Balance Rest and Activity
But try not to stay in bed for more than a day or two. Spending too much time lying on the bed or sofa will make you stiff and increase your pain. Once you start to feel a bit better, get up, stretch, go for a walk, and continue with as many of your usual activities as possible.
The length of time an RA flare lasts can vary widely, from a few hours to several days or weeks. If a flare does not improve after 7 days, it may be a good idea to contact a physician. The doctor may suggest adjusting the person's medication.
Flare Types and Triggers
Overexertion, poor sleep, stress or an infection like the flu can all set off RA symptoms. With a predictable flare you'll temporarily feel worse, but your symptoms will resolve in time. Unpredictable flares have more uncertainty associated with them.
A mild flare may last a few days and go away on its own. A severe flare may last longer. In some cases, a flare is the first sign that your rheumatoid arthritis (RA) is getting worse. For some, a flare may go away sooner when your doctor changes or adjusts your medication.
The most common triggers of an OA flare are overdoing an activity or trauma to the joint. Other triggers can include bone spurs, stress, repetitive motions, cold weather, a change in barometric pressure, an infection or weight gain. Psoriatic arthritis (PsA) is an inflammatory disease that affects the skin and joints.
“Most patients describe 'flare ups' as a sudden increase in pain, stiffness, and swelling of the joints of the body,” she notes. Other common RA flare up symptoms include limited joint mobility along with severe fatigue and symptoms that mimic the flu. Note that your symptoms' frequency and severity may vary.
If on top of the joint pain, the joint also appears to be extremely swollen, the next step should be definitely to head over to the ER to be assessed. If the joint pain is accompanied by fever and chills, then this also should be reason enough to ensure you visit an ER as soon as you can.
Vitamin B6: Research seems to show inflammation from RA lowers B6 levels which in turn makes the inflammation worse. In addition, the NSAIDs that many people use to treat their inflammation lowers B6 levels in people with RA. You and your doctor should monitor B6 levels and supplement where needed.
Research from 2017 also recommends people living with RA eat probiotic yogurt and spices like turmeric and ginger, which have anti-inflammatory properties. In fact, the results of multiple studies suggest that turmeric and curcumin can prevent and combat inflammation.
Such foods include sugary snacks and drinks, white-flour bread and pasta, and white rice. A spike in your blood sugar prompts the body to produce pro-inflammatory chemicals called cytokines, which can worsen your RA symptoms if the inflammation affects your joints.
Try to get plenty of rest during a flare-up, when your joints can be particularly painful and inflamed. Putting further strain on very swollen and painful joints can often make the pain and inflammation worse.
You're Having a Flare
You might also have a mild fever, fatigue, and feel sick all over. To treat a flare, your doctor might adjust your medicine to lower the inflammation. To feel better, get more rest and apply hot or cold packs to sore, swollen joints.
The joint pain associated with rheumatoid arthritis is usually a throbbing and aching pain. It is often worse in the mornings and after a period of inactivity.
In addition to pain, this disease causes stiffness in the affected joints. You may have difficulty getting out of bed or walking in the morning because of stiff and painful ankles, knees, or feet. This stiffness is usually worse in the mornings and can last for 45 minutes or more.
“If you notice that you cannot move your joints as much or as easily as before, even if you don't have swelling or pain, your RA may be getting worse,” says Dr. Ghosh. Changes in the way joints look or function, which do not improve with changes in RA treatment, can be a sign of disease progression, says Dr.
A person with RA may feel intense pain in their joints during flares. This may feel like sustained pressure, a burning sensation, or a sharp pain. However, people with RA may also experience periods of remission when they feel few to no symptoms. In addition to causing pain in the joints, RA can affect the whole body.
Slow, gentle, flowing exercises like Pilates, tai chi, and yoga help boost your balance and flexibility. They may even ease your pain. Research by the Arthritis Foundation shows that yoga poses, breathing, and relaxation lower joint tenderness and swelling for some people with RA.
A study in 217 people with rheumatoid arthritis noted that among 20 foods, sugar-sweetened soda and desserts were the most frequently reported to worsen RA symptoms ( 2 ). What's more, sugary beverages like soda may significantly increase your risk of arthritis.
Berries pack a double dose of anti-inflammatory properties. All fruits are high in antioxidants, which can help fight inflammation. Additionally, foods like blueberries, raspberries, strawberries and blackberries contain anthocyanins, which reduce inflammation.
The two conditions can cause similar symptoms, but they have different causes and treatments. OA usually affects fewer joints, and its symptoms are generally limited to the joints. The progression of RA is more difficult to predict, and it can cause more widespread symptoms.
Methotrexate is an effective, first-choice medication for RA. Several studies suggest that methotrexate is more effective than other nonbiologic DMARDs, such as sulfasalazine (Azulfidine) and hydroxychloroquine (Plaquenil). It's also effective when used in combination with biologic medications.
Take Your Medication
Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen. Corticosteroids, such as prednisone. Conventional DMARDs, which can slow RA progression and possibly save the joints from permanent damage. Biologic agents, a newer class of DMARDs.