Rheumatoid Arthritis


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 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.

Mar 16, 2018

The Potential Link between Seasonal Allergies and Rheumatoid Arthritis


Spring is in the air! Unfortunately, it’s full of allergens too. For those who suffer from rheumatoid arthritis (RA), this can be a problem. Experts are beginning to notice a potential connection between seasonal allergies and rheumatoid arthritis. As we are in the thick of pollen season here in Southeastern North Carolina, this theory is […]

Read More »

Mar 2, 2018

Reconnect: Taking the Pain and Stress out of Travel


Believe it or not, spring break is right around the corner. With warmer weather comes travel plans, and unfortunately the stress and anxieties that accompany traveling. These worries and stresses can increase joint pain and ultimately add to an arthritis patient’s discomfort. Our world is too beautiful to leave it unexplored, so whether it’s a […]

Read More »

Feb 14, 2018

How to Choose a Rheumatologist


If you have aches and pains in your joints and bones it’s time to consider consulting a rheumatologist. Choosing a rheumatologist may end up being one of the most important health decisions you will make. You will rely on their expertise and knowledge and you will work closely with them to identify any issues and […]

Read More »