Rheumatoid arthritis is a chronic, systemic inflammatory disorder that commonly takes place on both sides of the body joints such as hands, wrists, or knees which characterizes the symmetry from other types of arthritis. It affects commonly in women but when men are affected, it tends to be severe when they have it.
Basically, rheumatoid arthritis attacks the joints producing inflammatory synovitis that advances to destruction of the articular cartilage and ankylosis of the joints. It may affect many tissues and organs, and can also produce diffuse inflammation in the lungs, eyes, heart, blood, nerves and also nodular lesions in subcutaneous tissue under the skin. It may affect each person differently that some could have a gradual development of symptoms over several years, while others may be quicker, and some would have it for a time and then enter into a remission stage. Symptoms include joint pain and swelling, stiffness especially in the morning or after sitting for long periods, and fatigue.
Environmental, genetic, and hormonal factors are being combined and considered to be the cause of rheumatoid arthritis. There could be something that causes the immune system to attack the joints and at times other organs in the body. It could either be a virus or bacteria, however, some theories suggest that smoking could also lead to the progression of the disease.
Based on a combination of factors, the diagnosis of rheumatoid arthritis includes the specific location and symmetry of painful joints, especially the hand joints; the presence of joint stiffness in the morning; presence of bumps and nodules under the skin which is known as rheumatoid nodules; results of X-ray tests that suggest rheumatoid arthritis; and positive results of a blood test called the rheumatoid factor which is present in most people. Cylic citrulline antibody test is a more recent and more specific blood test for rheumatoid arthritis.
Medications, rest and exercise, and surgery to correct the damage of the joint are few of the ways in treating rheumatoid arthritis. Factors such as the patient’s age, medical history, severity of the arthritis and overall health are to be considered in the treatment process.
Drugs to be administered for the prevention of the disease’s advancement are also available. They are anti-inflammatory painkiller drugs, such as aspirin, ibuprofen, or naproxen. Another is topical pain relievers which are being applied directly to the skin. Next are corticosteroids such as prednisone and lastly, narcotic pain relievers.
Strong medications like DMARDs or disease-modifying antirheumatic drugs are being given to interfere or suppress the immune system’s attack on the joints. Examples of these drugs are Plaquenil, methotrexate, Enbrel, Humira, Remicade, Azulfidine and Arava. Surgery could be an alternative when rheumatoid arthritis is not controlled with drugs.
Balanced rest and exercise is essential in rheumatoid arthritis treatment. Once regression of inflammation is observed, guided exercise programs should be given to maintain flexibility and mobility of the joints. Even if there is no cure yet, early and assertive treatment has been proven to impede disability caused by rheumatoid arthritis.

