New Research: Physiotherapy for Rheumatoid Arthritis

What role can physiotherapy play in managing rheumatoid arthritis (RA)?

A systematic review and meta-analysis (the highest standard of research) from 2025 looked at 17 clinical trials, including 1,362 people with RA. The findings highlight how physiotherapy can support people living with this condition.

Positive findings

• Helps reduce pain, Exercise was shown to lower pain levels in people with RA.

  
  

• Improves movement and strength, Aerobic and resistance exercise improved joint function, muscle strength, and overall fitness.

  
  

• Better quality of life, When exercise was combined with diet or education, participants reported stronger bodies, easier movement, and a better day-to-day life.

  
  

• Hand and joint-specific benefits, Targeted exercise for the hands and upper body improved grip, dexterity, and independence in daily activities.

Important cautions

Physiotherapy does not cure RA, currently, there is no cure.

Exercise should complement, not replace, prescribed medication.

These results are based on group averages; individual outcomes may vary.

Benefits only last as long as exercise is continued.

Laser therapy showed little evidence of benefit.

This study was conducted by Sohrab Ahmed Khan and colleagues and published in Musculoskeletal Care in July 2025: Effect of Different Physiotherapeutic Interventions in Patients With Rheumatoid Arthritis: A Systematic Review and Meta-Analysis.

Written by

Samuel Bulten

Exercise Physiologist | Masters in Medicine (Pain Management)

Director, Adapt Movement

Disclaimer

This information is for educational purposes only and is not a substitute for personal medical advice. These blogs are written by Sam Bulten and represent his opinions and insights and are based on his experience and interpretation of the research. As Sam is a human, these opinions and insights are not absolute truths.