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Advice For Rheumatology (Rheumatoid Arthritis)

MD - General Medicine, Fellow [FACE]
Rheumatologist & Immunologist, Kangra
Advice For Rheumatology (Rheumatoid Arthritis)

Based on latest data available till date.

Maintain social distancing
➢ wash your hands frequently and use sanitisers
➢ use face mask
➢ do not go out of home unnecessarily

▪ patients of rheumatology like rheumatoid arthritis, sle, ankylosing spondylitis, vasculitis are not at 
Increased risk of getting coronavirus as compared to the general population
▪ well controlled disease or arthritis offer better protection against any infection including coronavirus,
As compared to the uncontrolled disease
▪ patients should not stop taking their medicines without asking the doctor
▪ covid-19 disease behaves similar to that of general population in patients taking rheumatology 
▪ patients taking biological medicines, high dose steroids or cyclophosphamide, elderly should takes
Extra precautious and should maintain social distancing and must not go out of their homes 
▪ as of date there is no hard evidence that hydroxychloroquine prevents infection from coronavirus.

1 person found this helpful

Rheumatoid Arthritis - How To Treat It?

Dr.Rajeev Siwach 91% (19ratings)
MBBS, MS - Orthopaedics
Orthopedic Doctor, Jodhpur
Rheumatoid Arthritis - How To Treat It?

Rheumatoid Arthritis is an autoimmune condition wherein the body’s immune system mistakenly attacks the linings of the joint. This condition affects both sides of the body including the eyes, hands and legs. Unlike the depreciating damage of osteoarthritis, rheumatoid arthritis causes a distressful swelling that consequently leads to bone deformity and even erosion. As such, it is one of the more important characteristics of the condition which distinguishes it from other forms of arthritis. It often leads to debilitating disabilities.

Risk factors and complications
Factors such as obesity, smoking, age (affects mostly after the age of 40) and many environmental factors increase the risk of Rheumatoid arthritis. In severe cases, rheumatoid arthritis can lead to a plethora of other conditions such as:

  1. Dry mouth and eyes
  2. Osteoporosis
  3. Abnormal body composition

Blood and imaging tests will first be carried out. Based on such diagnosis, you may be advised medications such as steroids or Nonsteroidal anti-inflammatory drugs (NSAIDS). Now in case of severe pain, one would have to take to surgery. Varying surgeries work on different joints of the body and some of these include:

  1. Arthroplasty: This procedure replaces all or a part of the joint for instance, the knee or the hip.
  2. Arthroscopy: A procedure that helps pull out inflamed tissue or debris from the required joint with the help of light, small instruments.
  3. Cervical spinal fusion: Pressure on the median nerve is eased with this procedure.
  4. Hands and foot surgeries: These procedures help correct dysfunctional joints of the hands, fingers, legs, and toes.
  5. Synovectomy: Synovectomy helps remove more intricate tissues which are inflamed or otherwise.

What to consider before you opt for one?
Although these various surgeries often restore almost normal movements in the patient, they can only do so in two or possibly three joints. And of course, it goes without saying that you should consult with an orthopaedist orthopaedic surgeon) experienced in arthritis and joint surgeries before opting for such.

1280 people found this helpful

Knee Replacement & Rheumatoid Arthritis - How Former Can Help Latter?

Dr.Jyoti Prakash 88% (39ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics
Orthopedic Doctor, Kolkata
Knee Replacement & Rheumatoid Arthritis - How Former Can Help Latter?

You may have reached a ripe age with all the worldly knowledge at your disposal to share with the world. You may have reached a stage where you no longer feel like a learner in important areas of life and could easily be someone who has the experiences and the expertise to help people out in times of their trouble.

However, you may also be at a juncture where your knees in particular may not be your best friends anymore. You may be facing a lot of joint issues and the knees may be a pair of joints that give you immense pain and discomfort when you climb stairs, walk some distance or even just stand or sit. It is very likely that you may be suffering from rheumatoid arthritis and may experience unbearable pain in a lot of joints of the body.

