5th May 2024

A 45-year-old woman presents with swelling and pain in her left knee and right ankle for the past three weeks.

A 45-year-old woman presents with swelling and pain in her left knee and right ankle for the past three weeks. She reports having had a diarrhoeal illness two weeks prior to the onset of joint symptoms. On examination, there is evidence of conjunctivitis and circinate balanitis. A diagnosis of reactive arthritis is considered.

Which is the most appropriate initial management option?