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.

Dec 7, 2017

Live Well: Gift Ideas for Those with Arthritis

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The holidays are fast approaching and chances are you are scouring malls and online stores to find the perfect gift for friends and family. Finding that special present for someone with arthritis may be a bit more of a struggle. You wrestle with the need to get them something practical and the desire to get […]

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Nov 20, 2017

Does the Weather Affect Arthritis?

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For many arthritis patients, cold weather can lead to joint pain. We have all heard the old wives tales and everyone has that uncle who can feel the storm approaching in his knee. But can the weather truly worsen arthritis pain and stiffness? Weather sensitivity. There is some research that backs your uncle’s claims, but […]

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Nov 10, 2017

Live Well: How to Survive the Holidays with Arthritis

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The holiday season is officially upon us! For most this means family, friends, baking and shopping. However, for someone with arthritis this time of year can be hard. It is harder to enjoy this time of year when simple things such as decorating or gift giving can difficult, exhausting and even painful. Having arthritis doesn’t […]

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