Doctor insights on:
Rheumatoid Arthritis Sacroiliac Joint
A condition where there is progressive degeneration of one or more joints. Symptoms may include joint pain, swelling, decreased motion, and stiffness. The two most common types of arthritis are osteoarthritis, which is associated first with articular cartilage breakdown with a component of inflammation, and rheumatoid arthritis, which is a systemic autoimmune disorder that affects joint linings first and secondarily ...Read more
Control the disease: Control the underlying inflammatory process and you control the pain and stiffness. ...Read more
Bad: Ra is an inflammotry disorder, characterized by high levels of CRP in the body. CRP does not cause the damge, but is the best surrogate marker for inflammation in the body, particularly the blood stream. Inflammation hurts the ling of blood vessels and increases the tendency to deposit cholesterol plaques. It raises clotting factors, such as fibrinogen which makes the blood more liely to clot! ...Read more
Potentially: We now know that untreated, rheumatoid arthritis has the potential to cause permanent joint damage that leads to disability. However, there are many very effective and safe treatments to prevent this. The key is to treat it early on and have a good relationship with a rheumatologist. ...Read more
Symptoms may.: Acute polyarthritis can rarely develop overnight and is one presentation of RA, more common in elderly patients. The immune, genetic and enviromental mechanisms which are responsible for RA do not occur overnight, and have been in place for an a significant period of time before the onset of rheumatoid arthritis. ...Read more
Autoimmune disease: Rheumatoid arthritis (RA) is a long-term disease that leads to inflammation of the joints and surrounding tissues. It is an autoimmune disease, which means the body's immune system mistakenly attacks healthy tissue. Ra can occur at any age, but is more common in middle age. Ra affects joints on both sides of the body equally. Wrists, fingers, knees, feet, and ankles are the most commonly affected. ...Read more
For remission: Don't ever assume you have this disease without being treated or evaluated. If properly diagnosed and treated early remission can occurr before crip[pling deformities. Please seek medical evaluation ...Read more
See a rheumatologist: You see a rheumatologist and start appropriate treatment. There are very effective medications which can place the disease in remission and prevent joint damage. ...Read more
Yes: Obviously, some cases are more severe than others in the number of joints involved and the extent of the inflammatory process. However, all cases run the significant risk of irreversible joint damage if they are not aggressively treated. ...Read more
Blood test: To diagnose rheumatoid arthritis, a patient needs to have certain distinguishing criteria. Among them is a marker in the blood called rheumatoid factor. An elevated rheumatoid factor alone isn't enough to diagnose someone with rheumatoid arthritis but combined with other symptoms may aid in its diagnosis. ...Read more
-prevalence: 0.3 - 1.5% of population
-women affected 2-3x more often
-twin concordance: 30 to 50%
-peak incidence ages 30 to 50 years. ...Read more
Many!: Methotrexate, sulfasalazine, hydroxychloroquine, doxycycline, minocycline, cyclophosphamide, azothioprine and more! Then, you have the tnf-alpha drugs: humira, remicade, enbrel, cimzia, and more. Then other biologics: Rituxan and orencia (abatacept). New drugs will shortly be online as well! ...Read more
See a rheumatologist: Rheumatologist can give you the best advice and treatment plan for ra. ...Read more
There no one test:
According to the american college of rheumatology if you have four of the seven symptoms listed below for more than 6 weeks
morning stiffness that lasts over an hour
arthritis in at least three joints
arthritis of the joints of the hand
arthritis on both sides of the body.
A positive blood test (rf)
the presence of rheumatoid nodules
x-rays that show signs of rheumatoid arthritis. ...Read more
All types: All types are effected, predominantly women. It is also more common in people with other diseases and especially in smokers. ...Read more
Depends on severity: But it can lead to permanent joint damage and deformity with significant morbidity. There are very effective treatments for it now, so you should see a rheumatologist. ...Read more
Lots: Start out with the basics like nsaids such as advil, (ibuprofen) alleve, motrim as these have more of anti inflammatory components. Prescription narcotics are sometimes based on severity of ra. But overall, you want to prevent the flares by immunosuppressants. A rheumatologist would be best person to consult. ...Read more
See a rheumatologist: Rheumatoid arthritis is a serious, life-long disease that can result in permanent joint damage and severe disability. You should seek the care of a board certified rheumatologist who knows how to use meds safely & effectively to control ra. Most likely will need to take low dose weekly Methotrexate injections (or pills)and a tnf inhibitor such as enbrel, humira, or Remicade (infliximab) to completely control it. ...Read more
See rheumatologist: That blood test reports simply a protein in your blood that binds to certain other proteins called immunoglobulins. It is neither diagnostic of rheumatoid arthritis, nor does it necessarily even imply arthritis. The question is why the test was performed. If you have arthritis, a rheumatologist will be very helpful. ...Read more
Local and Systemic:
There are many difference between oteo and ra.
Osteo usually local and the other is systemic.
Morning stiffness lasts less than 60 mins; tends to get worse later throughout day.
In RA morning stiffness lasts longer than 1 hour; worse in am; stiffness occurs in am & periods of rest.
Common in both men and women. Before 50 more men than women, after 50 more women than men, RA effect women more ...Read more
Inflammat. Arthritis: Rheumatoid arthritis (RA) is a systemic autoimmune disease (can affect many different organ systems) that causes swelling, pain, and joint damage or destruction if untreated or undertreated. The immune system's white blood cells "get confused" attacking your own body, including joints like they are bacteria. Best way to help someone with RA is to get them to a board certified rheumatologist soon. ...Read more
Yes: Yes but with modern treatments this consequence can often be prevented. The key is early diagnosis and treatment. ...Read more