Skip to main content Skip to main navigation menu Skip to site footer
  • Register
  • Login
  • Menu
  • Home
  • Current
  • Archives
  • Announcements
  • About
    • About the Journal
    • Submissions
    • Editorial Team
    • Privacy Statement
    • Contact
  • Register
  • Login

Quality in Sport

Additional Treatment Methods for Rheumatoid Arthritis Symptoms. Literature review
  • Home
  • /
  • Additional Treatment Methods for Rheumatoid Arthritis Symptoms. Literature review
  1. Home /
  2. Archives /
  3. Vol. 41 (2025) /
  4. Medical Sciences

Additional Treatment Methods for Rheumatoid Arthritis Symptoms. Literature review

Authors

  • Kacper Gryboś SPZOZ Myślenice Szpitalna 2, 32-400 Myślenice https://orcid.org/0009-0007-9598-8494
  • Mikołaj Lewandowski https://orcid.org/0009-0001-8533-0660
  • Zofia Kwiatkowska Katowickie Centrum Onkologii Raciborska 26 40-074 Katowice https://orcid.org/0009-0002-4895-9002
  • Wojciech Kurkiewicz https://orcid.org/0009-0000-0137-1311
  • Oskar Woźniak https://orcid.org/0009-0006-1016-0720
  • Jowita Mikulska https://orcid.org/0009-0004-4176-8195
  • Joanna Wąsik https://orcid.org/0009-0004-9415-0508
  • Weronika Sepioło https://orcid.org/0009-0007-3060-5966
  • Julia Kiełbratowska https://orcid.org/0009-0005-3328-5502

DOI:

https://doi.org/10.12775/QS.2025.41.60286

Keywords

rheumatoid arthritis, chronic disease, Mediterranean diet, tumeric, curcumin, physical exercise

Abstract

Rheumatoid arthritis (RA) is a chronic inflammatory disease that significantly impacts patients' mobility and quality of life. While pharmacotherapy remains the primary approach to symptom management, increasing attention is being given to non-pharmacological treatment methods. This literature review explores alternative therapeutic interventions for RA, including anti-inflammatory diets, physical exercise, education, curcumin supplementation, psychotherapy, stem cell therapy, cannabinoids, cryotherapy, yoga, meditation, and mindfulness. These methods target different aspects of RA pathology, such as inflammation modulation, pain reduction, and psychological well-being. Studies suggest that dietary modifications, particularly the Mediterranean diet, may help reduce inflammation and improve joint function. Regular physical activity has demonstrated benefits in maintaining joint mobility and reducing pain perception. Psychological interventions, including cognitive-behavioral therapy, enhance patients' coping mechanisms, reducing stress-related inflammation and depressive symptoms. Additionally, emerging treatments like stem cell therapy and cannabinoids offer promising but still experimental alternatives. While these interventions cannot replace pharmacotherapy, they can serve as valuable adjuncts, potentially improving clinical outcomes and reducing reliance on long-term medication. Further research is needed to establish standardized guidelines for integrating these approaches into RA management strategies. This review highlights the necessity of a comprehensive, multidisciplinary approach to RA treatment that includes both conventional and alternative therapies.

References

[1]Gioia C, Lucchino B, Tarsitano MG, Iannuccelli C, Di Franco M. Dietary Habits and Nutrition in Rheumatoid Arthritis: Can Diet Influence Disease Development and Clinical Manifestations? Nutrients. 2020 May 18;12(5):1456. doi: 10.3390/nu12051456. PMID: 32443535; PMCID: PMC7284442.

[2]Turk MA, Liu Y, Pope JE. Non-pharmacological interventions in the treatment of rheumatoid arthritis: A systematic review and meta-analysis. Autoimmun Rev. 2023 Jun;22(6):103323. doi: 10.1016/j.autrev.2023.103323. Epub 2023 Mar 20. PMID: 36940841.