Though when you are afflicted with rheumatoid arthritis, you feel pain in more than one joints, but the knees are the worst affected areas in most cases and a lot of patients are advised to undergo a knee replacement surgery to be able to control the pain. There may be a lot of debates and doubts about whether a person suffering from RA should go under the knife to experience a new life after the surgery.

Some may not agree:
Just as all things have two sides to them, there are those who may be in favour of a knee replacement surgery and those who may not suggest taking the surgery. The reasons why a lot of experts may not favour the surgery include reasons such as the recovery period may take too long, though the surgery may be carried out for the knee joints, it may not be able to help in bringing down the pain in the other joints and arguments such as the replacement surgery may not be absolutely successful all the time.

Here is why you should get it:
Though the patients may have to go through pain in getting a set of new knee joints, there are a lot of reasons that help the patients in taking up the resolve to get the surgery done. Here are a few reasons why it may be the thing to do:

  1. The surgery help you get back in time when you were able to lead a life free of pain in the knees. While the other joints may experience pain when you suffer from RA, the pain in the knees comes across as the most painful and when that is tackled, more than half the battle is won.
  2. While it may be easy to tackle the pain in the other joints through simple physio exercises, it is difficult to manage the knee joint pain and a surgery may be the ultimate relief for the problem.
  3. When a major pain region such as the knee is tackled, it becomes simpler to handle the other joints and the problem of RA may be resolved entirely.

With such advantages from the surgery, it may make sense to a lot of people to get over with the procedure and experience a better quality of life.

1345 people found this helpful

Rheumatoid Arthritis - Effective Management Of It!

Dr.Pranjal Pankaj 87% (37ratings)
MBBS, MD - Internal Medicine
Internal Medicine Specialist, Kanpur
Rheumatoid Arthritis - Effective Management Of It!

Over time, our joints, connective tissues and muscles go through a lot of wear and tear. Additionally, certain conditions may also cause problems, including inflammation and conditions that create persistent pain. These conditions usually fall under the broad category of arthritis, which can be of many types. Rheumatoid arthritis (RA) happens when your immune system targets your joints and causes inflammation. RA influences the joints on both sides of the body, for example, both hands, wrists and knees. This symmetry separates it from other kinds of arthritis. It can affect the skin, eyes, lungs, heart, blood, or nerves.

Various signs of inflamed joints are as follows:

  1. Stiffness: Functioning of the joints becomes rigid and doesn't move properly. It is particularly severe in the morning. While those with different types of arthritis have stiff and immobile joints in the morning, people with rheumatoid arthritis take over 60 minutes before their joints feel free.

  2. Swelling or Inflammation: Liquid enters the joint and gives rise to inflammation.

  3. Extreme pain: Irritation inside a joint makes it painful and delicate even to touch. In a chronic condition, this may also lead to fractures.

  4. Redness and warmth: The joints might appear hotter and more pink or red than the skin around it.

Needless to say, your lifestyle choices affect all aspects of your physical wellbeing, and that also include your joints- especially if you are suffering from arthritis.  It’s a common theory, that joints which are strained and stressed by bearing the burden of extra pounds show more inflammation, wear and tear and stiffness which lead to aggravation of arthritic pain. Here are a few holistic approaches to consider; certain changes in your existing lifestyle that can help you to reduce your arthritic pains:

  1. First and foremost, it’s important that you must indulge in plenty of exercises every single day, to keep pounds off and thus help yourself handle this degenerative disease.
  2. In case of creating a healthy diet plan, stick to low calorie and low carb foods. Also be sure that you are consuming lots of vegetables and fruits in your diet. This also helps you to keep fit and put a break on the obesity factors that are detrimental to your health.
  3.  As even a few extra pounds can worsen arthritic pain, keep track of your weight and talk to your orthopedic doctor to determine your optimal and healthiest weight. Focus on this prescribed weight coefficient and keep tracking your weight loss patterns unless you have reached your goal.
  4. Cut down on alcohol. There has never been a finer alternative to that. 
  5. Feeling depressed or stressed by arthritic pain is a common syndrome among arthritic patients. Nevertheless, on the flipside, such reactions actually worsens the agony of this disease and inhibit you from doing what you need to do, such as taking medications and exercising to keep yourself fit at the end of the day. 

