Rheumatoid Arthritis
Rheumatoid arthritis (RA) stands as the predominant autoimmune form of arthritis, wherein the body's immune system mistakenly targets its own tissues, inducing significant inflammation in joints and occasionally affecting other organs.
This condition manifests through joint pain, stiffness, swelling, and reduced flexibility. While it typically affects small joints in the wrists, hands, and feet, it can also impact larger joints and other organs like the eyes and lungs.
RA predominantly afflicts women, with symptoms emerging between ages 30 and 50, although it can occur at any age. While currently lacking a cure, RA management focuses on symptom alleviation and preventing joint damage or disability.
What are the common symptoms of RA?
One hallmark sign of RA is morning stiffness in the joints, lasting from one to two hours or even persisting throughout the day, which typically improves with joint movement. Persistent swelling and pain in small joints, lasting over six weeks, may indicate underlying inflammatory disease.
Diagnosis necessitates a thorough physical examination along with blood tests and imaging scans such as X-rays, MRI, or ultrasound.
What are the treatments for RA?
Regular follow-ups with a rheumatologist are vital for disease management and reducing joint damage risks. Adhering to prescribed medications and promptly reporting any adverse effects is crucial.
Incorporating low-impact aerobic exercises and strength-building routines can enhance muscle health and joint function. Smoking cessation is strongly advised, given the established link between tobacco use and RA.
Additionally, certain supplements like omega-3 have demonstrated potential in alleviating RA-related pain.
How to live With RA?
Initial treatment often involves disease-modifying anti-rheumatic drugs (DMARDs), such as methotrexate, leflunomide, hydroxychloroquine, or sulfasalazine.
Should DMARDs fail to adequately control inflammation, biologic drugs like abatacept, adalimumab, etanercept, tocilizumab, or targeted synthetic medications like tofacitinib or upadacitinib may be prescribed.
Treatment plans are highly individualized, and patients may require adjustments over time.
About Dr. Shalene Badhan
When it comes to managing rheumatologic conditions, empathy is as crucial as expertise. Dr. Shalene Badhan, our lead Rheumatologist and an Internal Medicine specialist, embodies both. Having been diagnosed with psoriasis and psoriatic arthritis herself, Dr. Badhan brings a unique perspective to her practice, combining professional excellence with personal insight. Her journey through diagnosis, treatment, and daily management of autoimmune diseases allows her to connect with her patients on a profound level, offering not just medical advice but also understanding and solidarity.
