Which of the following is a non-pharmacologic management option for rheumatoid arthritis?

• A. Exercise
• B. Methotrexate
• C. NSAIDs
• D. Corticosteroids

Answer: (A)

Regular, appropriately tailored exercise is a key non-pharmacologic approach to rheumatoid arthritis. It helps maintain joint range of motion, strengthens the muscles around the joints to reduce stress on the joints themselves, and improves overall function and endurance. Exercise also reduces morning stiffness and fatigue, supports cardiovascular health, and aids in weight management. The best options are low-impact activities—like swimming, cycling, walking, and gentle strength training—and a physical therapist can customize the plan to protect joints, especially during flares or when damage is present. While medications such as methotrexate, NSAIDs, and corticosteroids are essential for controlling inflammation and disease activity, they are pharmacologic treatments, making exercise the non-pharmacologic choice.