Rheumatoid arthritis 

Introduction 

Rheumatoid arthritis

A rheumatologist describes the effects of rheumatoid arthritis, a chronic inflammatory disease of the joints, its most common symptoms and the treatment options available.

Rheumatoid arthritis is a condition that causes pain and swelling in the joints. Hands, feet and wrists are commonly affected, but it can also damage other parts of the body. Rheumatoid arthritis can make your joints feel stiff and can leave you feeling generally unwell and tired.

Who is affected?

The condition is estimated to affect 400,000 people in England and Wales and occurs more frequently in women than men. It is most common between the ages of 40 and 70, but it can affect people of any age.

Why does it happen?

Rheumatoid arthritis is an autoimmune disease. This is when your immune system, which usually fights infection, attacks the cells that line your joints, making them swollen, stiff and painful. Over time, this can damage the joint itself, the cartilage and nearby bone.

What are the symptoms?

The symptoms of rheumatoid arthritis usually vary over time. Sometimes, symptoms only cause mild discomfort. At other times, they can be very painful, making it difficult to move around and do everyday tasks.

When symptoms become worse, this is known as a flare-up or flare. A flare-up is impossible to predict, making rheumatoid arthritis difficult to live with.

For more information, see Rheumatoid arthritis - symptoms

Outlook

Currently, rheumatoid arthritis cannot be prevented as the exact trigger of the condition is unknown. Although viruses and bacteria may be involved, research is not yet conclusive.

There is no known cure for rheumatoid arthritis. However, early diagnosis and treatment can control symptoms and help prevent disability. See Rheumatoid arthritis - treatment for more information.

Last reviewed: 24/08/2010

Next review due: 24/08/2012

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Comments are personal views. Any information they give has not been checked and may not be accurate.

JJRC1234 said on 29 October 2011

Im 16 years old and since january i have been suffering from sudden bruising and swelling in my foot toes wrist and hand. my blood tests have come up clear but ive been refferen to a RA specialist.
I was wondering if you believe that it could RA or something else ...
What is treatment for Ra?..
Thanks :)

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littlespringshowers said on 18 October 2011

Hi mymolly, I have just been diagnosed with RA aged 40. It does sound like that is what you have and like you my blood tests were ok apart from slightly raised ESR which shows some inflammation BUT you can have Sero-Negative RA which is when your bloods showed clear for the Rheumatoid factor but other tests showed symptoms of the condition. Apparently, this type of RA is less serious and less progressive.
I advise you to keep on with the doctor and get a referral to a Rheumatologist and ask for ultrasound scans, xrays or bone scans or like me all 3.
Good luck!

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mymolly said on 25 August 2011

i am 44yrs old female. i have been suffering from swollen hands and fingers that are painful and i cannot move easily, i also are suffering from neck pains which also grinds and clicks as do my wrists and back pain that goes down my leg and also in my my hips. in all i am feeling unwell and tired my blood test seem ok and i am awaiting results from neck and spine . my parents suffer from athritus do u think this may be what i have?

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ShazzaR said on 24 May 2011

Hi all I have been suffering with RA for some time now unbeknown to me. I am now awaiting an appointment with a Rhuematologist I suffer with all the symptoms you have spoken about even being really cold in the middle of the summer any advice you have for me would be most welcome.

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dodge1983 said on 02 March 2011

My Mom has just been diagnosed with RA after 8 years and I'm just trying to find some information for her. Does anyone know if this condition means you are entitled to a medical exemption certificate?

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frankxxx said on 23 December 2010



Hi Caffy (yet again)

I have just realised that Sulfasalazine is a DMARD, so my previous comments don't help much. It looks like your consultant is doing his/her best to help you. The only thing you can do (if you haven't done it already) is to talk to your consultant of your problems and worries.
Best of luck.

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frankxxx said on 22 December 2010

Hi

Also suggest you go to NRAS website www.nras.org.uk
Read articles on what drugs are used in treating RA. Steroids are covered as are DMARDS.. NRAS appears to be an excellent charity.organisaton.

