Prognosis and course of RA are variable. It should be emphasized that the lack of specific biological markers may impede the diagnosis of RA. However, by careful examination and taking into account the clinical and laboratory indicators, which are integrated into the existing criteria of American rheumatic society, it is possible to make a diagnosis.
Both patients and physicians must be prepared for variable course of the disease. After diagnosis, patients are often frightened, imagining themselves in the future as completely disabled and immobile. Attempts to argue with patients that such an outcome is not really common, allows him or her to fight with illness and actively participate in his or her treatment.
Unfortunately, there is no magic cure; no specific climatic factors or various diets will not change the course of the disease. The goal of treatment is to preserve as long as possible the functional ability of patients to all life's activities, in other words, reduce pain and discomfort, to preserve strength and joint function, prevent deformity and treat systemic complications. These goals can be achieved by drug therapy, physical and occupational therapy, and when necessary hospitalization.
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