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. The outlook for people with RA has greatly improved due to advances in research and therapies.
Rheumatoid arthritis can be one of the most painful types of arthritis; it affects joints as well as other surrounding tissues, including organs. This inflammatory, autoimmune disease attacks healthy cells by mistake, causing painful swelling in the joints, like hands, wrists and knees.
RA is symmetrical, where a patient feels symptoms in the same spot on both sides of the body, often in the joints in the feet and hands. Osteoarthritis, in contrast, begins in an isolated joint, often in the knee, fingers, hands, spine and hips. While both sides may hurt, one side is more painful.
The main difference between osteoarthritis and rheumatoid arthritis is the cause behind the joint symptoms. Osteoarthritis is caused by mechanical wear and tear on joints. Rheumatoid arthritis is an autoimmune disease in which the body's own immune system attacks the body's joints. It may begin any time in life.
Secondary Osteoarthritis
That medical condition can be RA because of the damage it does to your joints. 3 However, that's not always the case in someone with RA who develops OA. The co-occurrence can be just a coincidence.
The symptoms of rheumatoid arthritis often develop gradually over several weeks, but some cases can progress quickly over a number of days. The symptoms vary from person to person. They may come and go, or change over time. You may experience flares when your condition deteriorates and your symptoms become worse.
The main treatments for the symptoms of osteoarthritis include: lifestyle measures – such as maintaining a healthy weight and exercising regularly. medication – to relieve your pain. supportive therapies – to help make everyday activities easier.
Can an X-ray show the difference between OA and RA? Yes. Joints in RA look different than joints in OA. That's why X-rays are a helpful tool for figuring out the cause of joint pain.
Early rheumatoid arthritis tends to affect your smaller joints first — particularly the joints that attach your fingers to your hands and your toes to your feet. As the disease progresses, symptoms often spread to the wrists, knees, ankles, elbows, hips and shoulders.
Osteoarthritis (OA) is the most common form of arthritis. Some people call it degenerative joint disease or “wear and tear” arthritis.
NSAIDs are the most effective oral medicines for OA. They include ibuprofen (Motrin, Advil) naproxen (Aleve) and diclofenac (Voltaren, others). All work by blocking enzymes that cause pain and swelling.
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.
Get Physical
Physical activity is the best available treatment for OA. It's also one of the best ways to keep joints healthy in the first place. As little as 30 minutes of moderately intense exercise five times a week helps joints stay limber and strengthens the muscles that support and stabilize your hips and knees.
Regardless of the joint that is affected, osteoarthritis is revealed on conventional radiographs (X-rays) by characteristics that are distinct from other joint disorders, such as rheumatoid arthritis.
The main symptoms of osteoarthritis are pain and sometimes stiffness in the affected joints. The pain tends to be worse when you move the joint or at the end of the day. Your joints may feel stiff after rest, but this usually wears off fairly quickly once you get moving. Symptoms may vary for no obvious reason.
There is no evidence that osteoarthritis alone decreases life span. Some studies find that people with osteoarthritis have a higher mortality rate than people of the same age but without osteoarthritis.
It's also strongly linked to conditions that can cause long-term pain, such as fibromyalgia, polymyalgia rheumatica and complex regional pain syndrome. People with osteoarthritis have also reported having fatigue.
Researchers think it's caused by a combination of genetics, hormones and environmental factors. Normally, your immune system protects your body from disease. With rheumatoid arthritis, something triggers your immune system to attack your joints. An infection, smoking or physical or emotional stress may be triggering.
Heart disease should be considered a serious cause for concern among people with RA, even those who've yet to reach middle age.
People with rheumatoid arthritis typically have several permanently inflamed joints. The inflammation inside the body can lead to general physical weakness, drowsiness and exhaustion. This feeling of extreme tiredness is also called "fatigue." Some people find this to be the worst symptom of the disease.