[3]Küçükdeveci AA. Nonpharmacological treatment in established rheumatoid arthritis. Best Pract Res Clin Rheumatol. 2019 Oct;33(5):101482. doi: 10.1016/j.berh.2019.101482. Epub 2020 Jan 25. PMID: 31987686.

[4]Schönenberger KA, Schüpfer AC, Gloy VL, Hasler P, Stanga Z, Kaegi-Braun N, Reber E. Effect of Anti-Inflammatory Diets on Pain in Rheumatoid Arthritis: A Systematic Review and Meta-Analysis. Nutrients. 2021 Nov 24;13(12):4221. doi: 10.3390/nu13124221. PMID: 34959772; PMCID: PMC8706441.

[5]England BR, Smith BJ, Baker NA, Barton JL, Oatis CA, Guyatt G, Anandarajah A, Carandang K, Chan KK, Constien D, Davidson E, Dodge CV, Bemis-Dougherty A, Everett S, Fisher N, Fraenkel L, Goodman SM, Lewis J, Menzies V, Moreland LW, Navarro-Millan I, Patterson S, Phillips LR, Shah N, Singh N, White D, AlHeresh R, Barbour KE, Bye T, Guglielmo D, Haberman R, Johnson T, Kleiner A, Lane CY, Li LC, Master H, Pinto D, Poole JL, Steinbarger K, Sztubinski D, Thoma L, Tsaltskan V, Turgunbaev M, Wells C, Turner AS, Treadwell JR. 2022 American College of Rheumatology Guideline for Exercise, Rehabilitation, Diet, and Additional Integrative Interventions for Rheumatoid Arthritis. Arthritis Care Res (Hoboken). 2023 Aug;75(8):1603-1615. doi: 10.1002/acr.25117. Epub 2023 May 25. PMID: 37227116.

[6]Forsyth C, Kouvari M, D'Cunha NM, Georgousopoulou EN, Panagiotakos DB, Mellor DD, Kellett J, Naumovski N. The effects of the Mediterranean diet on rheumatoid arthritis prevention and treatment: a systematic review of human prospective studies. Rheumatol Int. 2018 May;38(5):737-747. doi: 10.1007/s00296-017-3912-1. Epub 2017 Dec 18. PMID: 29256100.

[7]Hernández-Hernández MV, Díaz-González F. Role of physical activity in the management and assessment of rheumatoid arthritis patients. Reumatol Clin. 2017 Jul-Aug;13(4):214-220. English, Spanish. doi: 10.1016/j.reuma.2016.04.003. Epub 2016 Jun 2. PMID: 27263964.

[8]Cramp F. The role of non-pharmacological interventions in the management of rheumatoid-arthritis-related fatigue. Rheumatology (Oxford). 2019 Nov 1;58(Suppl 5):v22-v28. doi: 10.1093/rheumatology/kez310. PMID: 31682276; PMCID: PMC6827265.

[9]Wen Z, Chai Y. Effectiveness of resistance exercises in the treatment of rheumatoid arthritis: A meta-analysis. Medicine (Baltimore). 2021 Apr 2;100(13):e25019. doi: 10.1097/MD.0000000000025019. PMID: 33787585; PMCID: PMC8021371.

[10]Modarresi Chahardehi A, Masoumi SA, Bigdeloo M, Arsad H, Lim V. The effect of exercise on patients with rheumatoid arthritis on the modulation of inflammation. Clin Exp Rheumatol. 2022 Jul;40(7):1420-1431. doi: 10.55563/clinexprheumatol/fohyoy. Epub 2021 Nov 23. PMID: 34874837.

[11]Li Z, Wang XQ. Clinical effect and biological mechanism of exercise for rheumatoid arthritis: A mini review. Front Immunol. 2023 Jan 6;13:1089621. doi: 10.3389/fimmu.2022.1089621. PMID: 36685485; PMCID: PMC9852831.

