How should reactive arthritis related to infection be managed?

Managing reactive arthritis related to infection involves treating both the underlying infection and providing symptomatic relief. The correct approach is to address the precipitating infection first, which can involve the use of appropriate antibiotics or antiviral medications depending on the infectious agent identified. This step is crucial because effectively treating the infection may mitigate the inflammatory response that leads to the arthritis itself.

In addition to treating the infection, nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly employed as they help to alleviate the pain and inflammation associated with the arthritic symptoms. This dual approach often results in effective management of reactive arthritis, as it targets both the cause (the infection) and the symptoms (pain and inflammation).

While it's true that some cases may self-resolve and that NSAIDs are effective for symptom relief, neglecting the treatment of the underlying infection can lead to persistence of symptoms or further complications. Similarly, exclusive reliance on corticosteroids would not address the infectious origin of the arthritis and carries risks of immunosuppression. Therefore, incorporating both infection management and NSAID therapy provides a comprehensive strategy for treating reactive arthritis.