Although admittedly, making drastic modifications in your lifestyle can be painful and difficult at first, these are the best remedies for easing arthritic pain in a natural way.
Don’t just rely on medications, take control of your disease in a holistic manner and you’ll soon find yourself in control of your life again.


If rheumatoid arthritis is not treated immediately after diagnosis, it might cause further complications in the future such as lymphatic blood cancers, osteoporosis (a medical condition resulting in brittle and weak bones), blockage of the arteries and dry mouth syndrome (Xerostomia).

The treatment of rheumatoid arthritis includes:

  1. Prescribed dosage of non-steroidal anti-inflammatory drugs such as Ibuprofen and Naproxen, anti-rheumatoid drugs such as Methotrexate and steroidal drugs such as Prednisone help in reducing inflammation and pain. The dosage depends on the intensity of the condition.
  2. Performing regular exercises which will help you retain flexibility of the joints and subsequently cure rheumatoid arthritis.
  3. In extreme cases, the doctor might suggest surgeries such as:
    • Synovectomy: A surgery that removes the damaged portion of the joint
    • Joint fusion: This option will realign the joint and reduce the pain If you wish to discuss about any specific problem, you can consult a internal specialist.
1800 people found this helpful

How Does Siddha Treat Rheumatoid Arthritis?

Siddha Specialist, Chennai
How Does Siddha Treat Rheumatoid Arthritis?

Rheumatoid arthritis refers to a chronic, inflammatory disease that affects the joints and the surrounding tissues. The condition attacks the lining of your joints, especially in the legs and arms, known as the synovial membrane. This leads to painful swelling, and may eventually result in joint deformity and bone erosion.

Early Signs of Rheumatoid Arthritis -

The initial symptoms of rheumatoid arthritis include the following –

• Swelling, warmth and tenderness in the affected joints
• Morning stiffness that may persist for long
• Firm bumps of tissues – known as rheumatoid nodules – beneath the skin of your arms
• Unintentional weight loss

Siddha Approach to Rheumatoid Arthritis -

According to traditional Siddha system, the signs of rheumatoid arthritis bear resemblance to two diseases – Vazhi azhal keel Vayu, and Uthiravatha suronitham. This has been mentioned in Siddha literature.
Uthiravatha suronitham occurs results from derangement of the humour Vatha. Symptoms include swelling and pain in smaller joints, loss of appetite and mental distress.
Vazhi azhal keel Vayu is caused due to derangement of Pitta and Vatha humour. Symptoms involve abdominal discomfort, lack of sleep, pricking pain, swelling and redness – particularly in the ankle and wrist joints.
Siddha system resides on the principle that consumption of certain foods, like potatoes and raw unripe bananas produce more vayu in the intestine, which eventually causes inflammation in the joints. Exposure to rain and cold air also aggravate the Vatha and Pittham humour.

Treatment and Management -

Treatment in Siddha is particularly aimed at restoring the balance of elevated Vatha and Pittham humour through medication and purgation. A healthful diet is recommended to rejuvenate the physical constituents.

• Avoiding cold and sour food items, such as curd and tamarind can help balance Vatham and prevent progression of the disease
• Salt intake and non-vegetarian foods, especially red meat should be avoided strictly
• Avoid alcohol consumption, smoking and tobacco – it promotes inflammation of the joints

Besides dietary changes and restrictions, Siddha treatment largely relies on medicines prepared from natural plant extracts and herbal oil. Some of these medicines are consumed orally, while others may be applied to affected joints to counter rheumatoid arthritis.

Rheumatoid arthritis is a debilitating condition that is likely to interfere with your daily activities and functional abilities in the long-term. Siddha treatment approach can offer relief from rheumatoid arthritis symptoms and improve your quality of life.

2360 people found this helpful

Rheumatoid Arthritis - What Causes It?

Dr.Sanjeev Kumar Chhaparia 93% (74ratings)
MBBS, MD - Internal Medicine, Senior Residency - Internal Medicine
General Physician, Patna
Rheumatoid Arthritis - What Causes It?

