Which combination of interventions is commonly used to manage stiffness and pain in rheumatoid arthritis?

• A. Moist heat for stiffness; range-of-motion exercises; ice on painful joints as needed; periods of rest
• B. Cold baths only and immobilization
• C. Surgery for all joints
• D. No activity and high-impact exercise

Answer: (A)

In rheumatoid arthritis, relief comes from balancing heat and cold to manage symptoms while preserving joint function. Moist heat helps loosen stiff joints, especially in the mornings, making it easier to move and begin range-of-motion exercises. Regular range-of-motion exercises keep joints flexible and prevent contractures, supporting daily activities and function. Applying ice to painful joints as needed reduces inflammation and numbs pain during flare-ups, providing targeted relief. Including periods of rest helps prevent overuse and fatigue, giving joints recovery time between activities.

Other approaches don’t fit because cold baths alone plus immobilization aren’t as effective at addressing stiffness and can lead to further stiffness and weakness. Surgery for all joints is excessive and inappropriate for routine management. No activity with high-impact exercise would worsen symptoms—RA benefits from a balanced, low-impact activity plan that includes gentle movement and rest.