Rheumatoid Arthritis Of The Knee
Rheumatoid arthritis is an autoimmune disease in which the immune system attacks healthy tissue in several joints of the body, including the knee. It causes inflammation of the synovial membrane, the capsule surrounding the knee joint. Inflammatory cells release substances that break down knee cartilage over time. Rheumatoid arthritis can affect people of any age.
You May Like: What Does It Mean When Your Knee Pops And Hurts
Talk To Your Doctor About Surgery Options
If pain is unrelenting or there is loss if function in the hands, your rheumatologist may refer you for a surgical evaluation, particularly when theres an anatomic defect that can be corrected, says Dr. Albayda.
Surgery may involve removal of inflamed joint linings, tendon repair, joint fusions, or joint replacements. Depending on the joint involved, the degree of damage, and other factors, you hand surgeon will determine the most appropriate treatment to help correct deformities, relieve pain, or improve function.
What To Expect From Your Doctor
First, your doctor will ask about your symptoms and medical history and perform a physical exam. During your physical exam, your doctor will examine your wrist for swelling, pain, and tenderness. The location of the swelling can tell your doctor which wrist joints are most affected. Problems in the wrist can affect peripheral tendons, causing tendonitis.
Next, your doctor will examine the range of motion of the wrist itself. This can show how mild or severe the arthritis is, or if you have carpal tunnel syndrome. Your doctor will ask you to twist and flex both wrists in every direction. Finally, theyll manipulate your wrist and thumb joints and ask if you feel pain.
Also Check: How To Slow Arthritis In Hands
How Ra Hand Pain Is Diagnosed
Theres no one test to diagnose RA and in its early stages, signs and symptoms can mimic those of many other diseases.
But early diagnosis of rheumatoid arthritis is important for the best outcome. We are learning that we need to control inflammation much more aggressively upfront as joint damage can ensue early on, says Dr. Albayda. Hence, there has been a shift in treatment paradigms to catching patients early and instituting treat-to-target control.
To help determine whether you have RA in your hand or wrist, a health care provider will examine your hands and fingers for such symptoms as:
- Joint instability
They will also ask questions about other symptoms that tend to go along with RA, such as fatigue, flu-like symptoms, fever, and disrupted sleep.
A health care provider may order imaging tests to check for certain characteristics of RA, such as narrowing of the joint space or erosions of the bone. They will run blood tests to look for antibodies that may be found in people with RA as well as elevated levels of markers of inflammation in the blood.
Which Joints In The Hands Are Affected By Ra
The joints that connect your fingers to your hands are among the ones most often affected. You are also likely to experience symptoms in the the joints between your wrist and forearms and the middle knuckles in your fingers. The outermost joints are the least likely to be affected by RA. Usually, people will not start feeling pain there until the joints further down the hand have been affected.
Read Also: Is Spinach Bad For Arthritis
Tenosynovitis In The Hands
In addition to encapsulating joints, synovial tissue also surrounds most tendons. Tendons connect muscles to bones. Rheumatoid arthritis can cause a tendons synovial sheath to become inflamed, a condition called tenosynovitis. The inflammation is not always painful but can lead to tendon damage.
In the hand, flexor tendons allow a person to bend their fingers. When a fingers flexor tendon is inflamed it can cause the middle knuckle to get stuck in a bent position. This condition is called trigger finger.
At least one study suggests that tenosynovitis of flexor tendons is a strong predictor of rheumatoid arthritis.5Eshed I, Feist E, Althoff CE, et al. Tenosynovitis of the flexor tendons of the hand detected by MRI: an early indicator of rheumatoid arthritis Rheumatology 48 : 887-891 first published online May 27, 2009 doi:10.1093/rheumatology/kep136
Inflammation of the flexor tendon or tendon sheath in the hand can lead to trigger finger and may be an early indicator of rheumatoid arthritis. Read Trigger Finger
Hand Joints Are Synovial Joints
The small joints of the hands are an example of synovial joints. Rheumatoid arthritis attacks synovial joints.
- Each synovial joint is encapsulated in a pliable membrane, called a synovial membrane or synovium. When the joint is healthy, this membrane is very thinjust one or two cells thick.
- The joint capsule contains synovial fluid. This fluid is produced by the membrane. It is thin, clear, and viscous, and it normally nourishes and lubricates the joint, enabling movement.
Synovial joints in the hand are quite small and normally contain just a tiny amount of synovial fluid.
Read Also: What Is Hip Arthritis Pain Like
Hand Osteoarthritis Causes And Risk Factors
Osteoarthritis was once thought to happen because of wear and tear on your joints. Doctors now know thereÃÂ¢s more to the story.
On the ends of your bones, thereÃ¢s a layer of smooth material called cartilage. It helps cushion your joints and allows them to slide easily. But over time, the cartilage gets worn down. The bones rub against each other, causing the symptoms of OA. The wear and tear can also cause other tissues in the joint to make inflammatory cells, which damage it more.
