Rheumatoid Arthritis And Kidney Function: What To Know
Amyloidosis, a condition caused by the abnormal buildup of certain proteins that can impair kidney function, may occur in association with RA usually in the later stages or if someones disease isnt well-controlled with medication. The symptoms can be vague, such as weakness or swelling, and can include an enlarged spleen and gastrointestinal issues.
To screen for amyloidosis, rheumatologists will periodically check your kidney function.
Physical Therapy And Occupational Therapy
Your doctor may recommend physical therapy and occupational therapy. Physical therapy can help you regain and maintain overall strength and target specific joints that bother you. Occupational therapy can help develop, recover, improve, as well as maintain the skills needed for daily living and working. Sometimes, assistive devices or braces may be helpful to optimize movement, reduce pain, and help you maintain the ability to work.
Osteoarthritis Of The Spine
The bones in your spine are separated by spongy discs, which act as shock absorbers. With age, these discs can wear or shrink, which narrows the space between the spinal joints, or facet joints. The facet joints are a series of small joints in the lower back that contain the same type of cartilage that is found in your knees, explains Louw. Disc changes can lead to more strain on the joints, which can cause the cartilage to wear down and the facet joints in the vertebrae to rub against one another, leading to the pain and stiffness of OA. It is not uncommon for these joints to refer pain into the buttocks, especially with prolonged standing or even walking, says Louw.
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What Is Pain Catastrophizing
The study focused on the concept of pain catastrophizing, defined as the tendency to report pain experience in exaggerated terms, to ruminate about it more, or to feel helpless about it, study coauthor Mateusz Wilk, MD, a physician in the division of rheumatology and immunology at in Krakow, Poland, told conference attendees.
This is not about experiencing actual pain but rather the cognitive and emotional processes of thinking your pain is worse than it is, he says.
In some ways, catastrophizing is the opposite of coping or having resilience in the face of a painful disease.
Why Do People With Rheumatoid Arthritis Get Pain
- Active inflammation in a joint
- Usage-related joint pain due to muscle weakness
- Secondary osteoarthritis
This is why it is unusual to find that just one therapy is completely effective at relieving any one persons pain. It is also important to realise that the cause of pain may differ between joints within an individual patient.
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How Is Rheumatoid Arthritis Managed
You can manage rheumatoid arthritis by taking medicines as prescribed to treat pain and joint inflammation. You can also help reduce symptoms by exercising and maintaining a healthy weight. Aim to do 30 minutes of moderate exercise most days of the week. This can be at one time or broken up into shorter sessions.
You may also need to make changes at home to help you manage daily tasks like cleaning or gardening. An occupational therapist can help you make adjustments if pain or joint stiffness makes certain tasks hard to complete. They can recommend tools to reduce strain on your joints, such as long-handled dustpans so you dont need to bend over, or book holders to reduce the strain on your hands and wrists.
You might find that rheumatoid arthritis makes you frustrated and upset. Rheumatoid arthritis can cause poor sleep, which can also make you feel down. Discus your feelings with friends and family and explain to them what they can do to support you. This may help you feel better and reassured that help is available, if needed. If you are struggling with a low mood or not managing to sleep, your doctor will be able to support you and work with you to build a plan to help.
Rheumatoid Arthritis And Your Circulatory System: Ra Can Trigger Anemia And Fatigue
A large percentage of people living with RA experience anemia, a shortage of red blood cells or the iron-rich hemoglobin in the red blood cells. Red blood cells carry oxygen from your lungs to all the cells in the body and organs, so when your organs arent getting enough O2, you can experience weakness, fatigue, headaches, shortness of breath, dizziness, and more.
There are different types of anemia, and the most common type in RA patients is called anemia of inflammation and chronic disease , explains rheumatologist Robert W. Lightfoot, MD, a professor of medicine in the division of rheumatology at the University of Kentucky College of Medicine in Lexington.
No one knows exactly why anemia is more common with RA, but it may be that RAs inflammatory molecules interfere with the bodys ability to use iron, which in turn leads to anemia. Iron supplementation can help, but the best treatment is keeping the inflammation of RA under control with DMARD medication.
Another cause of fatigue: Inflammation can trigger the release of cytokines, molecules that are associated with fatigue. In addition, the depression and pain that can come along with RA can readily sap energy.
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Ra Symptoms In Your Joints
RA almost always affects your joints. It may take a few weeks or months for the first signs to show. The inflammation it causes often leads to these three hallmark symptoms:
- Pain.Inflammation inside a joint makes it hurt whether youâre moving it or not. Over time, it causes damage and pain.
- Swelling. Fluid in the joint makes it puffy and tender.
- Tenderness. It hurts when you move or push on a joint.
Other RA symptoms include:
- Stiffness. The joint is harder to use and doesn’t move as well as it should. Itâs especially common in the morning. Although many people with other forms of arthritis have stiff joints in the morning, it takes people with rheumatoid arthritis more than an hour before their joints feel loose.
- Redness and warmth. The joints may be warmer and have color changes related to the inflammation.
