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 are usually not surgically removed unless they cause significant disability, due to the high likelihood of recurrence. The treatment goals are to reduce pain, minimize stiffness and swelling, maintain mobility, and prevent physical deformities. 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 also important in maintaining joint motion and muscle strength. Heat and cold therapy can help relieve discomfort. Proper posture, positioning, body mechanics, and the use of supportive shoes can provide further comfort. Hydroxychloroquine and gold salts are both pregnancy category C, meaning adverse effects have been shown in animals, but there is insufficient data in pregnant women. Sulfasalazine is pregnancy category B, meaning that animals may or may not have shown risk, so risk in women is uncertain.