Types Of Rheumatoid Arthritis Seropositive Or Seronegative Ra
February 11, 2016 | Blog
Rheumatoid arthritis is an autoimmune disease wherein the immune system attacks parts of the body leading to inflammation of the joints. While the exact cause of RA is still a mystery, it is believed that an infection can confuse the immune system causing it to start attacking the joints. Scientists think that two chemicals in our body, specifically the tumor necrosis factor and interleukin-1 trigger the immune system in rheumatoid arthritis. Symptoms such as pain, stiffness and swelling in multiple joints of the hands, wrists, knees, feet, shoulders, can develop gradually or come on suddenly. RA symptoms are very similar to a number of other diseases, and therefore correct diagnosis even through clinical examination, x-rays, and lab tests can prove difficult. Without early treatment, the disease can damage the fibrous connective joints tissues, which eventually damages the bones.
Rheumatoid Factor Positive RA
Rheumatoid Factor Negative RA
People who test negative for the presence of antibodies or RF in the blood are referred to as seronegative. But they can still have RA. Diagnosis cannot be just based on this test, as clinical symptoms, X-rays, and other laboratory tests will be taken into account. While there is no certainty of this, people who test RF negative are likely to have a milder form of RA than those who test positive.
What Are The Symptoms Of Spinal Arthritis
Symptoms of spinal arthritis may differ from person to person. In general, they may include:
Back and neck pain, especially in the lower back
Stiffness and loss of flexibility in the spine, such as being unable to straighten your back or turn your neck
Swelling and tenderness over the affected vertebrae
Feeling of grinding when moving the spine
Pain, swelling and stiffness in other areas of the body
Whole-body weakness and fatigue
Pain and numbness in your arms or legs if the nerves are affected
Although back pain is a common symptom, not all people have it, even those with advanced spinal arthritis. On the other hand, some may experience pain even before arthritis can be seen on an X-ray.
In certain types of spondyloarthritis, eye inflammation may occur, causing pain, watery eyes and blurred vision.
The 100 Forms Of Arthritis
- Achilles tendinitis
- Adult onset Stills disease
- Ankylosing spondylitis
- Diffuse idiopathic skeletal hyperostosis
- Hepatitis B surface antigen disease
- Hip dysplasia
- Mixed connective tissue disease
- Mixed cryoglobulinemia
- Pachydermoperiostosis Pagets disease of bone
- Palindromic rheumatism
- Undifferentiated connective tissue syndrome
- Urticarial vasculitis
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Why Do Joints Make Popping And Cracking Noises
Joints can make different noises–some are serious and some are not.
Some people learn how to “pop their knuckles.” By pushing or pulling a joint in a certain way an air bubble can suddenly appear in the joint with a “pop.” Once the bubble is there the joint cannot be popped again until the air has been reabsorbed.
Some joints crack as the ligaments and tendons that pass over them slide past bumps on the bones. Individuals who “crack their neck” make noise in this way.
Other joints lock up intermittently–often with a loud pop–because something gets caught in between the joint surfaces. A torn cartilage in the knee or a loose piece of bone or cartilage in the joint can do this. Once a joint is stuck in this way, it may need to be wiggled around to unlock it. This may also cause a pop.
Finally joints that are arthritic may crack and grind. These noises usually occur each time the joint is moved. This noise is due to the roughness of the joint surface due to loss of the smooth cartilage.
Your Ra Is In Remission Now What
With aggressive treatment, RA can go into remission (no visible signs or symptoms. Learn if its possible to take less medication or even a drug holiday.
Your RA is in Remission! Now What?
There is no cure for rheumatoid arthritis , but remission can feel like it. Today, early and aggressive treatment with disease-modifying antirheumatic drugs and biologics makes remission more achievable than ever before. But how likely are you to reach remission, and how likely are you to sustain it? And when you reach it, do you stay on your medications or go off them?
When remission in RA was first defined 1981, it was characterized as elimination of all disease. Thats a very hard target. Were more likely to be able to reach limited or small amount of disease, explains David T. Felson, MD, professor of medicine at Boston University and a practicing rheumatologist.
With that in mind, the American College of Rheumatology and the European League Against Rheumatism developed criteria for defining remission so researchers could compare the effectiveness of different treatment regimens.
Definitions of Remissionin Rheumatoid Arthritis
These criteria are used by scientists when conducting clinical trials. Your rheumatologist may use these or slightly different measures to determine if your disease is in remission:
One or fewer swollen joints
One or fewer tender joints
The Odds of Remission
Should You Take a Drug Holiday?
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How Is Arthritis Treated
Theres no cure for arthritis, but there are treatments that can help you manage the condition. Your treatment plan will depend on the severity of the arthritis, its symptoms and your overall health.
Conservative treatments include:
- Medication: Anti-inflammatory and pain medications may help relieve your arthritis symptoms. Some medications, called biologics, target your immune systems inflammatory response. A healthcare provider may recommend biologics for your rheumatoid or psoriatic arthritis.
