Rheumatoid arthritis (RA) is a debilitating autoimmune
disorder in which the immune system attacks the joints. Although symptoms come
and go, it’s a chronic disease. If you’ve been diagnosed with RA, you’ll be
dealing with it for the rest of your life. Therefore, it’s important to learn
as much as you can about your diagnosis.
The Centers for Disease
Control and Prevention (CDC) estimate that over 1.5 million American adults
have RA. It’s commonly mistaken for other health issues because it has other
symptoms besides joint pain. Due to the increased risk of related problems,
such as disability, it’s important to have a thorough discussion with your
doctor about your lifestyle habits and an aggressive treatment plan. Consider
the following tips to get the most out of your appointment.
Understanding Symptoms and Diagnosing RA
RA is categorized as an autoimmune disease, which falls in
the same family as multiple sclerosis, type 1 diabetes, and ulcerative colitis.
While RA does indeed affect your joints first, it can have many similar
symptoms to other autoimmune diseases. This’s why, aside from swollen and
painful joints, you might also experience:
- extreme fatigue
- low-grade fever
- morning stiffness
- unexplained weight loss
Left untreated, RA can increase the risk of related
complications, such as deformity, disability, and organ problems. Finding the
right doctor to obtain a diagnosis is crucial.
Types of Doctors Who Treat RA
You’ll likely see a number of different types of doctors
over the course of your RA treatment.
Internist or Family Practice Physician
Your primary care provider (PCP) should be your first stop
if you experience any RA symptoms. Your PCP can give you an RA diagnosis. They
can also refer you to a rheumatologist or other doctor for further treatment.
A rheumatologist has special training in joint and
connective tissue diseases, as well as immunology. If you’re diagnosed with RA,
your rheumatologist will determine the best way to treat you. A rheumatologist
will also monitor your symptoms and test results.
An orthopedist is a surgeon who specializes in bones and
joint diseases and trauma. If your rheumatologist suspects joint damage, you
may be referred to an orthopedist for further tests. This type of doctor will
perform any surgery you need.
Physical therapists help people maintain and restore
movement and function lost to injury and disease. If you have RA, a physical
therapist can help you create an exercise program to improve joint strength and
function. Your therapist may also offer tips for reducing pain.
Occupational therapists help people with disabilities learn
to perform everyday tasks more effectively. If you have RA, an occupational
therapist can teach you ways to live with less pain. This might include
learning new ways to bend or reach for things. Occupational therapists can also
provide assistive devices such as splints and grabbing tools.
How to Prepare for Your First
Your first appointment will ultimately set the tone for your
RA treatment plan. Therefore, preparation is key to making sure your
rheumatologist has all of the information needed to treat your symptoms
properly. Not having enough information can result in more appointments and
perhaps further diagnostic testing to get the data your doctor needs.
First, make sure you can provide a thorough account of your
symptoms. It can help to have a journal or notepad detailing key details, such
- when your symptoms started
- how your symptoms have changed
- whether your symptoms have worsened or spread to
- which joints bother you the most right now
- how your symptoms affect everyday activities
- certain activities or movements that worsen your
Since RA is an autoimmune disorder, genetics are thought to
play a role in its development. This means that you might have a family history
of autoimmune disorders. Your relatives may not necessarily have RA, however. RA
is thought to be related to a gene called HLA-DR4. Ask your family members
about the possibility of RA or other autoimmune disorders that exist in the
family. You’ll also want to provide your doctor with details surrounding your
personal family history, including any other underlying diseases you might
Finally, you’ll want to make a list of all medications and
supplements you take, including those sold over the counter. This can help
prevent the possibility of drug interactions with any RA medications your
doctor may prescribe.
Questions You Might Want to Ask Your Doctor
It helps to prepare for going to see your doctor about RA by
having a list of questions. Some things you might want to ask include:
are the benefits of starting treatment right away?
treatments do you recommend?
are the potential side effects of treatment?
should I deal with RA pain?
there any alternative treatments that might help with my symptoms?
I see any other doctors for RA care?
can you help me cope with the changes RA is making in my daily life?
are the long-term complications of RA?
there any symptoms I should be particularly on the lookout for?
- Do you
think I will need surgery to deal with my RA symptoms?
RA is a chronic, long-term illness. For some people, this
can be very stressful. According to the CDC, some people
with RA develop serious mental health problems, including anxiety, depression,
and chronic insomnia.
Some people get all the support they need from family and
friends. Others find it useful to join a support group for people with RA. You
can ask your rheumatologist whether there’s an RA support group near you.
Taking control of your treatment may also help you cope.
Talk to your doctor about finding ways to manage your symptoms and pain.
Finally, don’t forget to be aware of your limits. It’s
important to stay as active as possible, but pushing yourself too hard can
cause more fatigue and damage. Rest when you need to and don’t be afraid to ask
for help. Taking care of yourself now can help to keep you healthier in the