Rheumatoid Arthritis Treatment - Resources For Your Practice

Rheumatoid arthritis(RA) is characterized by the body's immune system mistakenly attacking its own tissues, particularly the synovium — the lining of the membranes surrounding the joints. Over time, this can lead to joint destruction and deformity.

Symptoms and Causes  of Rheumatoid Arthritis

The symptoms of RA can vary in  severity and may come and go. They commonly include:

  • Tender, warm, swollen  joints

  • Morning stiffness that  may last for hours

  • Fatigue, fever, and loss  of appetite

As the disease progresses,  symptoms often spread to the wrists, knees, ankles, elbows, hips, and  shoulders. In most cases, symptoms occur in the same joints on both sides of  the body.

The exact cause of RA is unknown,  but it's believed to be a combination of genetic and environmental  factors, such as smoking, exposure to asbestos or silica, and microbial  infections, which might trigger the disease in those with an inherited  susceptibility.

RA's Impact  on Daily Living

RA can significantly affect daily  activities. Joint pain and stiffness can make routine tasks challenging,  while fatigue may reduce the ability to participate in social and work  activities. Moreover, RA can lead to a higher risk of developing osteoporosis  and anemia, as well as heart and lung problems.

Treatment of  Rheumatoid Arthritis

While there is no cure for RA,  treatments can improve symptoms and slow the progression of the disease.  Treatment plans often include:

1.  Medications:

  • Nonsteroidal  anti-inflammatory drugs (NSAIDs) to relieve pain and reduce inflammation.

  • Steroids to quickly  reduce inflammation and slow joint damage.

  • Disease-modifying  antirheumatic drugs (DMARDs), like methotrexate, to slow RA's  progression.

  • Biologic agents, a newer  class of DMARDs, which target specific parts of the immune system that fuel  inflammation.

2. Lifestyle  Modifications:

  • Regular physical activity  can help keep joints flexible.

  • A healthy diet can help  control inflammation.

  • Smoking cessation, as  smoking can aggravate RA and decrease the effectiveness of treatments.

3. Physical and Occupational  Therapy:

  • These therapies can teach  you how to protect your joints and enable you to better manage daily  tasks.

4.  Surgery:

  • In severe cases,  surgeries such as synovectomy, tendon repair, joint fusion, or total joint  replacement may be necessary.

Conclusion

Rheumatoid arthritis is a  challenging condition that affects millions, but with proper treatment and  lifestyle adjustments, many individuals with RA lead fulfilling lives. A  multidisciplinary approach involving medication, lifestyle changes, and  supportive therapies can provide relief from symptoms and help maintain joint  function. Early diagnosis and treatment are essential for the best outcomes,  emphasizing the importance of regular medical care and monitoring.