Rheumatoid Arthritis is a dreaded disease, but not a fatal one. Sounds contradictory? Not really. People suffering from Rheumatoid Arthritis can experience severe pain and deformity. However, it is not likely to cause death.

It is a progressive disease that starts with pain and may end up deforming the affected joints. One may have to put up with pain and deformity for the rest of life. If not treated, the disease can also spread to other organs such as eyes, skin, lungs, kidneys, heart etc.

Causes of Rheumatoid Arthritis

A unique aspect of Rheumatoid Arthritis is that it is not precipitated by the wear and tear of joints, like Osteoarthritis. It is an autoimmune disorder that is precipitated when the immune system of the body attacks the joints and stokes inflammation in the joint linings. The lining thickens due to inflammation and destroys the cartilage and the bones in the underlying joint. As the health of the cartilages and bones deteriorate, the tendons connecting the bones to the muscles become weak. This makes the joint lose its shape and alignment and thereby precipitates deformity in the joints.

However, doctors are not yet sure of the reasons for the autoimmune disorder.

Symptoms of Rheumatoid Arthritis

If someone is suffering from this disease, then he / she might experience the following in the affected joints:

Swollen, tender and warm

Stiff and painful. The stiffness and pain may become worse in the morning.

One may also suffer from fever, fatigue or weight loss.

Risk factors

Although the causes of Rheumatoid Arthritis are unknown, there are certain risk factors.

 1. Gender

More women suffer from this disease than men.

2. Age

It can occur at any age, but it is more common among adults between the ages of 40 and 60 years.

 3. Heredity

If one or more members of the family has or had suffered from Rheumatoid Arthritis, he/she is at an increased risk.

4. Smoking

Smoking not only increases the susceptibility to Rheumatoid Arthritis but also the severity of the disease. Over and above, if a person is genetically predisposed to this disease, smoking multiplies the risk.

5. Certain Exposure

Exposure to certain stuff like silica, asbestos etc increases the risk of Rheumatoid Arthritis.

6. Obesity

It has been observed that people who are obese are more likely to suffer from Rheumatoid Arthritis.

Treatment of Rheumatoid Arthritis

Doctor can treat the condition only after he has diagnosed the condition. People suffering from Rheumatoid Arthritis rarely show any distinctive symptoms, at least in the early stages. Many of the symptoms mimic the symptoms of other diseases. There is no confirmatory blood or any other test. The doctor has to depend on physical examination and some concomitant tests to confirm the diagnosis. This is why the disease is often diagnosed at an advanced stage. However, as soon as the disease is diagnosed, the doctor may prescribe strong anti-rheumatic drugs. This can bring down the symptoms and pain to some extent.

3906 people found this helpful

World Arthritis Day - Daily Hand Exercises That Can Vanish Arthritis Pain!

MBBS, MS - Orthopaedics, Fellowship in Hand Micro Surgery
Orthopedic Doctor, Ahmedabad
World Arthritis Day - Daily Hand Exercises That Can Vanish Arthritis Pain!

World Arthritis Day(October 12) is a day to remember and raise awareness of this condition, and how it affects the lives of those that suffer with it. Arthritis is a type of pain in your bones and joints. It is mostly caused over the age when your joints and bones start to grow weaker. In some cases, it is likely to happen earlier as well. However, there are certain ways with which you can cure arthritis pain.

There are some exercises that can help you reduce the pain and improve your range of motion. Before you start up with your exercise, soak your hands in a warm bowl of water as it reduces the amount of stress in the joints. Here are a few exercises:

