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is likely to bring forth many new avenues of earlier diagnosis and accurate treatment in the near future. Gene profiling, also known as gene array analysis, is being identified as a helpful method of defining which people will respond to which medications. Studies are underway that are using gene array analysis to determine which patients will be at more risk for more aggressive disease. This is all occurring because of technology improvements. We are at the threshold of tremendous improvements in the way rheumatoid arthritis is managed.

Supportive therapies:

Medical rehabilitation plays an important role in its treatment. Team of rehabilitation helps patients manage everyday activities and work and live with chronic conditions. This team includes physical therapists, occupational therapists, psychologists, social workers and relaxation specialists. Led by rheumatologists, the team initiates and monitors rehabilitative therapies, including all elements of managing the patient's condition that do not involve traditional medical, drug and surgical procedures.

Treatment may include:
Physical therapy
Occupational therapy
Individualized home strengthening and stretching programs to improve range of motion, function and independence while protecting joints and reducing flare-ups
Integrative medicine (e.g., acupressure and acupuncture)
Manual therapy (e.g., massage and stretching)
Nutrition counseling
Sleep counseling
Patient education
Vocational counseling

Physical therapy can help alleviate the pain, stiffness and weakness associated with rheumatic diseases and to restore function, improve mobility and independence and prevent or limit permanent physical disabilities. The goal of occupational therapy is to help people regain, develop and build skills that are essential for independent functioning, health and well-being.

Assistive device can help a person with a rheumatic disease move better, manage pain or avoid fatigue. Such devices include:
*Braces (e.g., back braces)
*Canes
*Grab bars in showers and tubs
*Shoe inserts
*Special tools or gadgets that can help maintain an active, independent life without straining the joints (e.g., reaching aids)
*Splints
*Using luggage or grocery carts

Aquatic therapy: Warm water helps to loosen tight joints and muscles while the resistance of the water improves muscle strength.

Diet: people with rheumatic diseases require no special diet. Some general guidelines to follow include:
*Limit alcohol consumption.
*Control your weight. Excess weight puts added

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