disorders. At Liv Hospital, we provide a holistic ecosystem of care that bridges the gap between advanced medical intervention and lifestyle management. Our Department of Rheumatology utilizes the latest diagnostic imaging and access to cutting-edge biologic therapies to arrest disease progression early. We believe in a multidisciplinary approach, where rheumatologists, orthopedists, physical therapists, and dietitians collaborate to tailor a treatment plan specifically for you. By choosing Liv Hospital, you are choosing a facility dedicated to preserving your mobility, protecting your long-term health, and empowering you to live a full, active life despite your diagnosis.

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FREQUENTLY ASKED QUESTIONS

Can exercise make my arthritis worse?

If done incorrectly, yes. However, lack of exercise is worse as it leads to muscle weakness and stiff joints. The key is low-impact, consistent movement tailored to your ability.

Smoking triggers the immune system and increases inflammation. It makes RA symptoms more severe, causes more joint damage, and makes medications like methotrexate less effective.

Generally, yes, and it is recommended because your immune system is suppressed. However, you should avoid “live” vaccines. Always consult your rheumatologist before getting any vaccination.

Stress causes the body to release chemicals that increase inflammation and pain sensitivity. High stress is a very common trigger for RA flares.

Yes, most women with RA have successful pregnancies. However, it requires careful planning with your doctor to change medications to ones that are safe for the baby before you conceive.

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