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    5 Things People With RA Want You to Know

    By Camille Noe Pagán
    WebMD Feature
    Reviewed by David Zelman, MD

    Rheumatoid arthritis is often called a “silent disease.” Why? Unlike many other illnesses, you can’t always tell when a person with RA is feeling their worst.

    That’s just one of the things people with the condition want you to know, whether you’re newly diagnosed with RA or someone close to you has it.

    Recommended Related to Rheumatoid Arthritis

    Treating RA: Questions for Your Doctor

    You’ll work closely with your doctor to manage your rheumatoid arthritis. These questions are a good starting point for your next checkup. Which RA medicines do you recommend for me, and why? How will we know if my treatment is working? What are the possible side effects? Would physical therapy or occupational therapy help me? Does exercise help? What kinds of activities are safe for me to do? How are my joints doing? What lifestyle changes do you recommend for me? What...

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    We asked people with the disease to speak out. Here’s what they had to say.

    No. 1. “Just because I look fine doesn’t mean I am.”

    “Even though I may look healthy and happy on the surface, [my RA means] I suffer with daily, often severe pain,” says Meredith Hutter Chamorro, 45, of Pennsylvania.

    That’s because people with RA are always dealing with joint issues. Sometimes they get flare-ups, too. That’s when their symptoms get worse, with the disease causing painful, swollen joints and extreme fatigue.

    Chamorro works with women who have autoimmune diseases like RA as a health coach and yoga therapist. Her clients say they’ve known people who don't believe they're in pain, she says.

    “Some have gotten dirty looks, or worse, when they park in a handicapped spot or ask for assistance,” she says.

    What the doubters don't realize is that rheumatoid arthritis flares can make it painful or impossible to do everyday tasks, like shopping or walking across a parking lot.

    RA leads to joint damage, too. That can cause disability, and some people end up needing serious medical treatments like joint replacement surgery. It can hurt other parts of the body, too, like the eyes, heart, and lungs.

    “Sometimes others just don’t understand what someone with RA is going through, and don’t offer support or empathy when they should,” says Rochelle Rosian, MD, a rheumatologist at the Cleveland Clinic.

    If you have a friend or relative who has RA, it’s okay to talk with them about it. Ask how you can help them when they're feeling bad, and how you can tell when they could use help.

    2. “It’s not ‘just’ arthritis.”

    "Too often, people hear ‘arthritis’ and think minor aches and pains," says Dina Neils, 30, a blogger living in California. Neils was diagnosed with RA 18 years ago.

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