Physical therapy. The objectives of physical therapy for patients with rheumatoid arthritis are the prevention and correction of the deformity, pain control, strengthen weak muscles and improve function. Therapeutic exercise is of great importance for the program of physical therapy for the patient. It is necessary to integrate the cooperation of the patient and this is most effective with the explanation of the purpose of these exercises and increase opportunities for exercise, which is not pain. In many cases, pain can actually reduce regular exercise. The tolerance of the patients in the year should be carefully monitored. While it is expected that complaints may be present during the exercise, which should further non-persistent pain, hours after the exercises. If this pain and fatigue occur, should exercise program reviewed and revised to ensure that you have a good balance between rest and exercise. We remind you that the hyperactivity can contribute to inflammatory processes. Application cold or heat can be used in the treatment of rheumatoid paddison program for rheumatoid arthritis free download arthritis. Applications of heat, improve blood circulation, promote relaxation and relieve pain. When used in conjunction with exercise, heat could allow greater freedom of movement to articulate. Various forms of heat therapy, including dry heat, moist heat, Diathermy and ultrasound can be used. Dry heat may be more convenient in the nursing home a therapeutic infrared lamp. Bottles of hot water or heating pad can also be used. Paraffin baths are effective for the treatment of hands. Moist heat can be higher than 39 ° C (102 ° F) in the tub equipped with water temperature do not apply or soak a towel in hot water, wring it out and also in the joint. Hot tubs are effective, it is mainly during prolonged treatment. Relief of the pain and stiffness can be deployed for some cold compresses of patients to the affected joints. This can be done by you put ice directly into the joint. If you use heat or cold, you must protect the skin of the patient. We remind you that rheumatoid arthritis affects the skin and other tissues. When it is necessary to joint and is treating the members of a patient with rheumatoid arthritis, it is extremely important step slowly and gently, avoid stimulates muscle contraction, tremors, pain and sudden movements. The affected joints must be supported, so no excessive movement and,. .