- Physical therapy: Rehabilitation can help improve strength, range of motion and overall mobility. Therapists can teach you how to adjust your daily activities to lessen arthritic pain.
- Therapeutic injections: Cortisone shots may help temporarily relieve pain and inflammation in your joints. Arthritis in certain joints, such as your knee, may improve with a treatment called viscosupplementation. It injects lubricant to help joints move smoothly.
Whats The Outlook For Someone Living With Arthritis
Since theres no cure for arthritis, most people need to manage arthritis for the rest of their lives. Your healthcare provider can help you find the right combination of treatments to reduce symptoms. One of the biggest health risks associated with arthritis is inactivity. If you become sedentary from joint pain, you may face a greater risk for cancer, heart disease, diabetes and other serious conditions.
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What Are The Types Of Arthritis
Arthritis most often affects areas in or around joints. Joints are parts of the body where bones meet such as your knee. The ends of the bones are covered by cartilage, a spongy material that acts as a shock absorber to keep bones from rubbing together. The joint is enclosed in a capsule called the synovium. The synovium’s lining releases a slippery fluid that helps the joint move smoothly and easily. Muscles and tendons support the joint and help you move. Different types of arthritis can affect one or more parts of a joint. This often results in a change of shape and alignment in the joints.
Certain types of arthritis can also affect other parts of the body, such as the skin and internal organs. There are more than 100 different types of arthritis. It is important to know which type of arthritis you have so you can treat it properly. If you don’t know which type you have, call your doctor or ask during your next visit. Some common types of arthritis are described below.
List Of Different Types Of Arthritis
Synopsis: General information and list of over 150 various types of arthritis, a form of joint disorder that involves inflammation of one or more joints in humans. The most 5 common types of arthritis are Osteoarthritis, Fibromyalgia, Gout, Rheumatoid Arthritis, and Systemic Lupus Erythematosus. Children and teens get a type of arthritis called juvenile idiopathic arthritis . Juvenile means young and idiopathic means cause unknown.
What Are The Most Common Types Of Arthritis Of The Spine
The vertebrae of the spine are highly vulnerable to several types of arthritis, but most patients with arthritis of the spine develop one of the following varieties.
Osteoarthritis is by far the most common type of arthritis, with 31 million of the 50 million American adults diagnosed with arthritis suffering from this variety. Osteoarthritis appears as bones and cartilage wear over time, which is why most patients with osteoarthritis are middle-aged or older.
In the spine, osteoarthritis occurs as the cartilage between vertebrae becomes weaker and thinner. This wearing of cartilage can cause severe pain and potential spinal deformation if the condition is allowed to advance.
Even patients who do not experience pain from the condition itself may develop bone spurs that may interfere with normal nerve function, resulting in tingling or numbness, shooting pains, and muscle issues.
Unlike osteoarthritis, rheumatoid arthritis is caused by autoimmune disease. While the exact cause is unknown, researchers speculate that rheumatoid arthritis can occur after an infection when the immune system mistakes the joints for bacteria or viruses.
Rheumatoid arthritis tends to be highly localized and may only appear in one or two vertebrae when it affects the spine. Patients with this variety of arthritis may notice visible swelling in the affected area.
Spinal Arthritis: What You Need To Know
Osteoarthritis is the most common type of arthritis to affect the spine.
Arthritis can occur anywhere along the spine, but is more frequent in the lower back and neck.
Pain and stiffness are the most common symptoms of spinal arthritis.
Causes of spinal arthritis are still largely unknown except for osteoarthritis, which is typically a result of wear and tear.
Spinal arthritis treatment may include pain medications, steroid injections, physical therapy and surgery in severe cases.
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Can Imaging Exams Detect Arthritis
Imaging exams can help your healthcare provider get a clear picture of your bones, joints and soft tissues. An X-ray, MRI or ultrasound can reveal:
- Bone fractures or dislocations that may be causing you joint pain.
- Cartilage breakdown around your joints.
- Muscle, ligament or tendon injuries near your joints.
- Soft tissue inflammation.
How Does Arthritis Feel
Arthritis usually causes stiffness pain and fatigue. The severity varies from person to person and even from day to day. In some people only a few joints are affected and the impact may be small. In other people the entire body system may be affected.
The joints of the body are the site of much of the action in arthritis. Many types of arthritis show signs of joint inflammation: swelling, stiffness, tenderness, redness or warmth. These joint symptoms may be accompanied by weight loss, fever or weakness.
When these symptoms last for more than two weeks, inflammatory arthritis such as rheumatoid arthritis may be the cause. Joint inflammation may also be caused by infection which can lead to septic arthritis. Degenerative joint disease is the most common type of arthritis joint inflammation is not a prominent feature of this condition. While normal joints can support a vast amount of use, mechanical abnormalities of a joint make it susceptible to degeneration.
It is healthy for you to keep active and move your joints. If you do not move a joint regularly, the muscles around it weaken and/or become tight. The joint can stiffen or even freeze. When you do try to move the joint and muscles hurt because they have been still for so long.
