How Hand Therapy Can Help Manage Rheumatoid Arthritis

​Rheumatoid arthritis (RA) is a chronic autoimmune condition that causes the body’s immune system to mistakenly attack the joints — particularly the small joints of the hands and wrists. This ongoing inflammation leads to pain, stiffness, swelling, and eventually joint deformity if left unmanaged.

​What Causes Rheumatoid Arthritis?

​While the exact cause of RA is unknown, it is believed to result from a combination of genetic, environmental, and hormonal factors. The immune system becomes overactive and targets the synovium — the lining of the joints — leading to chronic inflammation, joint damage, and reduced hand function over time.

​The Importance of Medical Management

​Effective RA care always begins with proper medical management. Rheumatologists may prescribe medications such as:

• Disease-modifying antirheumatic drugs (DMARDs) to slow disease progression
• Biologic agents to target specific parts of the immune response
• Anti-inflammatory medications to reduce pain and swelling

​Regular monitoring, blood tests, and medication adjustments are essential to control the disease and prevent joint damage.

​How Hand Therapy Supports RA Management

​While medication plays a key role, hand therapy is just as important in maintaining function and quality of life for people living with RA. Our hand therapy clinic provides personalized, evidence-based care to help clients manage symptoms and protect their hands.

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What Hand Therapy Can Offer:

• Range of motion and strengthening exercises to maintain joint mobility and muscle strength
• Joint protection techniques to reduce stress on inflamed joints during daily activities
• Custom splinting to support painful or unstable joints, reduce deformity, and promote healing
• Pain management strategies such as heat/cold therapy and gentle manual therapy
• Education on energy conservation and activity modification to reduce flare-ups

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​Long-Term Benefits of Hand Therapy in RA

​With consistent therapy and guidance, clients with RA can:

• Improve or maintain hand function
• Reduce pain and stiffness
• Delay or prevent joint deformities
• Stay independent in daily tasks and hobbies

Take Charge of Your RA Journey

Living with RA can be challenging, but with the right support, it’s possible to manage symptoms and protect your hands from long-term damage. Combining medical care with expert hand therapy offers a comprehensive approach that addresses both the disease and its impact on everyday life.

If you're experiencing hand pain or stiffness due to RA, we're here to help. Reach out today to begin a treatment plan tailored to your needs.

Read further here about the effectiveness of the SARAH protocol for RA.
https://www.sciencedirect.com/science/article/abs/pii/S0894113024001571
Journal of Hand TherapyVolume 38, Issue 1, January–March 2025, Pgs 23-32