Multidimensional Approach


An individualized multidimensional approach based on drugs, dietary management, exercises and yoga is more effective in the management of Rheumatoid arthritis than conventional approach focused solely around drug therapy.


Exercise plan needs to be personalized keeping in mind the joints involved and the extent of damage.


  • Reduces stiffness in joints.
  • Enhances flexibility.
  • Increases muscle strength and tolerance.
  • Aids in weight reduction.
  • Induces a sense of well being.

There are three categories of exercises

  • Range of motion exercise for procuring normal movement, increasing flexibility and reducing stiffness.
  • Strengthening exercise to strengthen muscles and maintain joint stability.
  • Aerobic exercises for weight reduction and inducing a sense of well being.

Exercise should be done under the guidance of a physiotherapist or doctor. If exercising increases pain and/or other symptoms then doctor’s advice should be sought.


  • Food items that are easily digestible and do not form gas (Flatus) are advisable.
  • Intake of Vegetable juices and soups are advisable.
  • Acidic foods like yoghurt, beer, wine, yeast, vinegar, pickles, cabbage, cauliflower, broccoli, fermented products are to be avoided.


Food to be preferred

  • Garlic
  • Asafoetida (Hing)
  • Drumstick
  • Omum seeds (Ajwain)
  • Black Pepper
  • Cumin (Jeera)
  • Ginger (Shunthi)
  • Shali Rice
  • Barley (Yav)
  • Bitter Gourd
  • Bathu leaves
  • Parval
  • Bottle Gourd (Lauki)
  • Neem Leaves
  • Honey
  • Warm water
  • Bitter and pungent drugs
  • Increased intake of dietary fibres

Foods to be avoided

  • Milk
  • Curd
  • Fish
  • Black Gram (Urad)
  • Sweets
  • Difficult to digest heavy foods


  • Moisture laden winds from the east
  • Cold weather
  • Suppression of natural urges
  • Staying awake during nights
  • Stress
  • Laziness