Rheumatoid arthritis is a chronic inflammatory disorder that can affect more than just your joints.
An autoimmune disorder, rheumatoid arthritis triggers when your immune system mistakenly attacks your own body’s tissues.
The inflammation associated with rheumatoid arthritis is what can damage other parts of the body as well.
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While new types of medications have improved treatment options dramatically, severe rheumatoid arthritis can still cause physical disabilities.
In most cases, symptoms occur in the same joints on both sides of your body.
Over time, rheumatoid arthritis can cause joints to deform and shift out of place.
Make an appointment with your doctor if you have persistent discomfort and swelling in your joints.
The resulting inflammation thickens the synovium, which can eventually destroy the cartilage and bone within the joint.
The tendons and ligaments that hold the joint together weaken and stretch.
Gradually, the joint loses its shape and alignment.
Doctors don’t know what starts this process, although a genetic component appears likely.
There is no one blood test or physical finding to confirm the diagnosis.
During the physical exam, your doctor will check your joints for swelling, redness, and warmth.
He or she may also check your reflexes and muscle strength.
Other common blood tests look for rheumatoid factor and anti-cyclic citrullinated peptide (anti-CCP) antibodies.
Your doctor may recommend X-rays to help track the progression of rheumatoid arthritis in your joints over time.
MRI and ultrasound tests can help your doctor judge the severity of the disease in your body.
There is no cure for rheumatoid arthritis.
The therapist may also suggest new ways to do daily tasks, which will be easier on your joints.
Assistive devices can make it easier to avoid stressing your painful joints.
For instance, a kitchen knife equipped with a saw handle helps protect your finger and wrist joints.
Certain tools, such as buttonhooks, can make it easier to get dressed.
Catalogs and medical supply stores are good places to look for ideas.
Surgery may help restore your ability to use your joint.
It can also reduce pain and correct deformities.
Discuss the benefits and risks with your doctor.
Depression and anxiety are common, as are feelings of helplessness and low self-esteem.
Talk to your doctor or nurse about strategies for coping.
With time you’ll learn what strategies work best for you.
In the meantime, give a shot to:
Updated: 2017-08-09
Publication Date: 2000-09-22
