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.

Mar 11, 2020

Managing Psoriatic Arthritis Flares

Carolina Arthritis

Not everyone with psoriatic arthritis will have the same experience. However, just about everyone who has psoriatic arthritis has flare-ups or “flares,” which is when symptoms are more severe than usual. Psoriatic arthritis flares can affect the skin, joints, or back. Knowing what triggers flares and understanding early warning signs is key to managing them. […]

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Mar 9, 2020

Seven Tips for Exercising on the Couch

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Sometimes our bodies hold us back from a major workout, and that’s OK. If you’re struggling with staying active, some simple couch exercises may be the way to go. Start by working on strengthening and stretching from the comfort of your couch until you are ready to take the next step. Check with your physician first. […]

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Feb 12, 2020

7 Tips for a Healthier Life 

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If you have arthritis, limitations caused by chronic pain and fatigue can diminish your quality of life. So much energy is consumed just trying to minimize or circumvent pain that your life ends up being solely about surviving. However, those general and uninspiring goals do not help you get the most out of life. It […]

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