Is joint pain rheumatoid arthritis?

Written by Cheng Bin
Orthopedics
Updated on September 05, 2024
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Firstly, it should be noted that there are many causes of joint pain in clinical practice, and it is not necessarily caused by rheumatoid arthritis. Of course, rheumatoid arthritis can also cause joint pain in patients. In addition, there are some other reasons, for example, local joint bacterial infection in patients can also cause joint pain. Furthermore, joint injuries leading to fractures, dislocations, soft tissue damage, ligament injuries, and meniscus injuries can also cause joint pain. Additionally, the presence of osteoarthritis or gouty arthritis can similarly lead to joint pain in patients.

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Written by Yang Ya Meng
Rheumatology
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The difference between osteoarthritis and rheumatoid arthritis.

Osteoarthritis is primarily a degenerative joint disease, most commonly occurring in weight-bearing joints and the distal joints of both hands. Therefore, if there is pain in the distal joints of the hands or in joints like the knee, it may be osteoarthritis. Rheumatoid arthritis mainly affects the metacarpophalangeal joints, proximal interphalangeal joints, and both wrists. It is also important to distinguish that in patients with osteoarthritis, inflammation indicators such as sedimentation rate, C-reactive protein, and endocrine factors are usually normal. However, in patients with rheumatoid arthritis, these indicators, including sedimentation rate, C-reactive protein, and rheumatoid factor, are abnormally elevated.

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Written by Li Jing
Rheumatology
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Does rheumatoid arthritis cause fever?

Rheumatoid arthritis is categorized as an autoimmune disease, primarily characterized by swelling and pain in multiple joints, particularly in the wrists or ankles. It also causes morning stiffness, and may be accompanied by fatigue, low fever, muscle soreness, and even weight loss. The onset of the disease is generally gradual for most people, and symptoms can vary significantly from one individual to another. A minority of patients may experience a rapid onset of symptoms, developing joint problems within days or weeks. Therefore, during the acute phase of rheumatoid arthritis, patients may experience a mild or moderate fever. However, it is important to differentiate whether this fever is due to an infection or the activity of the disease itself. This can be determined through regular blood tests, erythrocyte sedimentation rate (ESR), C-reactive protein, and related symptoms.

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Written by Li Jing
Rheumatology
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Can people with rheumatoid arthritis have children?

Rheumatoid arthritis is a systemic autoimmune disease primarily affecting multiple joints throughout the body and cannot be completely cured. Research by experts has linked it to genetic and environmental factors. Therefore, patients with rheumatoid arthritis can have children, but this depends on whether their condition is in a stable phase. If the condition is active and medication is being used, then it is not advisable to become pregnant at this time. Decisions about having children should be made in consultation with your specialist, or your primary care physician, under their guidance and advice. Firstly, the condition should be stable and the medication reduced to the minimum. Additionally, during pregnancy, it is essential to monitor the side effects of the medication.

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Written by Yang Ya Meng
Rheumatology
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Characteristics of rheumatoid arthritis in the hand

The key hand features of rheumatoid arthritis primarily manifest as symmetrical joint swelling and pain in both hands in the early stages. These swollen and painful joints include both wrist joints, bilateral metacarpophalangeal joints, and bilateral proximal interphalangeal joints. Rheumatoid arthritis rarely affects the distal interphalangeal joints of the hands. In the later stages of rheumatoid arthritis, due to the destruction of the hand joints by synovitis, some patients may develop deformities in the hand joints, commonly including ulnar deviation, swan neck deformities, or boutonniere deformities. Some patients may experience significant stiffness leading to limited mobility of the hand joints.

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Written by Li Jing
Rheumatology
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How to cure rheumatoid arthritis?

Firstly, rheumatoid arthritis is an autoimmune disease that can affect multiple joints throughout the body and has an unclear etiology, meaning it cannot be cured. It can only be managed with medications to control the progression of the disease, alleviate symptoms, and delay the appearance of joint deformities. Therefore, it is essential to undergo standardized and formal treatment. Once the condition stabilizes, the dosage of the medication should gradually be reduced to maintain stability. Do not believe in folk remedies or rumors that claim this disease can be cured; it cannot be cured. During the treatment process, it is important to regularly monitor complete blood counts, liver and kidney functions, electrolytes, and other relevant indicators to avoid damage to liver and kidney functions due to long-term use of medications.