Certain things can make you more likely to have hand OA:
- Age. The older you are, the higher your odds.
- Sex. Compared with men, women are twice as likely to get it.
- Ethnicity. Rates are lower in African Americans.
- Weight. Thinner people are less likely to get it than those who have obesity.
- Injuries. This includes broken and dislocated bones.
- Changes in your genes. Your parents might have passed down a higher chance of OA.
- Joint problems. This includes infections, loose ligaments, overuse, and joints that arenÃÂ¢t aligned the way they should be.
What causes flare-ups?
What Are The Treatments For Ra In The Hands
There is no cure for RA. However, there are a number of treatments that can reduce your symptoms and make you more comfortable.
Anti-inflammatory medications, both over-the-counter and prescription, can help control pain and inflammation during a flare up. Other medications can help prevent the flare ups that can cause pain and damage to your joints.
In some cases, resting the affected joints can help relieve pain. In others, people will find that regular exercise and/or stretching of the affected joints can relieve pain and stiffness. Physical therapy may be ordered to help strengthen the muscles that control those joints and to alleviate pain and swelling.
Foods that are rich in omega-3 fatty acids can help curb inflammation. These include fatty fish like salmon, sardines, trout and mackerel. If you do not like fish, you can add omega-3 fatty acids to your diet with flax seed oil, walnuts or purslane, a vegetable that is available in many Mexican and Asian markets.
High levels of stress seem to induce arthritis flare ups in some people. Avoiding stress can help you reduce the frequency and the severity of flare ups.
In some cases, surgery may be called for if the joints are severely damaged.
For a treatment at home, many people find that either ice or moist heat can help sooth RA pain. Using a hot compress against the affected area for 15 minutes can ease pain. This is especially helpful before exercise.
You May Like: What Triggers Arthritis Flare Ups
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.
Can Moist Heat Or Ice Help Ra Pain
Both of these simple methods can ease RA pain and stiffness.
Use a warm, moist compress on your fingers and hands for 15 minutes before you exercise.
To reduce swelling, use ice packs. Put an ice pack on the painful joint for 10 to 15 minutes at a time.
You may want to switch between moist heat and ice packs. Experiment to find out what works best for you, and then make it part of your routine before and after exercise. Read more about heat and cold therapy for arthritis pain.
Recommended Reading: Is Pineapple Bad For Arthritis
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.
How Is Ra Diagnosed
RA is diagnosed by reviewing symptoms, conducting a physical examination, and doing X-rays and lab tests. Its best to diagnose RA earlywithin 6 months of the onset of symptomsso that people with the disease can begin treatment to slow or stop disease progression . Diagnosis and effective treatments, particularly treatment to suppress or control inflammation, can help reduce the damaging effects of RA.
The Symptoms Of Rheumatoid Arthritis
The one key difference between osteoarthritis and rheumatoid arthritis is that the latter is a systemic disease that affects many organs. Besides the joint pain and discomfort, the individual with rheumatoid arthritis can present with many other symptoms. Rheumatoid arthritis ICD 10 has a diagnosis code of M06.9 for unspecified areas of the body. It is notated as a chronic systemic disease, with joints as its primary targets.
The joint involvement in RA is usually symmetrical and involves the smaller joints, especially those of the wrists, hands, and toes. As the disease progresses, other joints of the body may also be involved, like the neck, ankles, knees, shoulders, hips, and elbows.
- The individual will complain of warm, tender, and swollen joints.
- The joints may feel stiff, which is usually worse in the morning and after periods of inactivity.
- Fever may be present.
- General malaise, fatigue, and lack of appetite are common features.
What Is Rheumatoid Arthritis
Rheumatoid Arthritis occurs when your immune system mistakenly attacks healthy tissue. This causes pain in your joints and different body parts. Primarily, RA impacts the feet and hands. But it can also affect larger joints like elbows and knees. Moreover, it can produce a variety of other symptoms, such as difficulty breathing and joint stiffness.
With that said, now lets see what patients suffering from it say about what rheumatoid arthritis feels like.
Read Also: What To Eat For Psoriatic Arthritis
What Is A Boutonniere Deformity
Boutonniere deformity, also called buttonhole deformity, can happen due to rheumatoid arthritis.
The middle finger joint will bend toward the palm while the outer finger joint may bend opposite the palm. It may be the result of chronic inflammation of the finger’s middle joint.
Treatment may include splinting to keep the middle joint extended. Some cases need surgery.
Get more information on other RA joint deformities.
What Does A Meniscus Tear Feel Like
A meniscus tear is knee pain that is sharp, sudden and localized to the point of your damaged meniscus. This pain is heightened with bending or twisting, usually mimicking the action that caused the tear in the first place. Athletes who play fast-paced sports, like football, soccer, and rugby, are most commonly afflicted by meniscus tears.
