Which type of physical therapy treatment is advised during an acute flare-up of rheumatoid arthritis?

During an acute flare-up of rheumatoid arthritis, the primary goal of physical therapy is to manage pain, reduce inflammation, and maintain as much joint mobility as possible without exacerbating the condition. Gentle range of motion exercises are specifically recommended because they allow patients to keep their joints moving while minimizing stress on inflamed tissues. These exercises help prevent stiffness and maintain functional movement, which is crucial during times of exacerbation when patients may experience significant discomfort and reduced mobility.

In contrast, high-load strength training and intensive manual therapy may place excessive stress on already inflamed joints, potentially worsening the condition and increasing pain. Prolonged aerobic exercises can also be too demanding during an acute phase, where joint rest and careful management are more important. Thus, gentle range of motion exercises strike a balance between maintaining mobility and protecting the joints, making them the most appropriate choice during an acute flare-up of rheumatoid arthritis.