How PCPs should approach new RA guidelines

November 23, 2022

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New guidelines from the American College of Rheumatology strongly recommend that patients with RA engage in physical activity whenever possible.

In this video, Bryant England, MD, PhD, Associate Professor of Rheumatology at the University of Nebraska College of Medicine, and Benjamin J. Smith, DMSc, PA-C, DFAAPA, associate dean at the Florida State University College of Medicine, discuss the implications of the guidelines — titled “Guidelines for Exercise, Rehabilitation, Diet, and Complementary Integrated Interventions for Rheumatoid Arthritis” — for primary care providers.

England and Smith emphasized the importance of regular exercise for RA, despite earlier concerns that it could cause adverse health outcomes by accelerating associated joint damage. That, however, is “not something we need to worry about,” England said.

“I think these are very important recommendations for health care providers, who are often talking to patients about lifestyle changes. [and] chronic disease prevention,” he said. “What we need to do is encourage these RA patients to be active.”


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