Rheumatoid Arthritis

rheumatoid-arthritis-disease-treatment

Rheumatoid arthritis is a chronic inflammatory joint disease which affects 1% of the population.

That means there are at least 3 million people in the United States who have rheumatoid arthritis.

The exact cause of rheumatoid arthritis is unknown but we do know that genetic and environmental factors play a role. Rheumatoid arthritis symptoms include swollen, painful joints and generalized stiffness especially in the morning or after periods of inactivity.

Some patients may present with an explosive onset of multiple swollen joints initially, but the more common presentation is a slower onset of flare-ups and modest remissions over many months with a gradual decline in function associated with increasing joint symptoms.  The most common joints involved are the small joints of the hands and feet as well as the wrists, however any joint may be involved.

A diagnosis of rheumatoid arthritis is made by an experienced rheumatologist who listens carefully to your history, performs a detailed physical exam with special interest in your joints, and then also reviews laboratories and x-ray findings including special tests called rheumatoid factors and CCP antibodies. Your rheumatologist will then devise a treatment strategy for you. Emphasis on treating your symptoms of joint pain and swelling as well as preventing deformity and disability is important.

You may require a number of medications to reduce inflammation and prevent joint destruction as part of your treatment plan. Newer therapies over the last fifteen years have changed peoples’ lives with rheumatoid arthritis. Complete remissions are now more common place where in the past these were not. Aggressive early intervention is a key principal of treatment in this day and time.

Methotrexate

Methotrexate has been used for over 30 years as the foundation of treatment for rheumatoid arthritis. It can frequently make people feel much better but may not prevent long-term joint destruction. Newer medications called biologics have been used in combination with methotrexate to bring about improvement in symptoms, prevent joint destruction, and keep patients living normal productive lives. Rheumatologists are experts at using these medications and monitoring for potential side effects. The outlook is much brighter for patients with rheumatoid arthritis these days thanks to significant he answered truthfully he is improvements in therapies.

Apr 19, 2017

Live Well: Helpful Tips for Healthy Joints

healthy-joints-tips-for-arthritis-patients

  Spring is officially upon us here in Wilmington, NC. Unfortunately for joint pain sufferers, this time of year isn’t always enjoyable because of constant pain and discomfort. Long walks on the beach or wandering around the Farmers Market may not be feasible for someone dealing with joint pain. Our joints endure a lot stress […]

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Mar 15, 2017

Defining the Relationship Between Osteoarthritis and Osteoporosis

defining-the-relationship-rheumatoid-arthritis-vs-osteoporosis

  Our physicians at Carolina Arthritis Associates come across this frequent question quite often: “Do I have osteoarthritis or osteoporosis?” Although osteoporosis and osteoarthritis sound similar, these two bone conditions are actually quite different. In this post, we’ll explain the key differences between this “osteo” mix-up. Let’s Break It Down The term “osteo” means bone, […]

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Mar 8, 2017

Ease Arthritis Pain through Meditation

importance-of-self-health-living-tips

Amid the hustle and bustle of everyday life, it is so important (and often ignored) to take a moment to ourselves where we can stop, breathe, gather our thoughts, focus, and just be still. It seems that as our schedules get busier and our stresses grow stronger, we forget the importance of taking time to take […]

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