[12]Zangi HA, Ndosi M, Adams J, Andersen L, Bode C, Boström C, van Eijk-Hustings Y, Gossec L, Korandová J, Mendes G, Niedermann K, Primdahl J, Stoffer M, Voshaar M, van Tubergen A; European League Against Rheumatism (EULAR). EULAR recommendations for patient education for people with inflammatory arthritis. Ann Rheum Dis. 2015 Jun;74(6):954-62. doi: 10.1136/annrheumdis-2014-206807. Epub 2015 Mar 3. PMID: 25735643.

[13]Ben Abdelghani K, Makhlouf Y, Miladi S, Boussaa H, Fazaa A, Laatar A. Patient education: improving health outcomes in rheumatoid arthritis. Tunis Med. 2023 Jun 5;101(6):564-568. French. PMID: 38372551; PMCID: PMC11217965.

[14]Kou H, Huang L, Jin M, He Q, Zhang R, Ma J. Effect of curcumin on rheumatoid arthritis: a systematic review and meta-analysis. Front Immunol. 2023 May 31;14:1121655. doi: 10.3389/fimmu.2023.1121655. PMID: 37325651; PMCID: PMC10264675.

[15]Zeng L, Yang T, Yang K, Yu G, Li J, Xiang W, Chen H. Efficacy and Safety of Curcumin and Curcuma longa Extract in the Treatment of Arthritis: A Systematic Review and Meta-Analysis of Randomized Controlled Trial. Front Immunol. 2022 Jul 22;13:891822. doi: 10.3389/fimmu.2022.891822. PMID: 35935936; PMCID: PMC9353077.

[16]Covic T, Cumming SR, Pallant JF, Manolios N, Emery P, Conaghan PG, Tennant A. Depression and anxiety in patients with rheumatoid arthritis: prevalence rates based on a comparison of the Depression, Anxiety and Stress Scale (DASS) and the hospital, Anxiety and Depression Scale (HADS). BMC Psychiatry. 2012 Jan 24;12:6. doi: 10.1186/1471-244X-12-6. PMID: 22269280; PMCID: PMC3285517.

[17]Lwin MN, Serhal L, Holroyd C, Edwards CJ. Rheumatoid Arthritis: The Impact of Mental Health on Disease: A Narrative Review. Rheumatol Ther. 2020 Sep;7(3):457-471. doi: 10.1007/s40744-020-00217-4. Epub 2020 Jun 13. PMID: 32535834; PMCID: PMC7410879.

[18]Sharpe L. Psychosocial management of chronic pain in patients with rheumatoid arthritis: challenges and solutions. J Pain Res. 2016 Mar 14;9:137-46. doi: 10.2147/JPR.S83653. PMID: 27042139; PMCID: PMC4798195.

[19]Prothero L, Barley E, Galloway J, Georgopoulou S, Sturt J. The evidence base for psychological interventions for rheumatoid arthritis: A systematic review of reviews. Int J Nurs Stud. 2018 Jun;82:20-29. doi: 10.1016/j.ijnurstu.2018.03.008. Epub 2018 Mar 13. Erratum in: Int J Nurs Stud. 2020 Jul;107:103581. doi: 10.1016/j.ijnurstu.2020.103581. PMID: 29573593.

[20]Sarsenova M, Issabekova A, Abisheva S, Rutskaya-Moroshan K, Ogay V, Saparov A.

Mesenchymal Stem Cell-Based Therapy for Rheumatoid Arthritis. Int J Mol Sci. 2021 Oct 27;22(21):11592. doi: 10.3390/ijms222111592. PMID: 34769021; PMCID: PMC8584240.

[21]Hwang JJ, Rim YA, Nam Y, Ju JH. Recent Developments in Clinical Applications of Mesenchymal Stem Cells in the Treatment of Rheumatoid Arthritis and Osteoarthritis. Front Immunol. 2021 Mar 8;12:631291. doi: 10.3389/fimmu.2021.631291. PMID: 33763076; PMCID: PMC7982594.

