Immediate treatment
If treatment is not taken early and quickly you can end up with serious joint damage.
Immediate Treatment
Suzie Edward May
Member, Arthritis Australia National Consumer Reference Group (rheumatoid arthritis)
Author of ‘Arthritis, pregnancy and the path to parenthood’
Getting onto treatment early and not delaying is really important and that can be very scary to jump into that unknown and to start taking medication which has such a long list of side effects that it’s quite frightening. You almost just don’t want to read them because it’s very frightening. But the reality with this disease is that if you don’t treat it early then you will end up with irreversible joint damage so you have to take it seriously very, very quickly.
Assoc. Professor Peter Youssef
Rheumatologist, Royal Prince Alfred Institute of Rheumatology and Orthopaedics, Sydney
Chair – Arthritis Australia Scientific Advisory Committee
Rheumatoid arthritis is a long term disease that will result in joint damage over time and these medications control the disease while the patients are using the drugs. Stopping the drugs will almost certainly result in a flare in the great majority of patients. So it is really important that patients use their drugs and that they are compliant with therapy to protect their joints, to maintain their function, keep them at work and to improve their overall life expectancy, and reduce the risk of cardiovascular disease.
Suzie Edward May
Member, Arthritis Australia National Consumer Reference Group (rheumatoid arthritis)
Author of ‘Arthritis, pregnancy and the path to parenthood’
It is difficult. We’re asking people to put their faith in a rheumatologist, in their GP, in a medical team really before they’ve got their head around what this means. We’re asking people to say, “Yes! Start taking this medication, start taking these drugs,” which have all sorts of side effects but we’re saying you need to do this before you’ve even dealt with what this means emotionally and that’s a really big leap. But it’s important to take that leap.
Ray Paulley
Retired teacher, cycling enthusiast
Psoriatic Arthritis
And I started off on various medications which certainly assisted my condition but they didn’t do my organs a lot of good. And my rheumatologist said to me, “Ray, as soon as we can, we’ll get you onto what’s called”, I think he termed it, “a biological”, and that is what I ended up on and what do you know, it fixed it!
Confirming diagnosis

Initial GP visit

Key questions & history taking

Piecing the symptoms together

Referral to rheumatologist

Visiting Physio or GP

Other therapies

What is a rheumatologist?

Preparing for first consultation

Questions rheumatologists will ask

Tests rheumatologists may conduct

Your online research

Rheumatologists can help

Tips and suggestions

Living well with arthritis

Next steps after diagnosis

Reaction to diagnosis

Finding a supportive environment

Working to achieve your goals

Working with your rheumatologist

Developing a working relationship

Treatment management

Personalising treatment plans

Lifestyle management sleep & smoking

Lifestyle management exercise

What is adherence

Exercise

Finding the right treatment

Understanding side effects

Side effects vs benefits

Risk of avoiding medications

Importance of monitoring side effects

Considering the immune system

NSAIDs

Immediate treatment

Introduction to methotrexate

Methotrexate compared with chemotherapy

Methotrexate early side effects

DMARDs

Introduction to biological treatment

Ankylosing spondylitis & biologics

Moving to biological treatment

Biologics are they for you?

Finding the best biological treatment

Changing biologics

Biologics

Early treatment

Treatment disease modifying drugs

Customised treatment

Other treatment options biologics

Treating AS

Treating PsA
