Much can be done to reduce the burden of a patient with crippling arthritis. Besides proper and adequate medication, the patient would need close rapport with the doctors. The doctor has to patiently help the patient in overcoming both mental and physical problems.

The patient would need a good supervised exercised program.

Attention has to be given to the nutritional status and other medical problems of the patient.

Perhaps some surgery may be required to improve the functions of particular joints.

It is obvious then that the team approach is best suited while treating such a patient.

           One may add, that the treatment of such a patient is long drawn, challenging and demanding. Sometimes despite unsatisfactory therapeutic results the doctors has to maintain an optimistic approach and inculcate positive attitudes in the patient.