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Understanding Rheumatoid Arthritis -- the Basics

What Is Rheumatoid Arthritis?

Rheumatoid arthritis is a relatively common disorder affecting 1.3 million Americans. It usually begins between age 20 and 50, and women are affected three times as frequently as men. 

Rheumatoid arthritis (RA) is characterized by inflammation and pain in the hands -- especially in the joints of the fingers, as well as in the wrists, knees, ankles, elbows, shoulders, and feet. RA can affect almost any joint in the body, except the lower back. The duration and intensity of pain vary from person to person.

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When Is Surgery Right for Rheumatoid Arthritis

Drugs for rheumatoid arthritis (RA) can slow down the disease. However, after joint damage has occurred, surgery may be a reasonable option. Advancements in surgical treatment are giving people with rheumatoid arthritis more chances to maintain function and keep moving. Having surgery is never something to enter into lightly, but sometimes it can really help. When is the right time for surgery for rheumatoid arthritis, and what can you expect? There are a couple of reasons to choose surgery...

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RA can also cause damage to other parts of the body, including the lungs, eyes, and nerves. General fatigue and difficulty sleeping are also common. The discomfort of rheumatoid arthritis can develop over weeks or months and tends to be most severe on awakening. Many people with rheumatoid arthritis are stiff in the morning and after sitting for prolonged periods.

Rheumatoid arthritis may eventually cause the hands and feet to become misshapen as muscles weaken and tendons are damaged and slip from their normal positions. Some of this deformity can be prevented with appropriate treatment.

While there is no complete cure, treatment begun at the onset of the disorder relieves symptoms in most people. With early treatment, the likelihood of permanent disability is reduced in all but 5% to 10% of sufferers.

What Causes Rheumatoid Arthritis?

The cause of rheumatoid arthritis is not fully understood, though most research shows that it is an autoimmune disorder -- meaning that the body's immune system is attacking one or more areas of the body. Some people have a genetic or inherited factor that makes them more likely to develop rheumatoid arthritis.

WebMD Medical Reference

Reviewed by David Zelman, MD on March 08, 2014

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