myRAteam

Will methotrexate stop the joint changes before deformity occurs?

It's understandable to feel concerned about the changes you're noticing in your hands and feet. The good news is that methotrexate is designed to slow disease progression and prevent further joint damage, but it takes time to work.

Methotrexate typically Show Full Answer

Will methotrexate stop the joint changes before deformity occurs?

It's understandable to feel concerned about the changes you're noticing in your hands and feet. The good news is that methotrexate is designed to slow disease progression and prevent further joint damage, but it takes time to work.

Methotrexate typically takes three to six weeks to begin improving symptoms, and up to 12 weeks to feel the full effects. Since you've only been taking it for two days, it hasn't had enough time to start working yet. The changes you're seeing now are likely from the disease activity that was happening before you started treatment.

With consistent use of methotrexate and proper management, many people can prevent or minimize further joint deformities. The medication works by suppressing the immune system dysfunction that causes inflammation and joint damage in RA. In the meantime, there are things you can do to help manage your symptoms:

- Contact your rheumatologist about your current flare-up. They can recommend therapies like corticosteroids, nonsteroidal anti-inflammatory drugs, or heating and cooling pads to help manage symptoms while methotrexate starts working.

- Consider hand exercises to help prevent and manage finger deformities, strengthen grip and joints, and stretch surrounding muscles. A myRAteam member shared doing stretches in warm water helped reduce pain.

- Work with a physical or occupational therapist who can determine safe and effective hand therapy exercises for you.

It's crucial to keep taking your methotrexate as prescribed and stay in close contact with your doctor about the changes you're experiencing. They can help you understand what's happening and adjust your treatment plan if needed.

 AI-generated responses are not a substitute for medical advice. These services are not intended to diagnose, treat, or cure any condition or disease. Always ask your doctor about specific health concerns.

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