SIGNS AND SYMPTONS OF RHEUMTOID ARTHRITIS

Signs and Symptoms of Signs and Symptoms of Rheumatoid Arthritis
Rheumatoid arthritis is a serious autoimmune disease that attacks the joints and other body parts.

But RA can be tough to diagnose. Symptoms can mimic other illnesses, or they may flare, then fade, only to flare again somewhere else. Lab tests aren’t perfect—you can test negative for RA factors and still have it. And X-rays don’t show signs until later on.

Here are some tricky rheumatoid arthritis symptoms and hints that they’re due to RA and not some other condition
It’s possible to think you have an injury—such as a sprained ankle that doesn’t seem to heal—when the symptoms are actually due to RA.

This is more common in younger people, says Lisa A. Mandl, MD, MPH, assistant attending rheumatologist at Hospital for Special Surgery in New York City.

One day a patient is playing soccer and the next day her knee is swollen, she says. "I have seen people who have had two arthroscopic surgeries and extensive physical therapy in their knee and they have rheumatoid arthritis."

Numbness or tingling in the hands
One symptom of rheumatoid arthritis is carpal tunnel syndrome, which is marked by tingling in the wrist and hands. Dr. Mandl says the sensation is similar to the feeling you get when you hit your funny bone.

What happens is that the swelling in the arm compresses the nerves going into the hands. The sensation is often worse at night.

If you go to a doctor with these symptoms and don’t have (or tell him or her about) other RA symptoms, you may be diagnosed only with carpal tunnel syndrome.

Foot trouble
One area in which people often have RA-related pain or inflammation is the forefoot.

Women often stop wearing heels and head to a podiatrist due to the pain.

Some people with RA may also develop pain in the heel because of plantar fasciitis, a common foot disorder caused by swelling of the tissue at the bottom of the foot, near the heel
Pairs of achy joints
One of the most predominant symptoms of rheumatoid arthritis is aching in the joints. People often think their pain is due to overexertion or osteoarthritis, the type of arthritis common in old age.

This achiness can also be misdiagnosed as fibromyalgia or chronic fatigue syndrome (fatigue is another symptom of RA).

RA joint pain is not fleeting; it usually lasts longer than a week. It can also be symmetrical, meaning both hands, feet, knees, or ankles will be affected at the same time.
Morning stiffness
Another characteristic of rheumatoid arthritis is stiffness in the joints in the morning.

Again, this is also a common problem in osteoarthritis, which can cause pain after long periods of inactivity, like sleeping.

The difference between the two is that osteoarthritis pain usually subsides in about a half hour. Stiffness from rheumatoid arthritis will last much longer, possibly for a good chunk of the day.

The right kind of exercise can help alleviate stiffness for people with RA and osteoarthritis pain.
Locked joints
People with RA can sometimes experience locked joints, particularly in the knees and elbows. This happens because there’s so much swelling of the tendons around the joint, the joint cannot bend. It can lead to cysts behind the knee that can puff out and inhibit motion.

The symptom can be mistaken for a meniscus tear, a knee joint injury that's common in sports, and which can also lead to cysts



Rheumatoid arthritis is a serious autoimmune disease that attacks the joints and other body parts.

But RA can be tough to diagnose. Symptoms can mimic other illnesses, or they may flare, then fade, only to flare again somewhere else. Lab tests aren’t perfect—you can test negative for RA factors and still have it. And X-rays don’t show signs until later on.

Here are some tricky rheumatoid arthritis symptoms and hints that they’re due to RA and not some other condition
It’s possible to think you have an injury—such as a sprained ankle that doesn’t seem to heal—when the symptoms are actually due to RA.

This is more common in younger people, says Lisa A. Mandl, MD, MPH, assistant attending rheumatologist at Hospital for Special Surgery in New York City.

One day a patient is playing soccer and the next day her knee is swollen, she says. "I have seen people who have had two arthroscopic surgeries and extensive physical therapy in their knee and they have rheumatoid arthritis."

Numbness or tingling in the hands
One symptom of rheumatoid arthritis is carpal tunnel syndrome, which is marked by tingling in the wrist and hands. Dr. Mandl says the sensation is similar to the feeling you get when you hit your funny bone.

What happens is that the swelling in the arm compresses the nerves going into the hands. The sensation is often worse at night.

If you go to a doctor with these symptoms and don’t have (or tell him or her about) other RA symptoms, you may be diagnosed only with carpal tunnel syndrome.

Foot trouble
One area in which people often have RA-related pain or inflammation is the forefoot.

Women often stop wearing heels and head to a podiatrist due to the pain.

Some people with RA may also develop pain in the heel because of plantar fasciitis, a common foot disorder caused by swelling of the tissue at the bottom of the foot, near the heel
Pairs of achy joints
One of the most predominant symptoms of rheumatoid arthritis is aching in the joints. People often think their pain is due to overexertion or osteoarthritis, the type of arthritis common in old age.

This achiness can also be misdiagnosed as fibromyalgia or chronic fatigue syndrome (fatigue is another symptom of RA).

