What is the initial treatment for reactive arthritis?

The initial treatment for reactive arthritis primarily involves the use of nonsteroidal anti-inflammatory medications (NSAIDs). This approach addresses the inflammation and pain associated with the condition, which often arises as a response to an infection elsewhere in the body, such as in the genitourinary or gastrointestinal tract. NSAIDs help to reduce swelling and alleviate discomfort, making them a first-line option in managing symptoms.

While antibiotics may be necessary if there is an underlying bacterial infection contributing to the symptoms, they do not directly treat the arthritis. Similarly, glucocorticoid injections and surgery are generally reserved for more advanced cases or specific complications rather than serving as initial treatments. This makes NSAIDs the most appropriate and effective first step in managing the symptoms of reactive arthritis.