The difference between arthritis and rheumatoid arthritis

Written by Wang Cheng Lin
Orthopedics
Updated on March 26, 2025
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The difference between arthritis and rheumatoid arthritis is significant. Arthritis is a degenerative lesion caused by factors such as obesity, overuse, and trauma, which lead to the degeneration of joint cartilage. Rheumatoid arthritis is caused by acute or chronic inflammation of the connective tissue, commonly referred to as rheumatic fever. Clinically, it is mainly characterized by migratory pain, redness and swelling in the joints and muscles. The cause of rheumatoid arthritis is not yet definite in clinical practice, and the treatments are different. Osteoarthritis mainly results from cartilage degeneration and can be managed with conservative treatment in its early stages, while surgery might be required in the later stages. The treatment for rheumatoid arthritis primarily relies on medications to alleviate symptoms, and this condition may eventually lead to significant deformities of the hands and feet. Therefore, the differences between these two diseases are considerable.

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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 hurt?

Firstly, rheumatoid arthritis belongs to autoimmune diseases and is a chronic condition. The main symptoms include symmetric pain in multiple joints across the body, accompanied by morning stiffness, which is why joint pain occurs and is the most common symptom. The onset is slow for most people, but some experience an acute onset, with joint mobility issues appearing within a few weeks or days. Therefore, this disease cannot be cured; it can only be managed with medications to control symptoms, delay the deformity of joints, reduce disability rates, and enhance the quality of life, which are the objectives of comprehensive treatment. It is important to avoid exposure to cold and fatigue in daily life, avoid contact with cold water, keep warm, also avoid raw and cold foods, spicy and irritating foods, and eat more light, easy-to-digest, and high-protein foods to boost the immune system.

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Written by Li Jing
Rheumatology
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Rheumatoid arthritis symptoms

Rheumatoid arthritis is categorized as an autoimmune disease and is a chronic autoimmune condition that is destructive to joints. It is primarily characterized by symmetric polyarthritis, with clinical manifestations varying significantly among individuals. Most cases begin gradually, initially presenting with symmetrical pain and swelling in the wrists. This often accompanies morning stiffness, fatigue, low-grade fever, muscle pain, or weight loss. In a minority of cases, the onset is more abrupt, with typical clinical manifestations appearing within a few days, including joint dysfunction, morning stiffness, and joint pain and swelling. Joint deformity is a later manifestation of the disease, indicating that the disease was not well-controlled, leading to joint damage.

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Written by Li Jing
Rheumatology
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Rheumatoid arthritis commonly occurs at what age?

Rheumatoid arthritis is primarily a chronic systemic autoimmune disease characterized by pain in multiple joints throughout the body. The causes of the disease are not yet clear, but it is believed to be related to a combination of genetic, infectious, and environmental factors. The main pathological basis of the disease is synovitis. It commonly occurs in individuals aged between 35 and 50, and is more prevalent in females, with a significantly higher incidence rate in women than in men. Additionally, this disease can lead to disability and loss of work capacity. Therefore, early diagnosis and standard treatment are crucial. Once the condition stabilizes, the dosage should be gradually reduced to maintain the disease in a stable state.

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Written by Yang Ya Meng
Rheumatology
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What causes rheumatoid arthritis?

The causes of rheumatoid arthritis are mainly classified into four categories, First, environmental factors, such as living in dark, damp conditions for a long period, may trigger the onset of rheumatoid arthritis. Second, genetic factors, the probability of developing rheumatoid arthritis significantly increases if a parent has the condition. Third, rheumatoid arthritis often relates to estrogen, thus it is more commonly seen in female patients clinically. Fourth, rheumatoid arthritis is also associated with certain infections, including some viral and bacterial infections.