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Rheumatoid Arthritis: How to protect your joints, reduce pain, and improve mobility

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Rheumatoid Arthritis: How to protect your joints, reduce pain, and improve mobility

This Special Health Report, Rheumatoid Arthritis: How to protect your joints, reduce pain and improve mobility, gives you the information you need to work with your physician to design a treatment plan. You’ll learn how rheumatoid arthritis affects joints and how it is diagnosed and treated, as well as the variety of symptoms that may occur. You'll find information on established medical therapies as well as complementary treatments such as acupuncture, yoga, and dietary supplements.  A special section provides advice about how to care for yourself through adaptations in your personal and work life, useful gadgets, and smoking cessation.

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Rheumatoid arthritis can be debilitating and disabling.  It can cause you unremitting pain, loss of joint function, and even rob you of your independence.

Fortunately, as never before, advances in diagnosis and treatment are enabling men and women to halt RA’s progress and enjoy pain-free living with healthier joints, increased mobility, and lasting peace-of-mind.

This new Special Health Report will give you empowering information to work with your physician to create and implement a treatment strategy to manage your rheumatoid arthritis effectively—and successfully.

You’ll find the keys to an accurate diagnosis…What you need to tell your doctor…the safest imaging tests…the 10 classic symptoms…and more.

You’ll learn about the drugs that are changing outcomes and brightening futures…How biologics are revolutionizing RA treatment…the pain-relievers with fewest side effects…the one drug against which all others are measured.

You’ll gain the ability to actively participate in managing your RA…How to get the most from exercise  and complementary treatments…the most helpful tools and gadgets…and eight “joint resolutions” you’ll want to adopt.

You don’t have to let rheumatoid arthritis control you.  You can control it!

Prepared by the editors of Harvard Health Publishing in consultation with Robert H. Shmerling, MD, Associate Professor of Medicine, Harvard Medical School, Clinical Chief, Division of Rheumatology, Beth Israel Deaconess Medical Center, Boston, and Senior Editor, Harvard Health Publishing. 45 pages. (2018)

  • What is rheumatoid arthritis?
    • A faulty immune system
    • Risk factors
    • Symptoms
    • What to expect
  • The biology of rheumatoid arthritis
    • The musculoskeletal system
    • Joint design
    • The immune system
  • Diagnosing rheumatoid arthritis
    • Assessment of symptoms
    • Physical examination
    • Blood tests
    • Imaging tests
    •  Disorders with similar or overlapping symptoms .
  • Medications for rheumatoid arthritis
    • Symptomatic relief
    • Disease-modifying antirheumatic drugs (DMARDs)
    • Methotrexate and other nonbiologic DMARDs
    • Biologic DMARDs
    • Kinase inhibitor
    • Measuring effectiveness of treatment
    • Ongoing research
  • Nondrug treatment for rheumatoid arthritis
    • Physical and occupational therapy
    • Heat therapy
    • Cold therapy
    • Splints and orthotics
    • Exercise
    • Weight loss
    • Sufficient sleep
    • Smoking cessation
  • SPECIAL SECTION: Adapting your routine to protect your joints
  • Surgery
    • Procedures for inflamed joint tissue
    • Ligament or tendon reconstruction
    • Joint fusion
    • Joint replacement
    • When is it time to consider joint fusion or replacement?
    • In summary
  • Appendix: Drugs for treating rheumatoid arthritis
  • Resources 

Rheumatoid arthritis and heart disease
People with rheumatoid arthritis are at increased risk for developing heart disease. In particular, they have a greater likelihood of developing hardening of the arteries (atherosclerosis), which can lead to heart attacks. The connection between heart disease and rheumatoid arthritis is not well understood, but it may relate to infl ammation. People with rheumatoid arthritis have infl ammation in joints and elsewhere in the body. Infl ammation is known to promote atherosclerosis.

Because of this connection, people with rheumatoid arthritis must be carefully evaluated to identify other risk factors for heart disease. These should be addressed to help lower the chances for developing heart disease. Risk factors for heart disease include:
• high blood pressure (more than 140/90 mm Hg)
• total cholesterol greater than 200 mg/dL
• low-density lipoprotein (LDL) cholesterol greater than 160 mg/dL
• high-density lipoprotein (HDL) cholesterol less than 40 mg/dL
• diabetes
• smoking
• family history of heart disease.

Exercise and a healthy diet can help to address these risk factors. If healthy lifestyle changes don’t do the trick, medications to lower blood pressure, cholesterol, and blood sugar should be considered. Some medications used to treat rheumatoid arthritis have been shown to actually lower the risk for dying from heart disease. These include methotrexate and anti-TNF agents. Others, such as NSAIDs, may increase risk.

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