Physical measures: Cold may be applied to reduce pain from temporary worsening in one joint. While orthopedic or athletic shoes with good heel and arch support are frequently helpful. Joint splinting reduces local inflammation and may relieve severe symptoms. And molded shoes may be needed for severe deformities.
Exercise should proceed as tolerated. And heat therapy can also be helpful. While Paraffin baths can warm digits and facilitate finger exercise Active exercise also helps to restore muscle mass and preserve range of joint motion should not be fatiguing. Massage by trained therapists, traction, and deep heat treatment may be useful as well.
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