Before coming into our office, many patients grapple with the question of whether or not they have arthritis or a meniscus tear. The simple answer is that it may be difficult to determine on your own, especially if your meniscus tear is small and the injury itself doesnt stand out as a specific memory. Our highly trained staff will be able to diagnose your problem and work with you to relieve your pain and create a treatment plan that works with your lifestyle. Contact us today!
Dr. Victor RomanoOrthopaedic Surgeon
Dr. Maria McGannOrthopaedic Surgeon, Foot and Ankle Surgeon
Dr. Joseph BrindiseFellowship Trained Orthopaedic Spinal Surgeon
Dr. Jack SongFellowship Trained Sports Medicine Orthopaedic Surgeon
- Knee joint pain that progresses slowly or pain that happens suddenly.
- Your knee locks or sticks when its trying to move.
Pain and swelling are the most common symptoms of arthritis of the knee. Some treatments might reduce the severity of your symptoms or even stall the progression. See your healthcare provider if you have symptoms of knee arthritis.
Recommended Reading: Why Is My Knee Sore To The Touch
You May Like: How To Slow Arthritis In Knees
Hand Osteoarthritis Home Remedies
These home treatments can help:
- Exercises. Your doctor or physical therapist can show you what to do to improve strength and range of motion and to ease pain.
- Assistive devices. Special pens, kitchen utensils, and other tools with big grips may be easier to use.
- Ice or heat. Ice may reduce swelling and pain. Heat, like a warm washcloth or a paraffin bath, can loosen stiff joints.
- Skin treatments. Medicated creams can give relief when you rub them on sore joints. Gels with nonsteroidal anti-inflammatory drugs also help.
- Supplements. Many people take glucosamine and chondroitin supplements for OA. Researchers are still looking into whether they help. Ask your doctor if theyre OK to try.
Symptoms That Affect Your Skin
Some people with RA get rheumatoid nodules. These are bumps under the skin. Most of the time, they arenât painful, and they move easily when you touch them. About one in four people with RA get these skin bumps.
They usually happen on your elbows, but they might show up on other bony areas like:
Recommended Reading: Can Rheumatoid Arthritis Cause Swelling In Legs
You Are Not Alone: Finding Support For Ra In The Hands
How does RA in your hands and fingers affect your daily life? Has your rheumatologist found the right medication to manage your symptoms? What helps you successfully get through each day? Share your tips and experiences in a comment below or on myRAteam. Youâll be surprised how many other members have similar stories.
Ra In Hands: What Hand Joints Are Affected By Rheumatoid Arthritis
Its no fun waking up like this: your hands ache. Your fingers are stiff and sometimes twisted. They may even feel hot and tender to the touch. There is no good hand that isnt plagued by these symptoms. Its another flare-up of rheumatoid arthritis , a malady that can affect any joint in the body, but frequently settles in the hands.
Types Of Arthritis Gloves
There are many different types of arthritis gloves. The type that is right for you depends on your budget and specific needs. All arthritis gloves are meant to relieve your pain, but some gloves can do even more. The different types of gloves include:
- heated gloves that use infrared light
Arthritis gloves can have one or more of these features, and they are available in all three categories. You can also ask your doctor for glove recommendations.
What Are The Signs Of Arthritis In The Hands
May 19, 2021
Achy, swollen hands? Stiffness in your wrists? Its common to assume these are symptoms of arthritis. While 40 million Americans suffer from arthritis, its far less frequent in the hands than people expect. Instead, what many mistake for arthritis is actually tendonitis. Lets look at the difference between arthritis and other conditions, risk factors and treatments.
You May Like: What To Do For Arthritis In The Knee
Other Early Symptoms Of Rheumatoid Arthritis
Numbness or Tingling
This is most common in the fingers and extremities. It may progress to a burning sensation in some casesthis is called carpal tunnel syndrome. Another common sign is a squeaking or crackling noise from the hands or feet.
Inflammation is a big part of RA, and it is often mild early on. The joints may be larger than usual or warm to the touch, and this may last anywhere from a couple days to a few weeks. As the condition progresses, these episodes will increase in frequency.
Fatigue and Weight Loss
In some cases, the first symptom of RA is unusual feelings of tiredness. This may come weeks or even months before you see other symptoms, and may appear in waves before disappearing again for periods at a time. Fatigue may also lead to weight loss that has little other explanation.
Common in the morning for multiple forms of arthritis, stiffness may last anywhere between a few minutes to a few hours. Degenerative types of arthritis are usually short-lived, while longer periods of stiffness is more indicative of inflammatory arthritis and RA. In addition, joint stiffness in smaller joints generally signals RAthese symptoms can flare up seemingly at random, often beginning in the hands.
Range of Motion Limitations
A fever by itself is likely just a fever, but one that is accompanied by other symptoms may indicate the presence of RA. A severe fever of 100 degrees Fahrenheit, however, is likely unrelated.