8th September 2020

A 55-year-old lady attends her GP complaining of pain and stiffness in her wrists and metacarpal-phalangeal joints

A 55-year-old lady attends her GP complaining of pain and stiffness in her wrists and metacarpal-phalangeal joints which is especially worse in the mornings. She is sent for specialist assessment and blood tests, following which her diagnosis is confirmed. Blood tests show that her anti-CCP is raised. What is the most important initial step in management of this patient?

For the patient above, please select the SINGLE most appropriate management option. Select ONE option from the list above.