Physical therapy
for rheumatoid arthritis

Does physical therapy help rheumatoid arthritis?

Yes. Physical therapy helps people with rheumatoid arthritis by keeping joints moving, strengthening muscles around affected joints, and teaching ways to do daily tasks that reduce strain. Physical therapy focuses on improving strength, joint mobility, movement control, and how your nervous system manages pain. These things reduce disability and make everyday activities easier.1 2 5

Physical therapy is usually a first-line part of care for people with rheumatoid arthritis because it complements the medicines doctors use to control inflammation. Exercise and rehabilitation are recommended alongside disease-modifying treatments to protect joints and improve function.2 3 4

Physical therapy is different from passive treatments because it teaches active skills you keep using. Rather than relying only on rest, injections, or short-term pain medicines, physical therapy gives you exercises, movement training, and practical strategies to manage fatigue, protect your joints, and get back to the activities you care about.5 6

Evidence supports that structured, graded aerobic and strengthening programs can reduce pain and improve function in people with rheumatoid arthritis without harming joints when programs are adapted to disease activity and individual needs.7 6

Goals of physical therapy for rheumatoid arthritis

Physical therapy aims to help you live as fully and independently as possible. Common short-term and long-term goals include:

  1. Short-term goals
    1. Reduce pain and morning stiffness.7
    2. Restore safe range of motion so you can do daily tasks.6
  2. Long-term goals
    1. Improve strength and endurance so tasks like carrying groceries or climbing stairs are easier.5
    2. Maintain or improve joint function and protect against disability.2 3
    3. Support return to work or preferred activities, and reduce fatigue.5

Programs are always personalized. Your physical therapist will change exercises and pacing based on how active your disease is, your overall health, and what matters most to you.2 6

What results can I expect with physical therapy?

Many people notice meaningful improvements in pain, strength, and function after a few weeks to a few months of a tailored program, especially when therapy is combined with effective medical control of inflammation. Expect modest to meaningful gains in daily activities and endurance.3 4 5

Key benefits you may see:

  • Easier movement, better grip strength, and improved ability to do daily tasks.6 7
  • Less fatigue and better cardiovascular fitness with graded aerobic activity.5
  • Lower pain levels and improved quality of life when exercise is consistent and adapted to flare status.7

Recovery looks different for everyone. Factors that affect progress include how active the inflammation is, whether you are on disease-modifying medication, overall health, and how much you can do the program at home. Your therapist will help set realistic milestones tied to your goals.2 3

Sword's approach

Sword Health helps people manage pain and movement issues with expert-guided AI care you can use from home. Our model combines clinical support with modern technology, designed to work around your life.

Sword makes recovery easier and more accessible. You get high-quality care at home, guided by clinicians and supported by smart technology.

  • Care that adapts to your progress in real time
  • Licensed experts guiding every step
  • Simple, non-invasive, evidence-based programs
  • Proven results for pain relief, movement, and satisfaction
Search your employer or health plan

Footnotes

1

World Health Organization. Rheumatoid arthritis. WHO Fact Sheet. 2023. https://www.who.int/health-topics/rheumatoid-arthritis

2

Smolen JS, Landewé RBM, Bergstra SA, et al. EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological DMARDs: 2022 update. Ann Rheum Dis. 2022. DOI/URL.

3

National Institute for Health and Care Excellence (NICE). Rheumatoid arthritis in adults: management (NG100). 2018, updated 2020. https://www.nice.org.uk/guidance/ng100

4

Fraenkel L, Bathon JM, England BR, et al. 2021 American College of Rheumatology Guideline for the Treatment of Rheumatoid Arthritis. Arthritis Care & Research. 2021. DOI: 10.1002/acr.24596.

5

England BR, et al. 2022 American College of Rheumatology Guideline for Exercise, Rehabilitation, Diet, and Additional Integrative Interventions for Rheumatoid Arthritis. 2022. DOI/URL.

6

Rausch Osthoff A-K, Niedermann K, Braun J, et al. 2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis. Ann Rheum Dis. 2018;77(9):1251–1260. DOI/URL.

7

Cochrane. Dynamic exercise programs (aerobic capacity and/or muscle strength training) in patients with rheumatoid arthritis. Cochrane Database Syst Rev. (Cochrane evidence summary).

Portugal 2020Norte 2020European UnionPlano de Recuperação e ResiliênciaRepública PortuguesaNext Generation EU