Can Arthritis Cause Numbness
Numbness is often a symptom of nerve involvement. For instance, numbness in the arm may be related to nerve irritation in the neck. In such a situation, turning or bending the head to the involved side may increase the symptoms. For example, a pinched nerve in the right side of the neck may cause numbness in the arm and hand when a person attempts to look back over the right shoulder. If nerve irritation becomes more severe, the arm and hand may become weak. A physical examination X-rays and an MRI of the neck and electrodiagnostic tests may be useful in establishing the diagnosis.
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Will Changing My Diet Help My Rheumatoid Arthritis
When combined with the treatments and medications your provider recommends, changes in diet may help reduce inflammation and other symptoms of RA. But it wont cure you. You can talk with your doctor about adding good fats and minimizing bad fats, salt and processed carbohydrates. No herbal or nutritional supplements, like collagen, can cure rheumatoid arthritis. These dietary changes are safer and most successful when monitored by your rheumatologist.
But there are lifestyle changes you can make that may help relieve your symptoms. Your rheumatologist may recommend weight loss to reduce stress on inflamed joints.
People with rheumatoid arthritis also have a higher risk of coronary artery disease. High blood cholesterol can respond to changes in diet. A nutritionist can recommend specific foods to eat or avoid to reach a desirable cholesterol level.
Explain The Pain Is It Osteoarthritis Or Rheumatoid Arthritis
If opening jars becomes more difficult because of painful hands, or if climbing stairs produces pain in your knees, “arthritis” is often the first thing that comes to mind. The two most common forms of arthritisosteoarthritis and rheumatoid arthritiscan cause similar aches and pains, but there are a few key differences between them. For example:
Onset. Osteoarthritis occurs when cartilage wears away. Pain occurs when bone rubs against bone. This type of arthritis pain tends to develop gradually and intermittently over several months or years.
Osteoarthritis is the most common type of arthritis affecting 27 million Americans. Many people believe it’s a crippling and inevitable part of growing old. But things are changing. Treatments are better, and plenty of people age well without much arthritis. If you have osteoarthritis, you can take steps to protect your joints, reduce discomfort, and improve mobility all of which are detailed in this report. If you don’t have osteoarthritis, the report offers strategies for preventing it.
Rheumatoid arthritis, on the other hand, is an inflammatory condition in which your immune system attacks the tissues in your joints. It causes pain and stiffness that worsen over several weeks or a few months. And joint pain isn’t always the first sign of rheumatoid arthritissometimes it begins with “flu-like” symptoms of fatigue, fever, weakness, and minor joint aches.
What About Symptom ‘flares’
There may be times when some of your symptoms are particularly bad your joints may swell more, feel more painful and may be warm to touch. This is known as a flare. There may be several reasons for this, including:
- the disease is progressing and your current medications are not adequate
- you may have had a busy weekend and over done things
- you had a recent infection, such as a cold or the flu
- you have been under stress and/or not sleeping well recently
It is important that you see your doctor or rheumatologist as early as possible. Your doctor or rheumatologist may need to adjust or change your medication. It is also important that you modify your physical activity during a flare to allow your body to recover.
When To Seek Medical Advice
You should see your GP if you think you have symptoms of rheumatoid arthritis. This will help your GP identify the underlying cause.
Diagnosing rheumatoid arthritis quickly is important because early treatment can help stop the condition getting worse. It can also help to reduce the risk of further problems such as joint damage.
When The Fingers Are Abnormally Bent
Some disorders, such as rheumatoid arthritis, and injuries can cause the fingers to bend abnormally. In swan-neck deformity, the joint at the base of the finger bends in , the middle joint straightens out , and the outermost joint bends in . In boutonnière deformity, the middle finger joint is bent inward , and the outermost finger joint is bent outward .
Cysts, which may develop behind affected knees, can rupture, causing pain and swelling in the lower legs. Up to 30% of people with rheumatoid arthritis have hard bumps just under the skin , usually near sites of pressure .
Examination of joint fluid
In addition to the important characteristic pattern of symptoms, doctors follow established criteria when evaluating a person for rheumatoid arthritis. Doctors suspect people have rheumatoid arthritis if they have more than one joint with definite swelling of the joints lining that is not caused by another disorder. Doctors diagnose people with rheumatoid arthritis if they have certain combinations of the following criteria:
Helping People Around You Understand Fatigue
Fatigue is a major symptom of many conditions, such as arthritis often its as much of a problem as pain and inflammation. But its an invisible symptom and a lot of people avoid talking about it because they think their family, friends and colleagues wont understand.
It can be stressful if you think people around you dont understand how youre feeling. Even when you explain, some people may struggle to realise how fatigue affects you and that it stops you doing certain activities. This can be frustrating and tiring and can put a big strain on your relationships. Getting help, support and understanding from the people around you can make a huge difference.
Good communication and explaining clearly and calmly how fatigue affects you is important to help others understand.
Its ok to say that you need help with tasks around the home.
Learning to say you cant do something or go somewhere because of the way it will affect you can help. It may also reassure people that sometimes you just dont feel up to socialising and its no reflection on their company.
