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.
Jun 1, 2020
Life with arthritis is certainly a struggle, but it’s crucial to find ways to reduce symptoms and keep living life. One way you can help to manage your symptoms is by understanding how things outside of your control can exacerbate arthritis pain. Once you understand it, take the proper action to protect yourself. For many […]Read More »
May 7, 2020
A few weeks ago, the terms “social distancing” and “flattening the curve” meant nothing to most, and now we can’t seem to escape those two little phrases little words. Social distancing and sheltering in place are meant to keep us safe so they are for good reason, but it’s understandable if you’re going a little […]Read More »
May 1, 2020
Not everyone with lupus will have the same experience. However, just about everyone who has lupus will have flare-ups or “flares,” which is when symptoms are more severe than usual. Lupus flares can affect the skin, joints, and overall health. Knowing what triggers flares and understanding early warning signs is key to managing them. It […]Read More »