Early rheumatoid arthritis tends to affect your smaller joints first — particularly the joints that attach your fingers to your hands and your toes to your feet. As the disease progresses, symptoms often spread to the wrists, knees, ankles, elbows, hips and shoulders.
Rheumatoid arthritis (RA), an autoimmune inflammatory condition that causes pain, stiffness, and swelling, is most noted for its effects on the body's joints. But rheumatoid arthritis is also a systemic disease, meaning it can affect the whole body and lead to damage of major organs and even a shortened life span.
Arthritis usually causes stiffness pain and fatigue. The severity varies from person to person and even from day to day. In some people only a few joints are affected and the impact may be small. In other people the entire body system may be affected.
Warning Signs
Pain from arthritis can be constant or it may come and go. It may occur when at rest or while moving. Pain may be in one part of the body or in many different parts. Some types of arthritis cause the skin over the affected joint to become red and swollen, feeling warm to the touch.
Conventional radiographs – Routine X-ray examinations
Specifically, an X-ray of a joint with osteoarthritis will show a narrowing of the space between the bones of the joint where the cartilage has worn away, as shown in the image below. Anteroposterior (front to back) X-ray image of the knee showing osteoarthritis.
Usually it starts to hurt when you use the joint or right after you wake up. The pain also often gets worse at the end of the day.
The most common triggers of an OA flare are overdoing an activity or trauma to the joint. Other triggers can include bone spurs, stress, repetitive motions, cold weather, a change in barometric pressure, an infection or weight gain. Psoriatic arthritis (PsA) is an inflammatory disease that affects the skin and joints.
But whether it's mild or severe, you can take some steps to ease the joint pain and swelling by resting it, applying an ice or heat pack and taking an over-the-counter analgesic, like acetaminophen (Tylenol), or NSAID, like ibuprofen or naproxen.
The pain develops quickly and is related to redness and extreme tenderness of the joint. You notice pain and stiffness in your arms, legs, or back after sitting for short periods or after a night's sleep. You have swollen or painful joints for more than 2 weeks. You have limited motion in joints for more than 2 weeks.
Commonly used arthritis medications include: NSAIDs . Nonsteroidal anti-inflammatory drugs (NSAIDs) can relieve pain and reduce inflammation. Examples include ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve).
If you have rheumatoid arthritis, balance rest and exercise carefully: rest more to reduce inflammation, pain, and fatigue when your condition flares up, and exercise more when it calms down. Short rest breaks help more than long periods in bed.
If you have arthritis, participating in joint-friendly physical activity can improve your arthritis pain, function, mood, and quality of life. Joint-friendly physical activities are low-impact, which means they put less stress on the body, reducing the risk of injury.
Many people with arthritis say fatigue is one of their biggest challenges. Fatigue can be linked to many types of arthritis and related conditions. It's commonly a symptom of autoimmune conditions, such as rheumatoid arthritis, reactive arthritis and lupus.
NSAIDs. NSAIDs are considered one of the most effective OTC drugs for pain stemming from osteoarthritis, which causes inflammation. These drugs reduce pain, stiffness, and swelling from arthritis. A common examples of NSAIDs include ibuprofen (Advil, Motrin).
Besides ibuprofen and naproxen, other examples of prescription NSAIDs include diclofenac (Cambia, Cataflam, Voltaren), etodolac (Lodine), meloxicam (Mobic), oxaprozin (Daypro), and piroxicam (Feldene).
Disease Modifying Anti-Rheumatic Drugs (DMARDs) act on the immune system to slow the progression and damage of rheumatoid arthritis. Methotrexate is the most commonly prescribed DMARD and the most effective. Plaquenil (hydroxychloroquine) is given for milder symptoms.
You may feel tired, weak and ill. Some sufferers feel feverish, sweaty and lose their appetites, which can lead to weight loss. Many say they feel like they've been hit by a bus. As the joint lining becomes increasingly inflamed they swell and become red and hot to the touch.
Joint scans
Scans may be done to check for joint inflammation and damage. These can help tell the difference between types of arthritis and can be used to monitor how your condition is progressing over time. Scans that may be done to diagnose and monitor rheumatoid arthritis include: X-rays.
Berries pack a double dose of anti-inflammatory properties. All fruits are high in antioxidants, which can help fight inflammation. Additionally, foods like blueberries, raspberries, strawberries and blackberries contain anthocyanins, which reduce inflammation.
Consuming healthy fats can increase joint health and lubrication. Foods high in healthy fats include salmon, trout, mackerel, avocados, olive oil, almonds, walnuts, and chia seeds. The omega-3 fatty acids in these foods will assist in joint lubrication.