[22]de Carvalho JF, Ribeiro MFLDS, Skare T. Cannabis therapy in rheumatological diseases: A systematic review. North Clin Istanb. 2024 Jul 22;11(4):361-366. doi: 10.14744/nci.2023.43669. PMID: 39165706; PMCID: PMC11331211.

[23]Paland N, Hamza H, Pechkovsky A, Aswad M, Shagidov D, Louria-Hayon I. Cannabis and Rheumatoid Arthritis: A Scoping Review Evaluating the Benefits, Risks, and Future Research Directions. Rambam Maimonides Med J. 2023 Oct 29;14(4):e0022. doi: 10.5041/RMMJ.10509. PMID: 37917863; PMCID: PMC10619990.

[24]Peres D, Sagawa Y Jr, Dugué B, Domenech SC, Tordi N, Prati C. The practice of physical activity and cryotherapy in rheumatoid arthritis: systematic review. Eur J Phys Rehabil Med. 2017 Oct;53(5):775-787. doi: 10.23736/S1973-9087.16.04534-2. Epub 2016 Dec 19. PMID: 27996221.

[25]Laktašić Žerjavić N, Hrkić E, Žagar I, Delimar V, Kovač Durmiš K, Špoljarić Carević S, Vukorepa M, Matijević A, Žura N, Perić P. Local Cryotherapy, Comparison of Cold Air and Ice Massage on Pain and Handgrip Strength in Patients with Rheumatoid Arthritis. Psychiatr Danub. 2021 Spring-Summer;33(Suppl 4):757-761. PMID: 34718314.

[26]Klemm P, Hoffmann J, Asendorf T, Aykara I, Frommer K, Dischereit G, Müller-Ladner U, Neumann E, Lange U. Whole-body cryotherapy for the treatment of rheumatoid arthritis: a monocentric, single-blinded, randomised controlled trial. Clin Exp Rheumatol. 2022 Nov;40(11):2133-2140. doi: 10.55563/clinexprheumatol/lrff6k. Epub 2022 Mar 1. PMID: 35238767.

[27]Slagter L, Demyttenaere K, Verschueren P, De Cock D. The Effect of Meditation, Mindfulness, and Yoga in Patients with Rheumatoid Arthritis. J Pers Med. 2022 Nov 15;12(11):1905. doi: 10.3390/jpm12111905. PMID: 36422081; PMCID: PMC9696072.

[28]Andrea Cortés-Ladino C, Augusto Arias-Ortiz W, Porras-Ramírez A. Effectiveness of Yoga and Acupuncture in Rheumatoid Arthritis: A Systematic Review and Meta-Analysis. Evid Based Complement Alternat Med. 2023 Oct 6;2023:9098442. doi: 10.1155/2023/9098442. PMID: 37842334; PMCID: PMC10575744.

[29]Pukšić S, Mitrović J, Čulo MI, Živković M, Orehovec B, Bobek D, Morović-Vergles J. Effects of Yoga in Daily Life program in rheumatoid arthritis: A randomized controlled trial. Complement Ther Med. 2021 Mar;57:102639. doi: 10.1016/j.ctim.2020.102639. Epub 2020 Dec 8. PMID: 33307206.

[30]Ganesan S, Gaur GS, Negi VS, Sharma VK, Pal GK. Effect of Yoga Therapy on Disease Activity, Inflammatory Markers, and Heart Rate Variability in Patients with Rheumatoid Arthritis. J Altern Complement Med. 2020 Jun;26(6):501-507. doi: 10.1089/acm.2019.0228. Epub 2020 Apr 23. PMID: 32326727.

[31]Gautam S, Kumar M, Kumar U, Dada R. Effect of an 8-Week Yoga-Based Lifestyle Intervention on Psycho-Neuro-Immune Axis, Disease Activity, and Perceived Quality of Life in Rheumatoid Arthritis Patients: A Randomized Controlled Trial. Front Psychol. 2020 Sep 2;11:2259. doi: 10.3389/fpsyg.2020.02259. PMID: 32982898; PMCID: PMC7492675.

