Table 1. Descriptions and examples of interventions included
in the integrative management of rheumatoid
arthritis guideline
Intervention Description and/or examples
Additional integrative therapies (cont'd)
Massage therapy Rubbing and kneading of muscles and joints with the hands.
Examples include Swedish, Deep Tissue, Trigger Point.
ermal modalities Use of heat and cold for medical treatment. Examples include
cryotherapy, heat, therapeutic ultrasound, infrared sauna,
paraffin therapy, and laser therapy.
Electrotherapy Use of electrical energ y for medical treatment. Examples
include transcutaneous electrical nerve stimulation (TENS),
neuro-muscular electrical nerve stimulation (NMES).
Vagal nerve stimulation Implantation of a device to stimulate the vagus nerve with
electrical impulses.
Chiropractic Diagnosis and manipulation of malaligned joints, particularly
the spine.
Tobacco cessation Counseling on tobacco cessation, tobacco cessation programs
(phone, mobile applications), nicotine replacement therapies,
tobacco cessation medications without nicotine.
(cont'd)