We all know about the toxicities of steroids. Well, we learned a lot about steroid toxicity. It s still a problem today. There s a lot of other sort of either novel, or outdated, or other treatments people have done. Total nodal irradiation, plasmapheresis, lymphopheresis, etc. which have limited benefit or unproven benefit and certainly can be toxic and expensive.
Physical therapy can play a role.
Just like the exercises we talked about before. Surgery certainly has it s role. Surgery, most commonly we do synovectomies, joint replacement surgery, occasionally the joint fusion, particular things like wrists do real well with that. Tendon repair as a nerve entrapment releases. So all of these things are going on at the same time.