[32]Davis MC, Zautra AJ, Wolf LD, Tennen H, Yeung EW. Mindfulness and cognitive-behavioral interventions for chronic pain: differential effects on daily pain reactivity and stress reactivity. J Consult Clin Psychol. 2015 Feb;83(1):24-35. doi: 10.1037/a0038200. Epub 2014 Nov 3. PMID: 25365778; PMCID: PMC4323633.

Quality in Sport

Downloads

  • PDF

Published

2025-05-12

How to Cite

1.
GRYBOŚ , Kacper, LEWANDOWSKI, Mikołaj, KWIATKOWSKA, Zofia, KURKIEWICZ, Wojciech, WOŹNIAK, Oskar, MIKULSKA, Jowita, WĄSIK, Joanna, SEPIOŁO, Weronika and KIEŁBRATOWSKA, Julia. Additional Treatment Methods for Rheumatoid Arthritis Symptoms. Literature review. Quality in Sport. Online. 12 May 2025. Vol. 41, p. 60286. [Accessed 28 June 2025]. DOI 10.12775/QS.2025.41.60286.
  • ISO 690
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
Download Citation
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX

Issue

Vol. 41 (2025)

Section

Medical Sciences

License

Copyright (c) 2025 Kacper Gryboś , Mikołaj Lewandowski, Zofia Kwiatkowska, Wojciech Kurkiewicz, Oskar Woźniak, Jowita Mikulska, Joanna Wąsik, Weronika Sepioło, Julia Kiełbratowska

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Stats

Number of views and downloads: 141
Number of citations: 0

Search

Search

Browse

  • Browse Author Index
  • Issue archive

User

User

Current Issue

  • Atom logo
  • RSS2 logo
  • RSS1 logo

Information

  • For Readers
  • For Authors
  • For Librarians

Newsletter

Subscribe Unsubscribe

Tags

Search using one of provided tags:

rheumatoid arthritis, chronic disease, Mediterranean diet, tumeric, curcumin, physical exercise
Up

Akademicka Platforma Czasopism

Najlepsze czasopisma naukowe i akademickie w jednym miejscu

apcz.umk.pl

Partners

  • Akademia Ignatianum w Krakowie
  • Akademickie Towarzystwo Andragogiczne
  • Fundacja Copernicus na rzecz Rozwoju Badań Naukowych
  • Instytut Historii im. Tadeusza Manteuffla Polskiej Akademii Nauk
  • Instytut Kultur Śródziemnomorskich i Orientalnych PAN
  • Instytut Tomistyczny
  • Karmelitański Instytut Duchowości w Krakowie
  • Ministerstwo Kultury i Dziedzictwa Narodowego
  • Państwowa Akademia Nauk Stosowanych w Krośnie
  • Państwowa Akademia Nauk Stosowanych we Włocławku
  • Państwowa Wyższa Szkoła Zawodowa im. Stanisława Pigonia w Krośnie
  • Polska Fundacja Przemysłu Kosmicznego
  • Polskie Towarzystwo Ekonomiczne
  • Polskie Towarzystwo Ludoznawcze
  • Towarzystwo Miłośników Torunia
  • Towarzystwo Naukowe w Toruniu
  • Uniwersytet im. Adama Mickiewicza w Poznaniu
  • Uniwersytet Komisji Edukacji Narodowej w Krakowie
  • Uniwersytet Mikołaja Kopernika
  • Uniwersytet w Białymstoku
  • Uniwersytet Warszawski
  • Wojewódzka Biblioteka Publiczna - Książnica Kopernikańska
  • Wyższe Seminarium Duchowne w Pelplinie / Wydawnictwo Diecezjalne „Bernardinum" w Pelplinie

© 2021- Nicolaus Copernicus University Accessibility statement Shop