Which nonpharmacologic measure is commonly used to relieve morning stiffness in rheumatoid arthritis?

Which nonpharmacologic measure is commonly used to relieve morning stiffness in rheumatoid arthritis?

• A. Ice pack application
• B. Prolonged immobilization
• C. Warm shower or bath
• D. High-impact exercise

Answer: (C)

Warmth applied to the joints helps relieve morning stiffness in rheumatoid arthritis. A warm shower or bath delivers heat that relaxes periarticular muscles, increases blood flow, and improves the viscosity of synovial fluid, making it easier to move after a night of rest. This gentle warming also reduces joint stiffness and improves range of motion at the start of the day. Ice packs are more for acute inflammation and swelling, not for chronic morning stiffness, so they’re not the best choice here. Prolonged immobilization worsens stiffness by limiting joint lubrication and causing contractures. High-impact exercise tends to stress the joints early on; starting with warmth and gentle movement is more appropriate.

Warmth applied to the joints helps relieve morning stiffness in rheumatoid arthritis. A warm shower or bath delivers heat that relaxes periarticular muscles, increases blood flow, and improves the viscosity of synovial fluid, making it easier to move after a night of rest. This gentle warming also reduces joint stiffness and improves range of motion at the start of the day.

Ice packs are more for acute inflammation and swelling, not for chronic morning stiffness, so they’re not the best choice here. Prolonged immobilization worsens stiffness by limiting joint lubrication and causing contractures. High-impact exercise tends to stress the joints early on; starting with warmth and gentle movement is more appropriate.