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frankxxx said on 22 December 2010



Hi Caffy,

My previous comment of 22nd December was meant for you in response to your comment of 06 May 2010. By the way, I was originally put on 8 steroid pills a day, then on 6 (which was OK) , but when they tried to get down to 4 then the cold and pains etc returned with a vengeance. Have you looked at the video c lip? The consultant on the clip talks about these DMARDS. They were go going to try me on these before they realised my lungs were badly infected. Why not ask your consuktant about these? My correct diagnosis and treatment took ages and even then I had to pay to see the consultant. What I find suprising is that the symptoms of feeling very cold,healing problems, etc. are not more widely recognised and discussed by the professionals. It's as if they are reluctant to talk too much about the problems one may encounter. Still more openess is requied in the medical profession, I feel. Please excuse my typing errors. My hands are painful today.
Merry Christmas - or at least a painfree one

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frankxxx said on 22 December 2010

I have had RA for about a year. I have had the same symptoms as you whilst on steroids. Very cold spells (in the hot summer spell I was fully dressed in bed with the lelectric blanket on and it still took about 3 hours to recover). Cuts grazes and bruises take ages to heal. I get other problems due to steroids also (rashes, Thrush, problems with bowels - eben though I take pills to combat stomach problems). I believe that the cold spells are symptoms of a flare -up and the healing and other problems due to the steroids. i was asked to cut down on the steroids to 4 a day recently and I was OK for a week or so but then I had what I think is a flare-up and felt cold again and my breathing and joint pain have got worse. I don't know if they will keep me on steroids, but I know they woiuld like to wean me off them - because you are not
protected for oither diseases when on these. There are other things they could try that attempt to modify the disease I think they are called DMARDS. I urge you to speak up and ask your doctor about your worries. Good luck.

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TheNash said on 08 August 2010

Hi Caffy

I have a similar condition called Anklyosing Spondylitis, which causes arthritic pain similar to RA. I used to be on 6 pills of Sulfasalazine and 2 caps of Indomethacin a day. These days I take 2 pills of Sulfasalazine and 1 cap of Indomethacin a day. About a year ago a doctor at Middlesex Hospital recommended cutting down all starch in my diet. I started a starch free diet and noticed great improvements in my joint pain, and my damaged knee also healed well. I would strongly recommend purchasing a book called "The low starch diet" by Carol Sinclair, and following the diet. The book costs less than 10 pounds. Meanwhile may I recommend cutting out all potatoes, rice, bread and any kind of flour from your diet. To test if this helps, you can follow a high protein diet for a couple of days, such as eggs and sausage (non-processed kind to avoid stach stuffing) etc.

Hope this helps!

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gep said on 05 August 2010

I was first diagnosed with RA 12 years ago and the symptoms that caffy describes were very similar to the ones that i had in my first year. Now 12 years later i no longer take steroids and my health is much much better than it was in the early days. I continued to work full time as a retail manager working extensive hours on many occasions up to last year when at 61 i decided to take early retirement . I now spend my time doing diy and gardening with RA very much under control. Whilst accepting that the RA will never go away you should be able to lead a normal life free of excessive pain once your consultant has has your disease under control.

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caffy said on 06 May 2010

I was diagnosed with RA over a year ago, and in less than 9 months I was diagnosed with damaged knees, despite being on Sulfazalazine, at the high dose of 6 tablets per day, I take a number of other tablets including two strengths of steriod, I have noticed an increase in the amount of migraines I get now, I would like to know if the medication I am on is causing this, also I feel the cold very much now, despite being well padded, my feet and hands get very cold, and take ages to warm back up, I have noticed also if I cut myself, I bleed for ages, this seems to be a side effect of the steriods, do I need to take these steriods indefinately? the pain is very up and down, and not under control, although the hospital maintain the medication is working

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