Rheumatoid arthritis treatment
RA is treated with disease-modifying anti-rheumatic drugs (DMARDs) that slow or stop joint damage. Treatment is started as early as possible — ideally within 12 weeks of symptoms.
Treatment approaches
Conventional DMARDs
Methotrexate is the first-line treatment, often combined with sulfasalazine or hydroxychloroquine.
Biologic DMARDs
Anti-TNF and other biologics are used when conventional DMARDs aren't enough.
JAK inhibitors
Targeted oral therapies for moderate-to-severe disease.
Short-course steroids
Used to control flares while DMARDs take effect.
Specialist nurse support
Rheumatology nurses provide ongoing monitoring, education, and advice.
Occupational therapy
Joint protection, splinting, and adaptations to maintain independence.
This is general information, not a substitute for personalised medical advice.
Frequently asked questions
What is the best treatment for rheumatoid arthritis in the UK?
UK treatment for rheumatoid arthritis follows NICE guidance and usually combines self-management (exercise, weight control, pacing), pain relief, and — where needed — specialist medication or therapy. There is no single "best" option; the right plan depends on the type, severity and joints involved.
Can rheumatoid arthritis be cured?
Most forms of ra cannot be cured, but they can be very effectively managed. With the right combination of exercise, medication, and lifestyle support, many people maintain a full and active life.
What painkillers help rheumatoid arthritis?
Common options include paracetamol, topical or oral NSAIDs (such as ibuprofen) and, for inflammatory types, prescription medication such as DMARDs or biologics. Always take pain relief at the lowest effective dose and ask your GP or pharmacist about interactions.
Do I need a referral to see a rheumatologist for ra?
Yes — in the UK, you'll usually need a referral from your GP to access UK healthcare rheumatology services. If your GP suspects an inflammatory arthritis, NICE recommends urgent referral so that treatment can start early.
Are there free UK healthcare resources for rheumatoid arthritis treatment?
Yes. UK healthcare physiotherapy, occupational therapy, pain clinics and self-management programmes are available — many free at the point of use. Ask your GP or check the UK healthcare system website for services in your area.