If people ask for your help with something, remember its ok to say no. Its ok to put yourself first.
If you find it difficult to talk about your fatigue, you could ask people to read this information.
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What Types Of Lifestyle Changes Can Help With Rheumatoid Arthritis
Having a lifelong illness like rheumatoid arthritis may make you feel like you dont have much control over your quality of life. While there are aspects of RA that you cant control, there are things you can do to help you feel the best that you can.
Such lifestyle changes include:
When your joints are inflamed, the risk of injury to your joints and nearby soft tissue structures is high. This is why you need to rest your inflamed joints. But its still important for you to exercise. Maintaining a good range of motion in your joints and good fitness overall are important in coping with RA.
Pain and stiffness can slow you down. Some people with rheumatoid arthritis become inactive. But inactivity can lead to a loss of joint motion and loss of muscle strength. These, in turn, decrease joint stability and increase pain and fatigue.
Regular exercise can help prevent and reverse these effects. You might want to start by seeing a physical or occupational therapist for advice about how to exercise safely. Beneficial workouts include:
- Range-of-motion exercises to preserve and restore joint motion.
- Exercises to increase strength.
- Exercises to increase endurance .
Risk Factors For Arthritis
Certain risk factors have been associated with arthritis. Some of these are modifiable while others are not.
Non-modifiable arthritis risk factors:
- Age: the risk of developing most types of arthritis increases with age.
- Sex: most types of arthritis are more common in females, and 60 percent of all people with arthritis are female. Gout is more common in males than females.
- Genetic factors: specific genes are associated with a higher risk of certain types of arthritis, such as rheumatoid arthritis , systemic lupus erythematosus and ankylosing spondylitis.
Modifiable arthritis risk factors:
- Overweight and obesity: excess weight can contribute to both the onset and progression of knee osteoarthritis.
- Joint injuries: damage to a joint can contribute to the development of osteoarthritis in that joint.
- Infection: many microbial agents can infect joints and trigger the development of various forms of arthritis.
- Occupation: certain occupations that involve repetitive knee bending and squatting are associated with osteoarthritis of the knee.
More than half of adults in the U.S. with arthritis report high blood pressure. High blood pressure is associated with heart disease, the most common comorbidity among adults with arthritis.
Around 1 in 5 of adults in the U.S. who have arthritis are smokers. Smoking is associated with chronic respiratory conditions, the second most common comorbidity among adults with arthritis.
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What Are The Risk Factors For Developing Rheumatoid Arthritis
There are several risk factors for developing rheumatoid arthritis. These include:
- Family history: Youre more likely to develop RA if you have a close relative who also has it.
- Sex: Women and people designated female at birth are two to three times more likely to develop rheumatoid arthritis.
- Smoking:Smoking increases a persons risk of rheumatoid arthritis and makes the disease worse.
- Obesity: Your chances of developing RA are higher if you have obesity.
Some Daily Activities Are Difficult
Pay close attention to how you truly feel. Rheumatoid arthritis is one of the few diseases where subjective measures of how a patient feels are among the best predictors of how well a person will respond to treatment and how much the disease will progress. Doctors may measure severity of symptoms using both the Health Assessment Questionnaire Disability Index and the Rheumatoid Arthritis Quality of Life questionnaire.
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When To See A Doctor
Theres no single test that determines whether you have RA. Your doctor may run several tests to help confirm a RA diagnosis. These tests include:
- checking your blood for specific antibodies such as rheumatoid factor or anti-CCP antibody
- taking samples of synovial fluid to look for inflammation or infection
- looking for inflammation
- ordering imaging tests to look at your joints and bones or evidence of inflammation or joint damage
Sometimes, X-rays are ineffective in diagnosing the disease. An MRI or ultrasound can show abnormalities in your joints before X-ray changes appear.
Dont be afraid to get a second opinion if youre still experiencing discomfort from your condition. A doctor can prescribe new medications if the ones youre taking arent working.
RA usually appears in people between the ages of 25 and 50. If you arent in this age range, you should still see a doctor if you think youre experiencing symptoms of RA. In the case of RA, the earlier you receive your treatment, the better your outcome is.
Whats New In Arthritis Research
Progress is so fast in some areas of arthritis research today that the media often report new findings before the medical journal with the information reaches your doctors office. As a result, you need to know how to evaluate reports on new arthritis research.
Arthritis researchers are looking at four broad areas of research. These include causes, treatments, education and prevention.
Researchers are learning more about certain conditions. For example in osteoarthritis, researchers are looking for signs of early destruction of cartilage and ways to rebuild it. For rheumatoid arthritis and other types that involve inflammation, researchers are trying to understand the steps that lead to inflammation and how it can be slowed or stopped. An initial study suggests that fibromyalgia affects more older people than originally thought and often may be overlooked in this group. Your doctor can tell you about other new research findings. If you would like to take part in arthritis research, ask your doctor for a referral to a study in your area.
Many people help make arthritis research possible. The federal government through its National Institutes of Health is the largest supporter of arthritis research. Drug companies do the most research on new medications.
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