Editorial Staff and Contributors
Rheumatoid arthritis (RA) is an autoimmune disease. It causes pain, swelling, stiffness, and loss of function in the joints.
RA is caused by a combination of genetic and environmental factors that trigger an abnormal immune response. Possible causes include:
RA is more common in women, and in people between the ages of 30 and 60. Other factors that may increase your chance of developing RA include:
RA usually presents with joint symptoms
RA may also cause:
Inflammation may also occur in
You will be asked about your symptoms and medical history. A physical exam will be done. RA is sometimes difficult to diagnose because there are several diseases with similar symptoms. Part of diagnosing RA is to rule out other diseases.
The American College of Rheumatology and the European League Against Rheumatism have created a system for diagnosing RA. To start, symptoms need to be present for 6 weeks or more. The system then uses a 10-point scale assessing specific symptoms. The higher the score, the more likely RA is present. Considered factors include:
There is no cure for RA. The goals of treatment are to:
There are a variety of medications to treat the pain and inflammation of RA. In some cases, medications may be used in combination. These may include:
Rest reduces active joint inflammation and pain and fights fatigue. Exercise is important for maintaining muscle strength and flexibility. It also preserves joint mobility.
These steps may help relieve stiffness, weakness, and reduce inflammation:
Splints applied to painful joints may reduce pain. Devices that help with daily activities can also reduce stress on joints. Devices include:
can ease the difficulties of living with a chronic, painful disease. Participating in an exercise program or joining a
are 2 strategies you can use to reduce stress.
Cognitive behavioral therapy, a form of talk therapy, and
may also offer benefits in reducing your pain and improving your ability to cope with RA.
Joint replacement and tendon reconstruction help relieve severe joint damage.
There are no current guidelines to prevent RA.
American College of Rheumatology
Canadian Rheumatology Association
The Arthritis Society
Rheumatoid arthritis. Arthritis Foundation website. Available at:
http://www.arthritis.org/about-arthritis/types/rheumatoid-arthritis. Accessed November 29, 2016.
Rheumatoid arthritis. Merck Manual Professional Version website. Available at: http://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/joint-disorders/rheumatoid-arthritis-ra. Updated May 2013. Accessed November 29, 2016.
National Institute of Arthritis and Musculoskeletal and Skin Diseases
website. Available at:
http://www.niams.nih.gov/Health_Info/Rheumatic_Disease/default.asp. Updated February 2016. Accessed November 29, 2016.
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http://www.dynamed.com/topics/dmp~AN~T115261/Rheumatoid-arthritis-RA. Updated September 30, 2016. Accessed November 29, 2016.
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Last reviewed November 2016 by Michael Woods, MD
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