What is Rheumatoid Arthritis and How to Manage its Symptoms

Rheumatoid arthritis is a painful chronic condition. Although the onset can occur between the ages of 30 and 60 years, this condition generally affects people above the age of 65. RA is a condition where the immune system attacks the tissue lining the joints on both sides of the body, causing inflammation and pain in the fingers, hands, wrists, knees, ankles, and feet. It can also affect the lungs, heart, and eyes.
What is rheumatoid arthritis?
Rheumatoid arthritis (RA) is an auto-immune, inflammatory disease that causes the lining of a joint to become inflamed, causing damage to the joint tissue. This damage can cause chronic pain, lack of balance, and deformities.
Early RA tends to affect the smaller joints, such as fingers and toes first. As the disease progresses, this pain and discomfort can extend to the wrists, knees, elbows, hips, and shoulders. About 40% of people experience symptoms that do not affect their joints. Affected areas may include the skin, eyes, lungs, heart, kidneys, salivary glands, nerve tissue, bone marrow, and blood vessels. However, the symptoms of RA vary from person to person and can come and go. A period of increased inflammation and pain is known as a flare, and a period of little-to-no symptoms is known as remission.
What are the symptoms of rheumatoid arthritis?
Common signs and symptoms of RA include:
- Tender, warm, swollen joints
- Joint stiffness, especially in the mornings or after periods of inactivity
- Fatigue, fever, and loss of appetite
- Low BMI levels
- Weakness
People facing persistent discomfort and swelling in their joints must visit their doctor and get tested for RA.
What causes rheumatoid arthritis?
RA is an auto-immune disease, where the body’s immune system (which is supposed to protect the body from infection and disease) begins to attack the healthy tissue in the joints. While the exact cause for RA remains unknown, certain risk factors associated with Rheumatoid Arthritis are:
- Gender: Women are more likely to develop RA.
- Age: Middle-aged and older people are more likely to develop RA.
- Family history: People who have an immediate family history of the condition are more likely to develop it at some point.
Having RA can increase the chances of developing or worsening other conditions such as osteoporosis, rheumatoid nodules, dry eyes and mouth, carpal tunnel syndrome, abnormal body composition, heart problems, lung disease, lymphoma, and infections like influenza, pneumonia, and shingles.
What are the popular treatment options for rheumatoid arthritis?
RA can be effectively managed with the help of healthcare intervention and self-management strategies. Popular therapy options aim at slowing the progress of the disease and preventing joint deformities. Formal treatments include:
Non-steroidal anti-inflammatory treatments (NSAIDs)
NSAIDs decrease pain and inflammation and are available both over the counter and by prescription. They can also help reduce joint swelling. Depending on the individual situation, doctors may need to prescribe COX-2 inhibitors, which have fewer bleeding side effects on the stomach compared to typical NSAIDs.
Corticosteroids
Corticosteroids are fast-acting treatment options to help control inflammation and pain.
Disease-modifying antirheumatic treatments (DMARDs)
Available as pills, infusions, and injections, DMARDs can slow down the progress of RA in the body. They may be prescribed alone, or in conjunction with other therapies.
Biologics
In case a patient does not respond to DMARDs, doctors may feel the need to prescribe stronger treatments such as biologics. Biologic therapy acts fast, with most patients feeling a difference in their symptoms within two to six weeks. Many healthcare providers believe that the biologic therapy is more effective, as it attacks the cells at a more specific level.
What are some home remedies to manage rheumatoid arthritis?
While therapies can help soothe the symptoms of RA, certain home remedies can aid this process. These are not a replacement for formal treatments, but they can supplement the road to remission. Before adopting these alternative therapies, it is best to check with a healthcare provider.
Stretching & exercise
Light stretching and low-stress exercises such as swimming and cycling can help reduce the symptoms of RA, as they strengthen the muscle around the affected joints. Speak with a doctor or a physical therapist to design a personalized stretching or exercise program.
Heat & ice compressions
Applying heat or ice packs to the joints can provide temporary pain relief. Based on individual symptoms, people’s bodies may respond better to one or a combination of heat and ice.
Nutrition
Following a plant-based meal routine can help reduce inflammation for some people. Focus on foods like beans, broccoli, cherries, citrus fruits, walnuts, ginger, green tea, olive oil, soy, turmeric, and whole grains. Fatty fish like salmon, herring, sardines, mackerel, and tuna are rich in Omega-3, which can help with RA pain and morning stiffness. People experiencing gut issues can consume probiotics like yogurt and pickles to help with inflammation. Avoid red meat and dairy products, oils rich in Omega-6 (like corn oil, sunflower oil, and safflower oil), excessive salts, sugar, and processed and/or fried foods to keep symptoms of RA under control.
Supplements
People with RA generally have low levels of vitamins B6, B12, C, D, and E and other minerals like magnesium, selenium, and zinc. Apart from these, Omega-3 fatty acids, turmeric, and frankincense can help reduce inflammation. Doctors may recommend eating vitamin- and mineral-rich foods, or taking supplements, depending on individual needs.
Although RA is a complex disease, there have been many advances in treatments in recent times. A chronic illness can be a life-changing event, therefore, it is important to be careful about developing symptoms and have them checked regularly. Trained rheumatologists can help one identify and diagnose arthritis and other diseases of the muscles, bones, and joints. Since RA does not have a definitive treatment plan, patients need to learn how to effectively manage the symptoms and pains associated with the disease and prevent it from worsening, as this can significantly improve a person’s quality of life.