When you need a contractor for home repairs, you may ask for names from friends, get estimates, and check references. When you have rheumatoid arthritis, you should put the same kind of effort into getting the right doctor. With RA, having the right doctor is crucial to living well with your disease.
Of course, the doctor that’s right for one person isn't always right for another. But there are certain attributes everyone with RA should look in a doctor. Here are five things to consider whether you're looking for a new doctor or thinking about the one you have.
Rheumatoid arthritis (RA) is perhaps the most common inflammatory arthritis in the world, says Gary S. Firestein, MD, professor of medicine, dean and associate vice chancellor of translational medicine at the University of California, San Diego School of Medicine. In the United States, an estimated 1.3 million people have the disease, and it affects two to three times as many women as men. And RA may be on the rise in women, according to a 2010 Mayo Clinic study. After decades of decline, the...
A rheumatologist is a specialist in internal medicine who has had additional training in diagnosing and treating arthritis and related conditions. This includes experience prescribing disease-modifying antirheumatic drugs (DMARDs) and biologics, which relieve rheumatoid arthritis symptoms and halt joint damage for many people.
Sometimes people with RA can't see a rheumatologist as often as they should. For example, their insurance may not cover the doctor or there is no rheumatologist near them.
If that’s your situation, try to find a rheumatologist who can work with your primary care doctor to treat your arthritis. You will still need to see the rheumatologist occasionally, but your primary care doctor may handle your day-to-day treatment.
For this to work well, the rheumatologist must be willing to work with your primary care doctor. Your primary care doctor must also want to work with the rheumatologist and be able treat or coordinate care for other problems, including those that can accompany RA.
If it’s just not possible to see a rheumatologist at all, look for a primary care doctor who treats many RA patients.
Treating RA Aggressively
Research shows that joint damage can happen in the first few years of rheumatoid arthritis. So it’s important to diagnose and treat your RA early.
Your rheumatologist should be willing to treat your rheumatoid arthritis aggressively, if necessary, to avoid more serious problems later. Guidelines from the American College of Rheumatology recommend that everyone diagnosed with RA take a DMARD, such as methotrexate, plaquenil, or azulfadine, even if their RA is mild.
If you can't see a rheumatologist, then look for a doctor who has experience prescribing DMARDs and biologics, or is willing to work closely with a rheumatologist who does.