Living With Rheumatoid Arthritis (RA)

Rheumatoid Arthritis, commonly referred to as "RA", is an autoimmune disease that impacts the joints. RA is progressive and causes pain, swelling, stiffness and decreased mobility in the joints of the body. Over time, RA can result in joint damage. Its onset can occur between the ages of 25 and 55, with joint damage appearing as early as in the first two years of onset. Therefore early diagnosis and treatment is critical.

Signs and Symptoms of RA

Early signs of rheumatoid arthritis may include pain and swelling in the joints of the hands and feet. Other symptoms may include:

繚 Stiffness and aching in the muscles and joints especially after sleeping

繚 Weakness in the affected joints

繚 Loss of motion or mobility

繚 Nodules under skin near affected areas

繚 Fatigue

繚 Low grade fever

繚 Fusing of joints

繚 Occasionally swelling in tear glands, oral glands and in the lining of the heart or lungs may occur

RA is more prevalent among women and in the children of people previously diagnosed with RA.

Diagnosing Rheumatoid Arthritis

Doctors are typically able to diagnose RA by conducting a physical exam, reviewing medical history and ordering blood tests. A blood chemical known as Rheumatoid Factor (RF) is frequently found in patients with RA. Some doctors may use X-rays for diagnosis and monitoring of the disease.

Treating RA

There is currently no cure for RA, so treatment goals focus on managing the disease. The American College of Rheumatology recommends treatment goals that focus on reducing pain and stiffness; preventing and controlling joint damage; and maintaining joint function. Methods to meet these goals may include:

繚 Over the counter medications that provide pain relief (analgesics) and reduce swelling (anti-inflammatory and NSAIDs)

繚 Prescription medications that reduce pain and swelling and prevent joint damage

繚 Physical therapy and/or occupational therapy

繚 Surgery

Daily Living

Rheumatoid arthritis is a chronic disease that can have a disabling effect on those who have it. However, there are lifestyle choices and changes that can be made to make coping with RA a little easier. Adopting a regular fitness routine and having a healthy diet can improve quality of life. Determining the appropriate exercise routine should be done in consultation with your doctor and physical therapist.

Be aware that chronic illnesses can have a negative impact on your emotional health. Do not allow your illness to prevent you from participating in community activities you have enjoyed on a regular basis. Participate in a support group for people with chronic illnesses. Alert your doctor if you are experiencing ongoing depression.

Stiffness and reduced range of mobility may inhibit an RA sufferer from completing daily tasks. Adjustments in routines and assistive devices may be used to increase functioning during flare ups. Family caregivers and professional homemaking services can help the RA patient remain independent at home and in the community.