Rheumatoid nodules are lesions that develop around small blood vessels which may be tender or nontender, movable or immovable. The size is variable and are typically found over pressure points such as the extensor surfaces of the ulna. The nodules may remain unless surgically removed, or they may resolve spontaneously. The treatment goals are to reduce pain, minimize stiffness and swelling, maintain mobility, and become an informed health care consumer. Both physical and emotional rest are important aspects of care.
Physical rest reduces joint stress and helps relieve pain.
Although rest is essential, therapeutic exercises are important in maintaining joint motion and muscle strength. Heat and cold can help relieve discomfort. Proper posture, positioning, body mechanics, and the use of supportive shoes can provide further comfort. The dose required for treatment is within a range that reduces inflammation. Surgery may also be a part of the treatment of rheumatoid arthritis.