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Setting a target

Typically, joint swelling found during a physical examination and laboratory tests like C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) are used to evaluate rheumatoid arthritis inflammation (or using imaging techniques, such as ultrasound of the joints). The goal of treat-to-target is to reduce RA inflammation up until a predetermined lab test benchmark is reached. For instance, a person with a newly diagnosed condition whose CRP level is 57 mg/L would set a goal to reduce it to less than 5 mg/L, or a person with 15 swollen and 13 sensitive joints might set a target of 2 or fewer of these conditions.

Regular testing

Regular testing and patient evaluation by the healthcare professional is advised by the treat-to-target method to track advancement toward the goal. There is no set frequency, however lab testing can be ordered as frequently as monthly and office visits can be done every two months. The frequency of tests or clinic visits will be jointly decided upon by the patient and the doctor, and will be adhered to.

Testing or patient evaluations could be carried out less regularly if the benchmark objective has been met and symptoms are effectively treated.

Changing treatment as needed

The RA treatment strategy is swiftly revised if lab test results and patient evaluations don't indicate a pattern of satisfactory development. A doctor might advise changing to a new RA drug, upping the dosage, or switching from one RA medicine to another.

While altering a treatment plan often entails altering the pharmaceutical schedule, it may also entail one or more lifestyle modifications, such as giving up smoking, altering one's diet, exercising frequently, getting better sleep, and/or practising daily meditation. According to research, these lifestyle modifications can significantly lessen rheumatoid arthritis inflammation.

Sharing decision-making as a team

The doctor and patient collaborate to make decisions while utilising the treat-to-target technique. Choices on testing, appropriate goals, and modifications to treatment are influenced by the patient's priorities and the doctor's medical knowledge.

Treat-to-target may be successful because it necessitates frequent testing and patient evaluation, which motivates physicians and patients to change a treatment plan more quickly if it isn't working. Having a clear objective based on remission is also beneficial. For those with early RA, the treat-to-target strategy can provide a long-lasting remission; it can also be successful for people with more advanced RA.

Rheumatoid arthritis

The immune system of the body targets its own tissue, which includes joints. Internal organs are attacked in extreme cases.

Sprains & Strains

Sprain is stretch of ligament & strain is injury to muscles or tendons. Ligaments are bands of tissues that connect two bones

Polymyalgia Rheumatica

An inflammatory disorder that causes pain, stiffness in shoulder muscles

Non Articular rheumatism

Rheumatic pain in tissues other than joints