Treatments for Reiterís syndrome
Treatments for Reiterís syndrome:
Treatment of Reiter's syndrome varies depending on the type of symptoms, the severity, and other factors. Treatment includes a multifaceted plan that addresses the symptoms and treats any underlying infection, such as chlamydia.
Reiter's syndrome cannot be cured, but treatment can minimize symptoms until the disorder resolves spontaneously on its own. Most people with Reiter's syndrome have a good long-term prognosis and symptoms disappear within about a year.
Commonly used medications for treatment of the pain and inflammation of Reiter's syndrome include acetaminophen and non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil) and aspirin. These medications can have serious side effects and should only be taken as recommended by a physician. Corticosteroids may also be used to reduce inflammation. If bacterial conjunctivitis occurs, it is treated with antibiotic eye drops.
Physical therapy is also often recommended for Reiter's syndrome. Physical therapy includes exercises that can help to strengthen joints, relieve pain, and maintain flexibility and mobility.
Treatment List for Reiterís syndrome
The list of treatments mentioned in various sources
for Reiterís syndrome
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
Reiterís syndrome: Is the Diagnosis Correct?
The first step in getting correct treatment is
to get a correct diagnosis.
Differential diagnosis list for Reiterís syndrome may include:
Hidden causes of Reiterís syndrome may be incorrectly diagnosed:
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How Is Reiterís Syndrome
Although there is no cure for Reiterís syndrome,
treatments that effectively relieve the symptoms are available. Many
symptoms may even disappear for long periods of time. The doctor is
likely to use one or more of the following treatments:
Bed restóShort periods of bed rest are sometimes
effective in reducing the pain and inflammation of arthritis. Lying
down can reduce the pressure of the bodyís weight on a painful joint
and provide relief for some patients.
ExerciseóEven before symptoms disappear, some
strengthening and gentle range-of-motion exercises will maintain or
improve joint function. Strengthening exercises build up the muscles
around the joint to better support it. Isometric tightening of muscles
without moving the joints can be used even in active, painful disease.
Range-of-motion exercises improve movement and flexibility and reduce
stiffness in the affected joint. Before beginning an exercise program,
patients should talk to the doctor, who can recommend appropriate
Nonsteroidal anti-inflammatory drugs
(NSAIDís)óThis type of medicine effectively reduces joint
inflammation and is commonly used to treat patients with Reiterís
syndrome. Some NSAIDís, such as aspirin and ibuprofen, are available
without a prescription. Many others require a doctorís prescription.
Corticosteroid injectionsóFor people with severe
joint inflammation, injections of corticosteroids directly into the
affected joint may effectively reduce inflammation. Doctors typically
use this treatment only after trying to control arthritis with
NSAIDís. Corticosteroid injections are most commonly used for severe
knee or ankle inflammation.
Topical corticosteroidsóThis type of medicine can
be put directly on the skin lesions associated with Reiterís syndrome.
Topical corticosteroids reduce inflammation and promote
AntibioticsóAntibiotics may be prescribed to
eliminate the bacterial infection that triggered Reiterís syndrome.
The specific antibiotic prescribed depends on the type of bacterial
infection that has to be treated. Patients must carefully follow the
doctorís instructions about how much medicine to take and for how
long; if the medicine is not taken correctly, the infection may not go
away. Often, an antibiotic is taken once or twice a day for 7 to 10
days or longer. Some doctors may recommend that a person with Reiterís
syndrome take antibiotics for a long period of time (up to 3 months).
Current research shows that this practice usually has no effect on the
course of the disease and is therefore unnecessary. However, in cases
when Chlamydia triggers Reiterís syndrome, prolonged antibiotic
treatment is effective in shortening the length of time that a person
Immunosuppressive medicinesóA small percentage of
patients with Reiterís syndrome have severe symptoms that cannot be
controlled with the treatments described earlier. For these people,
medicine that suppresses the immune system, such as sulfasalazine or
methotrexate, may be effective.
(Source: excerpt from Questions and Answers About Reiter's Syndrome: NIAMS
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