Your own observation of symptoms. Medical history and physical exam by a doctor. Permanent joint deformity. If not, symptoms in the joints, central nervous system and cardiovascular system usually subside slowly over 2 to 3 years. Use crutches to keep weight off affected joints, if necessary.
Heat relieves joint pain.
Take hot baths or use heating pads, heat lamps or whirlpool treatments. See Resources for Additional Information. Intravenous antibiotics for late stages. Nonsteroidal anti-inflammatory drugs. Cortisone drugs to reduce the inflammatory response in the heart or central nervous system.