Which treatment modality is NOT indicated during the acute phase of rheumatoid arthritis?

During the acute phase of rheumatoid arthritis, the primary goals of treatment are to reduce inflammation, alleviate pain, and promote rest to the affected joints. Stretching, while beneficial in chronic management to improve flexibility and reduce stiffness, is not indicated during the acute phase due to the risk of exacerbating inflammation and pain. During this period, joints may be swollen, tender, and susceptible to further injury, making forced stretching potentially harmful.

In contrast, the use of ice application is effective in managing swelling and pain; hydrotherapy may provide relief and comfort without putting excessive stress on joints, and resting splints help immobilize inflamed joints and reduce strain. Each of these modalities serves to protect the joints and manage symptoms during the acute inflammatory phase. Thus, involving stretching activities could compromise the patient’s well-being during this sensitive stage of the condition.