RA joint pain is not fleeting; it usually lasts longer than a week. It can also be symmetrical, meaning both hands, feet, knees, or ankles will be affected at the same time.
Morning stiffness
Another characteristic of rheumatoid arthritis is stiffness in the joints in the morning.

Again, this is also a common problem in osteoarthritis, which can cause pain after long periods of inactivity, like sleeping.

The difference between the two is that osteoarthritis pain usually subsides in about a half hour. Stiffness from rheumatoid arthritis will last much longer, possibly for a good chunk of the day.

The right kind of exercise can help alleviate stiffness for people with RA and osteoarthritis pain.
Locked joints
People with RA can sometimes experience locked joints, particularly in the knees and elbows. This happens because there’s so much swelling of the tendons around the joint, the joint cannot bend. It can lead to cysts behind the knee that can puff out and inhibit motion.

The symptom can be mistaken for a meniscus tear, a knee joint injury that's common in sports, and which can also lead to cysts more  

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A patient with Rheumatoid arthritis needs to exercise daily as the small joints are affected first in this condition and then the pain and swelling gets worsen and later it starts occuring in other major joints. You need to do daily exercises. more  
Harsh Sharma, I have just read a new Medicine has come out for RA. Please check with your Doctor: FDA hands Pfizer blockbuster approval for rheumatoid arthritis drug "Tofacitinib" The FDA has handed Pfizer (PFE) an approval for its oral rheumatoid arthritis drug Tofacitinib, which will hit the market soon as Xeljanz. The news will be cheered at Pfizer, which counted the RA drug--pronounced ZELL-janz--as one of its most critical late-stage programs. This is a very good news for Patients suffering with Rheumatoid Arthritis. There was no cure for this RA Disease. Its a unfortunate disability. Regards Raja Chandra more  
I was being treated by Dr Rath in kailash hospital and he seems to be competent rheutmologist Regards Sent from my iPad On 19-Jul-2013, at 9:40 AM, Raja Chandra wrote: > > > If you are having problems viewing this email, Click here. > > Raja Chandra (Call me an Advisor having experience and age to my Credit.) > Raja Chandra (Call me an Advisor having experience and age to my Credit.) commented on the post > Raja wrote: "Harsh. There are tests now to determine whether you have Rheumatoid Arthritis? Please check with a Knowledgable Doctor about these tests. All Doctors will not know about it. Check with a Good Endocrinologist. I have given details of a good Endocrinologist in the Trusted Medical Doctors. His name is Dr. Amrish Mittal. I give below some details about the Tests: What Blood Markers Are Used to Diagnose Rheumatoid Arthritis? Rheumatoid factors are a variety of antibodies that are present in 70% to 90% of people with rheumatoid arthritis (RA). Rheumatoid factor (RF), however, can be found in people without RA or with other autoimmune disorders. In general, when no rheumatoid factor is present in someone with RA, the course of the disease is less severe. A new test for rheumatoid arthritis that measures levels of antibodies that bind citrulline modified proteins (anti-CCP) is more specific and tends to be elevated in patients with rheumatoid arthritis or in those about to develop rheumatoid arthritis. The presence of anti-CCP antibodies can be used to predict which patients will get more severe rheumatoid arthritis Are There Tests to Determine Inflammation? Yes. The erythrocyte sedimentation rate (ESR) shows the degree of inflammation in the body. In healthy people, the ESR is low and it climbs with inflammation. It doesn't point to any particular disease, but is a general indication of the amount of inflammation in the body. In lupus and polymyalgia rheumatica, the ESR often correlates with disease activity. C-reactive protein (CRP) levels are an even better indication than ESR of the amount of inflammation present. In people with rheumatoid arthritis, if the CRP is high, it suggests that there is significant inflammation or injury in the body. Both CRP and ESR levels are used to monitor disease activity and to monitor how well someone is responding to treatment. Rheumatoid Factor Test The rheumatoid factor test is a commonly ordered test to help diagnose rheumatoid arthritis. This test measures rheumatoid factor, which is an antibody in the blood that's present in many people with RA. In fact, the rheumatoid factor blood test is eventually positive in 70% to 80% of people with RA, although in early arthritis the percentage may be much smaller. Rheumatoid factor may also be elevated in other autoimmune diseases besides RA. How is the Rheumatoid Factor test done? This test is quick and virtually painless. Blood is collected from a vein using a needle and the blood sample is sent to a lab for analysis. Along with rheumatoid factor, your doctor may order other lab tests, including: • Complete blood count (CBC) to assess blood cells in the body and evaluate for anemia. • Antinuclear antibody (ANA) -- antibodies that might be present in 30% to 40% of people with RA. • Erythrocyte Sedimentation rate (SED rate) and C-reactive protein (CRP) -- markers of inflammation. • Anti-CCP antibody, which is found in most patients with RA. Other tests, including X-rays, MRI, ultrasound, and other scans, may be ordered. These tests will help the doctor make an accurate diagnosis. What do the results of the Rheumatoid Factor Test Mean? The rheumatoid