Rheumatoid arthritis is an autoimmune disorder that causes inflammation in the body. It can lead to many painful symptoms but typically affects the joints.
Rheumatoid arthritis (RA) most commonly affects the joints in a person’s hands, wrists, and knees. It can cause intense pain, swelling, and stiffness.
However, RA can affect the whole body. Without effective treatment, it can be progressive, meaning that it may get worse over time.
A person with RA will typically experience flares and periods of remission. This article will describe how RA feels and where people with this condition can find support.
RA flares can be unpredictable and temporarily increase the severity of the condition. A person may have days, weeks, or months with no RA symptoms between these events.
However, some people have specific known triggers for flares and may be more aware of when they may occur. Common triggers include exercising too intensely or doing too much physical work.
Illness or infection, lack of sleep, and stress can also trigger flares.
The symptoms of RA flares may include:
- Joint stiffness: RA can result in joint stiffness. This can affect a person’s ability to carry out everyday physical tasks, meaning they may require assistance.
- Joint swelling: RA is an inflammatory disease. This inflammation can lead to visible swelling of affected joints.
- Pain: Inflammation from RA can push on joints and soft tissue, causing pain. In severe cases, the condition can lead to joint damage.
- Nodules: People will RA may develop nodules on their skin. These are areas of inflammation that can be painful to the touch.
- Other inflammation: Away from the joints, RA inflammation can affect a person’s lungs, eyes, heart, and nervous system.
The symptoms of flares can vary between people. As a result, there is no definitive definition of how they feel.
People living with RA may experience whole-body symptoms. These may include:
RA can also take its toll on a person’s mental well-being. The condition is unpredictable, can result in severe pain, and may impede a person’s ability to go about their life as before
This can lead to feelings of depression, anxiety, and social exclusion. Estimates say anywhere from
In addition, a person’s RA may not always be visible or understood by others. A person may be experiencing severe pain and fatigue that is hard for others to recognize and understand. This lack of visible symptoms can lead to frustration among family, friends, and coworkers.
Common RA locations
Remission is a state in which a person experiences few to no RA symptoms for a period of time. There are a number of clinical criteria that define remission, and discussion of these is ongoing.
A common measure is a disease activity score (DAS28) of below 2.6.
For people living with RA, remission may mean reaching a point that feels closer to “normal.” Remission will typically include an absence or low level of symptoms such as pain, swelling, and stiffness in the joints.
How long a period of remission lasts and how symptoms present during this time will vary between individuals. A 2017 review found that sustained remission rates could vary from
Advanced RA can take many forms.
About 25% of people with RA will experience rheumatoid nodules.
These nodules may feel like solid lumps underneath the skin. They usually form at the base of joints and in particular parts of the body that can rub against hard surfaces, such as the elbows and heels.
Examples of areas where rheumatoid nodules are common include:
- backs of the heels
The nodules may feel like clusters of several small lumps, or they can be single, larger nodules.
RA progresses differently in everyone. Some people have milder forms of the disease, while others may be at risk of severe complications, such as:
- cancer, particularly lymphoma
- heart disease
- respiratory conditions, such as interstitial lung disease (ILD)
Advanced RA can also lead to arthritis mutilans. This can cause severe deformity of the hands and feet.
If a person has been experiencing repeated flares with little relief, they should see their doctor. It is essential to manage flares as early on as possible.
Patients may require changes to their medication and treatment programs if flares persist. Making these changes may help prevent long-term damage and reduce painful symptoms.
A person should also see a doctor if they seem to be experiencing a higher frequency of flares, if the symptoms have become more severe, or both.
People living with RA do not have to deal with their symptoms alone. There are many helpful resources available.
The American College of Rheumatology also has a range of free resources for people living with RA.
RA is a chronic, life-long condition. People with RA should work with their doctor to establish a treatment routine that helps them maintain disease remission.
If a person experiences more frequent or worsening flares, they should talk to their doctor about treatment adjustments.
A person with RA may feel intense pain in their joints during flares. This may feel like sustained pressure, a burning sensation, or a sharp pain.
However, people with RA may also experience periods of remission when they feel few to no symptoms.
In addition to causing pain in the joints, RA can affect the whole body. A person living with the condition may experience fatigue, depression, anxiety, and may lose weight unintentionally.
RA is a life-long condition. As a result, the key treatment outcome for RA is the management of the condition.