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What is Rheumatoid arthritis?

end=”509″>Rheumatoid Arthritis is a chronic autoimmune condition where the immune system mistakenly attacks the joints, leading to inflammation, pain, and progressive joint damage. Unlike osteoarthritis, RA often affects both sides of the body symmetrically and may also involve internal organs.

Who is affected by Rheumatoid arthritis?

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Rheumatoid arthritis most commonly affects women between the ages of 25 and 50, but it can affect anyone—including children. When it occurs in children under 16, it is known as Juvenile Idiopathic Arthritis (JIA).

Key Symptoms

Patients with RA commonly experience joint pain, swelling, and stiffness—particularly in the hands, wrists, knees, and feet. The stiffness is usually worse in the morning and lasts longer than 30 minutes. Symptoms often develop gradually but can also begin suddenly.

In addition to joint symptoms, many patients report general fatigue, low-grade fever, unintentional weight loss, and a general feeling of being unwell—similar to flu-like symptoms.

RA tends to occur in flares, where symptoms worsen, followed by periods of remission where inflammation and pain ease.


Symptoms Beyond the Joints

RA can affect more than just the joints:

  • Nodules may develop under the skin, often near pressure points like the elbows.

  • The heart and lungs may be affected, causing chest discomfort, shortness of breath, pericarditis (inflammation around the heart), or lung inflammation and scarring.

  • Dry eyes and mouth can occur due to inflammation of tear and salivary glands—a condition known as Sjögren’s Syndrome.

  • In rare cases, blood vessels can become inflamed (vasculitis), leading to skin ulcers or nerve problems such as tingling and numbness.


Diagnosis

Diagnosis is based on physical examination, medical history, blood tests, and imaging. Blood markers such as Rheumatoid Factor (RF) or anti-CCP antibodies may be present, although their absence does not rule out RA. X-rays may show joint damage, and doctors assess the pattern and duration of joint symptoms—especially if stiffness and swelling last more than six weeks.


Treatment and Management

The goal of RA treatment is to control inflammation, relieve pain, prevent further joint damage, and maintain function. This often includes:

  • Disease-modifying anti-rheumatic drugs (DMARDs)

  • Biologic agents and immunosuppressants

  • Steroids and non-steroidal anti-inflammatory drugs (NSAIDs)

  • Joint injections

  • Lifestyle changes including regular exercise, rest, and joint protection techniques

  • Surgical intervention in advanced cases

Early diagnosis and intervention are essential to slow disease progression and improve quality of life.


Chiropractic Care for RA

Chiropractic care may offer supportive relief for patients with RA, especially when symptoms are under control. Treatment focuses on improving joint mobility, easing stiffness from inactivity, and relaxing tight muscles. Techniques are always tailored to individual needs and the current state of disease activity.

Chiropractors may also provide guidance on exercises, posture, heat and cold therapies, and supportive devices as part of a multidisciplinary approach. In some cases, low-level laser therapy (cold laser) can be used to help manage inflammation and promote healing.


When to Seek Help

Consult a healthcare professional if you experience persistent joint stiffness, swelling, fatigue, or other unexplained symptoms. Early intervention is crucial to managing RA effectively and preventing complications.

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