Rheumatoid arthritis is the most common form of inflammatory disorder of the appendages in Pakistan. According to a study conducted in tertiary care unit in Liaquat National Hospital, Karachi, 12.9% of the 4900 patients complained of Rheumatoid Arthritis. Most patients were above the age of 16 and the female to male ratio was 4:1. Speaking of its prevalence worldwide, almost 0.5-1% of the population is affected, and this percentage is directly proportional to the steep increment in population. It is a common sight which Pakistani homes observe that as soon as a woman reaches the period of menopause, she starts experiencing knee pain, joint pain, gout, osteoporosis or rheumatoid arthritis. The best treatment for this type of disorder is prevention. Proper diet, sufficient calcium and Vitamin D intake has always been recommended for growing kids and fertile adults. A few other choices for the treatment of arthritis include lifestyle modifications, stress management, weight reduction, physical therapy and surgery, if required. In elderly, the most dangerous implication is that of slipping or falling in the restroom or during shower. As we age, the healing power of the body reduces considerably. So when an elderly individual breaks their bone or joint or even ruptures a set of muscles, the healing is as low as 50%. This increased susceptibility to bone damage and volatility of healing power is very alarming.
The best way to overcome the deteriorating bones is by adopting few low impact aerobics. Alternatively, swimming and water aerobics is another ideal way to reduce excess stress on the joints and bones. This also helps because elderly are more prone to falling or pulling a muscle or nerve. Although there is no precise cure to Rheumatoid Arthritis, it is advisable to maintain a healthy lifestyle at a young age which incorporates balance diet
and a few additional supplements specially formulated for strong bones. Keeping the body mass index in the given range of 19- 25 is highly recommended to avoid excessive weight to the bones and joints. This is not only helpful for the orthopedic health but also for the physiological processes and cognitive impairments such as hypertension, diabetes mellitus, etc. Surgical treatments are usually advised when all the non surgical approaches fail to reduce the functional impairment and progressive pain.