Arthritis can make it hard to do the movements you rely on every day for work or taking care of your family.
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What Are The Causes Of Rheumatoid Arthritis
Our immune system releases antibodies when a foreign material like bacteria and fungus enters the body. Those antibodies fight the foreign material and kill them. However, in some cases, the immune system can mistakenly send antibodies to attack their own cells. This is the root cause of Rheumatoid Arthritis.
New Symptoms May Change The Diagnosis
Eventually, people with seronegative disease may be diagnosed with a different disease altogether, according to the Arthritis Foundation. If, say, a person diagnosed with seronegative RA develops a skin rash, her diagnosis might change to psoriatic arthritis. Other changes or new test results could lead to a new diagnosis of chronic gout or osteoarthritis. The most important thing at the time you see a rheumatologist is determining whether you have inflammatory arthritis or mechanical arthritis, where there is less that can be done to treat it, says Domingues.
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How Is Spinal Arthritis Treated
The treatment for spinal arthritis depends on many factors. They may include your age, level of pain, type and severity of arthritis and personal health goals. Because the joint damage caused by arthritis is irreversible, the treatment usually focuses on managing pain and preventing further damage.
Nonsurgical treatments for spinal arthritis may include:
Nonsteroidal anti-inflammatory drugs and corticosteroids to reduce pain and swelling
Other medications targeting specific symptoms or triggers of inflammatory arthritis
Physical therapy to improve back muscle strength and range of motion in the spine
Lifestyle changes to reduce inflammation or stress on your spine: losing weight, quitting smoking, changing your posture, etc.
So What Exactly Is Arthritis
Arthritis is defined as a form of joint disorder that involves inflammation of one or more joints. There are over 100 different forms of arthritis. The most common form of arthritis is osteoarthritis , a result of trauma to the joint, infection of the joint, or age. Other arthritis forms are rheumatoid arthritis, psoriatic arthritis, and related autoimmune diseases. Septic arthritis is caused by joint infection.
According to the Centers for Disease Control and Prevention , more than a third of adults who have arthritis report it limits their leisure and work activities. 25% of them state it also causes severe pain .
Children and teens get a type of arthritis called juvenile idiopathic arthritis . “Juvenile” means young and “idiopathic” means the cause is not known. JIA is also sometimes called juvenile rheumatoid arthritis .
An example of Rheumatoid Arthritis of the hand.
Many people confuse osteoporosis and different types of arthritis.
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Should I See A Doctor
Its common to have aches and pains in your muscles and joints from time to time. This may especially be true if you take part in unusual or strenuous physical activities.
So, how can you tell the difference between the early signs of arthritis and normal pain and stiffness? And, how do you know when you should see a doctor about your symptoms?
If you have swelling or stiffness that you cant explain and that doesn’t go away in a few days, or if it becomes painful to touch your joints, you should see a doctor. The earlier you get a diagnosis and start the right type of treatment, the better the outcome will be.
Here are some other things to think about that might help you decide whether you need to see a doctor:
Other Conditions And Joint Pain
Other forms of arthritis, and other conditions, can also cause joint pain. Examples include:
- fibromyalgia syndrome, a condition in which your brain processes pain in your muscles and joints in a way that amplifies your perception of the pain
- scleroderma, an autoimmune condition in which inflammation and hardening in your skin connective tissues can lead to organ damage and joint pain
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What Are The Different Types Of Arthritis
Arthritis is a broad term that describes more than 100 different joint conditions. The most common types of arthritis include:
- Osteoarthritis, or wear and tear arthritis, which develops when joint cartilage breaks down from repeated stress. Its the most common form of arthritis.
- Ankylosing spondylitis, or arthritis of the spine .
- Juvenile arthritis , a disorder where the immune system attacks the tissue around joints. JA typically affects children 16 or younger.
- Gout, a disease that causes hard crystals of uric acid to form in your joints.
- Psoriatic arthritis, joint inflammation that develops in people with psoriasis .
- Rheumatoid arthritis, a disease that causes the immune system to attack synovial membranes in your joints.
Who Should Diagnose And Treat Ra
A doctor or a team of doctors who specialize in care of RA patients should diagnose and treat RA. This is especially important because the signs and symptoms of RA are not specific and can look like signs and symptoms of other inflammatory joint diseases. Doctors who specialize in arthritis are called rheumatologists, and they can make the correct diagnosis. To find a provider near you, visit the database of rheumatologistsexternal icon on the American College of Rheumatology website.
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How Different Types Of Arthritis Affect Your Joints Differently
Do you believe your joint pain is caused by arthritis? With over 100 different types of arthritis identified, knowing the type you have could be the key to relieving your pain and inflammation. A qualified specialist can correctly diagnose your arthritis type and properly manage your symptoms with a targeted regimen.
At Western Orthopaedics in Arvada and Denver, Colorado, our team of orthopaedic specialists has many years of combined experience diagnosing and treating the various forms of arthritis. They can properly classify your arthritis type and treat your joint pain and any other symptoms.