Rheumatoid Arthritis

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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.

Feb 14, 2018

How to Choose a Rheumatologist

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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 […]

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Feb 8, 2018

Reclaim: 6 Tips for Sleeping Better with Arthritis

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Was getting more sleep part of your resolutions for the new year? Even with the best of intentions and a strict sleep plan, sleeping comfortably with arthritis can be more difficult that you imagined. Unfortunately, poor sleep habits can exacerbate your symptoms, which creates a vicious cycle of pain and lack of sleep. Because of […]

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Jan 12, 2018

You’re Not Alone! Why Arthritis Support Groups are Important

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  Support groups can be beneficial to many people living with chronic diseases such as arthritis. Studies have proven that arthritis support groups can improve moods, provide coping skills, reduce pain, and provide a reprieve from negative emotions. While it may be difficult to admit we need support, it is important that people who suffer from […]

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