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​Understanding Arthritis

Learn more about the basics of arthritis, from arthritis 101 to common symptoms and diagnostic methods below:

What Is Arthritis? 

Arthritis is an informal way of referring to more than 100 types of joint diseases that affect 53 million adults and 300,000 children in the U.S. Read More >>

Do I Have Arthritis?

Learn more about clues that you may have arthritis. Read More >>

How to Prevent Arthritis

Learn more about arthritis prevention. Read More >>

Diagnosing Arthritis

Learn more about how arthritis is diagnosed. Read More >>

Arthritis FactsGet the key statistics and facts related to arthritis. Read More >>

When to Make an Appointment With Your DoctorJoint symptoms may signal a serious type of arthritis that can cause permanent joint damage if treatment is delayed. Know what to watch for so you can take action. Read More >>

Arthritis Treatment: Early Is Best

Early rheumatoid arthritis treatment - how essential is it? Receiving rheumatoid arthritis treatment earlier rather than later may be your key to remission. Learn more from Arthritis Today. Read More >>

Inflammation and Stiffness: The Hallmarks of Arthritis

Understand the common symptoms of arthritis: swelling, stiffness and inflammation. Learn about each and find out how to get relief. Read More >>
​

Arthritis Self Management: What You Need to Know

Learn more about self management of arthritis with these six important self-management habits that can help you successfully manage your disease. Read More >>
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Rheumatoid arthritis
​

As a long-term autoimmune disorder that primarily affects joints.  It typically results in warm, swollen, and painful joints.  Pain and stiffness often worsen following rest.  Most commonly, the wrist and hands are involved, with the same joints typically involved on both sides of the body.  The disease may also affect other parts of the body.  This may result in a low red blood cell count, inflammation around the lungs, and inflammation around the heart.  Fever and low energy may also be present.  Often, symptoms come on gradually over weeks to months.
While the cause of rheumatoid arthritis is not clear, it is believed to involve a combination of genetic and environmental factors. The underlying mechanism involves the body's immune system attacking the joints.  This results in inflammation and thickening of the joint capsule.  It also affects the underlying bone and cartilage.  The diagnosis is made mostly on the basis of a person's signs and symptoms.  X-rays and laboratory testing may support a diagnosis or exclude other diseases with similar symptoms.  Other diseases that may present similarly include systemic lupus erythematosus, psoriatic arthritis, and fibromyalgia among others. 

The goals of treatment are to reduce pain, decrease inflammation, and improve a person's overall functioning.  This may be helped by balancing rest and exercise, the use of splints and braces, or the use of assistive devices.  Pain medications, steroids, and NSAIDs are frequently used to help with symptoms. Disease-modifying antirheumatic drugs (DMARDs), such as hydroxychloroquine and methotrexate, may be used to try to slow the progression of disease.  Biological DMARDs may be used when disease does not respond to other treatments.  However, they may have a greater rate of adverse effects. Surgery to repair, replace, or fuse joints may help in certain situations.  Most alternative medicine treatments are not supported by evidence.

RA affects about 24.5 million people as of 2015.  This is between 0.5 and 1% of adults in the developed world with 5 and 50 per 100,000 people newly developing the condition each year.  Onset is most frequent during middle age and women are affected 2.5 times as frequently as men.  In 2013, it resulted in 38,000 deaths up from 28,000 deaths in 1990.  The first recognized description of RA was made in 1800 by Dr. Augustin Jacob Landré-Beauvais (1772–1840) of Paris.  The term rheumatoid arthritis is based on the Greek for watery and inflamed joints.  Read More
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Osteoarthritis

Osteoarthritis (OA) is a type of joint disease that results from breakdown of joint cartilage and underlying bone. The most common symptoms are joint pain and stiffness. Initially, symptoms may occur only following exercise, but over time may become constant.  Other symptoms may include joint swelling, decreased range of motion, and, when the back is affected, weakness or numbness of the arms and legs.  The most commonly involved joints are those near the ends of the fingers, at the base of the thumb, neck, lower back, knee, and hips. Joints on one side of the body are often more affected than those on the other.  Usually the symptoms come on over years.  It can affect work and normal daily activities.  Unlike other types of arthritis, only the joints are typically affected. 

Causes include previous joint injury, abnormal joint or limb development, and inherited factors.  Risk is greater in those who are overweight, have one leg of a different length, and have jobs that result in high levels of joint stress.  Osteoarthritis is believed to be caused by mechanical stress on the joint and low grade inflammatory processes.  It develops as cartilage is lost and the underlying bone becomes affected.  As pain may make it difficult to exercise, muscle loss may occur.  Diagnosis is typically based on signs and symptoms, with medical imaging and other tests occasionally used to either support or rule out other problems.  In contrast to rheumatoid arthritis, which is primarily an inflammatory condition, in osteoarthritis, the joints do not typically become hot or red.

Treatment includes exercise, efforts to decrease joint stress, support groups, and pain medications.  Efforts to decrease joint stress include resting and the use of a cane.  Weight loss may help in those who are overweight.  Pain medications may include paracetamol (acetaminophen) as well as NSAIDssuch as naproxen or ibuprofen.  Long-term opioid use is generally discouraged due to lack of information on benefits as well as risks of addiction and other side effects.  If pain interferes with normal life despite other treatments, joint replacement surgery may help. An artificial joint typically lasts 10 to 15 years.

Osteoarthritis is the most common form of arthritis, affecting about 237 million (3.3% of the population).  Among those over 60 years old, about 10% of males and 18% of females are affected. It is the cause of about 2% of years lived with disability. In Australia, about 1.9 million people are affected, and in the United States, 30 to 53 million people are affected. It becomes more common in both sexes as people become older. Read more

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