factor test may provide your doctor more information to make an accurate diagnosis in addition to findings of a physical exam, other tests, and your history of symptoms. The rheumatoid factor test may also help predict the severity of disease. Studies show that when RA is linked with high levels of rheumatoid factor, it may signify more aggressive disease. Is Rheumatoid Factor Positive in other Ailments? The rheumatoid factor test may be positive in people who have other autoimmune diseases such as systemic lupus erythematosus (lupus) and Sjogren's syndrome. Rheumatoid factor can also be positive in people who suffer with infections. These may include hepatitis, mononucleosis, tuberculosis, and syphilis. Patients with cancer and may also test positive for rheumatoid factor. Remember, positive results from the rheumatoid factor test do not automatically mean you have Rheumatoid Arthritis. Rheumatoid factor may be positive in some healthy individuals and negative in people who actually have RA. " > View/Comment Reply to this email to post a comment. > This email was sent to harsh77@gmail.com. If you don't want to receive emails from LocalCircles in future, please Unsubscribe. > LocalCircles, Inc., 1556 Halford Ave., Suite 290, Santa Clara, CA USA 95051. > LocalCircles India Pvt. Ltd., 1105, 11th Floor, Advant Navis Business Park, Sector-142, Noida, India, 201301. Privacy Policy. more  
Harsh. There are tests now to determine whether you have Rheumatoid Arthritis? Please check with a Knowledgable Doctor about these tests. All Doctors will not know about it. Check with a Good Endocrinologist. I have given details of a good Endocrinologist in the Trusted Medical Doctors. His name is Dr. Amrish Mittal. I give below some details about the Tests: What Blood Markers Are Used to Diagnose Rheumatoid Arthritis? Rheumatoid factors are a variety of antibodies that are present in 70% to 90% of people with rheumatoid arthritis (RA). Rheumatoid factor (RF), however, can be found in people without RA or with other autoimmune disorders. In general, when no rheumatoid factor is present in someone with RA, the course of the disease is less severe. A new test for rheumatoid arthritis that measures levels of antibodies that bind citrulline modified proteins (anti-CCP) is more specific and tends to be elevated in patients with rheumatoid arthritis or in those about to develop rheumatoid arthritis. The presence of anti-CCP antibodies can be used to predict which patients will get more severe rheumatoid arthritis Are There Tests to Determine Inflammation? Yes. The erythrocyte sedimentation rate (ESR) shows the degree of inflammation in the body. In healthy people, the ESR is low and it climbs with inflammation. It doesn't point to any particular disease, but is a general indication of the amount of inflammation in the body. In lupus and polymyalgia rheumatica, the ESR often correlates with disease activity. C-reactive protein (CRP) levels are an even better indication than ESR of the amount of inflammation present. In people with rheumatoid arthritis, if the CRP is high, it suggests that there is significant inflammation or injury in the body. Both CRP and ESR levels are used to monitor disease activity and to monitor how well someone is responding to treatment. Rheumatoid Factor Test The rheumatoid factor test is a commonly ordered test to help diagnose rheumatoid arthritis. This test measures rheumatoid factor, which is an antibody in the blood that's present in many people with RA. In fact, the rheumatoid factor blood test is eventually positive in 70% to 80% of people with RA, although in early arthritis the percentage may be much smaller. Rheumatoid factor may also be elevated in other autoimmune diseases besides RA. How is the Rheumatoid Factor test done? This test is quick and virtually painless. Blood is collected from a vein using a needle and the blood sample is sent to a lab for analysis. Along with rheumatoid factor, your doctor may order other lab tests, including: • Complete blood count (CBC) to assess blood cells in the body and evaluate for anemia. • Antinuclear antibody (ANA) -- antibodies that might be present in 30% to 40% of people with RA. • Erythrocyte Sedimentation rate (SED rate) and C-reactive protein (CRP) -- markers of inflammation. • Anti-CCP antibody, which is found in most patients with RA. Other tests, including X-rays, MRI, ultrasound, and other scans, may be ordered. These tests will help the doctor make an accurate diagnosis. What do the results of the Rheumatoid Factor Test Mean? The rheumatoid factor test may provide your doctor more information to make an accurate diagnosis in addition to findings of a physical exam, other tests, and your history of symptoms. The rheumatoid factor test may also help predict the severity of disease. Studies show that when RA is linked with high levels of rheumatoid factor, it may signify more aggressive disease. Is Rheumatoid Factor Positive in other Ailments? The rheumatoid factor test may be positive in people who have other autoimmune diseases such as systemic lupus erythematosus (lupus) and Sjogren's syndrome. Rheumatoid factor can also be positive in people who suffer with infections. These may include hepatitis, mononucleosis, tuberculosis, and syphilis. Patients with cancer and may also test positive for rheumatoid factor. Remember, positive results from the rheumatoid factor test do not automatically mean you have Rheumatoid Arthritis. Rheumatoid factor may be positive in some healthy individuals and negative in people who actually have RA. more  
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