  1. Make a fist: Making a fist with your fingers can help you improve the stretching capacity and flexibility of your bones. Try to stretch till the point where you start to feel the tightness. You will not feel any kind of pain. However, your goal is to get rid of the tightness step-by-step. Remember to wrap your thumb around the fingers as you do so.
  2. Stretch your fingers: You need to try this stretch in order to improve the movement and the range in which your fingers move. Place your hand on a flat surface with your palm down. Now straighten your fingers as far and as flat as you can without putting any force on your joints to do so. Repeat this procedure 10 to 15 times in two sets.
  3. Claw stretch: Hold out your hand in front of yourself with the palm facing you and bend the tips of your fingers down so that they touch the base of each finger joint. Your hand should be looking like a claw while you do this exercise.
  4. Strengthen the grip: This exercise makes it easier for you to open bottles, doorknobs and hold things properly without being afraid of dropping them. Take your palm and make a soft fist then squeeze it as hard as possible. Now hold it for a few seconds and release.
  5. Strengthen the pinch: This exercise makes your finger muscles stronger. It can help you in your daily chores like opening food packets and turning the keys. All you need to do is try and pinch a softball made of foam with the tip of your fingers. Now hold this position for about 30 to 60 seconds and then let go. Repeat this five to six times.
  6. Finger lift: This helps to increase the flexibility in your fingers. Place your hand flat on a table and then lift one finger at a time. Repeat this 10 times.
  7. Thumb extension: Strengthening thumb muscles helps you lift heavy things. Wrap a rubber band around at the base of your finger joints and place it flat on a table. Now gently try to pull your thumb away from the rest of the fingers.
  8. Flex your thumb: Place your palm up with the hand in front of you. Stretch the thumb away from the rest of the hand. Then bend it across the palm so that it touches the base of your little finger.
1311 people found this helpful

High Heel And Its Menace

Dr.Abhishek Vaish 88% (13ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics, MCh (Ortho), DNB (Orthopedics)
Orthopedic Doctor, Delhi
High Heel And Its Menace

Top 5 problems with high heels:

1. Claw toes
2. Early small joint arthritis
3. Alteration of weight-bearing axis and biomechanics of the body.
4. Excessive forefoot loading
5.40% increased the chances of sustaining falls.

2 people found this helpful

Rheumatoid Arthritis - How Homeopathy Can Cure It?

Dr.Jayvirsinh Chauhan 94% (34257ratings)
MD - Homeopathy, BHMS
Homeopathy Doctor, Vadodara
Rheumatoid Arthritis - How Homeopathy Can Cure It?

Rheumatoid Arthritis is a chronic progressive autoimmune disease causing inflammation in the joints and resulting in painful deformity and immobility, especially in the fingers, wrists, feet, and ankles. This makes it one of the most dreaded types of Arthritis. Such symptoms are not observed in Osteoarthritis, the most common arthritic condition.

The difference between Osteoarthritis and Rheumatoid Arthritis can be put simply. In Osteoarthritis, degeneration of tissue leads to bone erosion and that precipitates the condition. In Rheumatoid Arthritis, the disease condition precipitates cartilage degradation, which abates Bone Erosion. The problem is aggravated by the obvious absence of effective medicines and treatment options.

However, one can take the help of Homeopathy to alleviate the conditions to a large extent. Homeopathy can help in all round management of the disease condition.

Causes of Rheumatoid Arthritis

  • The cause of Rheumatoid Arthritis is radically different from degenerative Arthritic conditions.

  • In Rheumatoid Arthritis, the immune system attacks the lining of the joints, the Synovium. This results in inflammation of the tissue leading to its thickening. Over time, the thickened Synovium has the effect of degrading the joints and cartilages in a joint.

  • Gradually, even the Ligaments and Tendons weaken resulting in the joint losing its alignment and shape. This results in deformities which are not curable so far.

Symptoms of Rheumatoid Arthritis

Symptoms include:

  • Tender, swollen and worn joints

  • Joint stiffness. This is one of the most common symptoms of Rheumatoid Arthritis. It is usually worse after a period of inactivity, as well as in the mornings.

  • Fever, Fatigue and Weight loss

  • Smaller joints like fingers, wrists etc. are usually affected first unlike Osteoarthritis. In Osteoarthritis, the big joints like knee, shoulder, ankle etc. are mostly affected.

  • You may also suffer from problems not related to joints at all. You may suffer from problems with lungs, heart, eyes, skin, nerve tissue, kidneys, blood vessels, bone marrow etc. However, these are the fallouts of long-standing suffering from Rheumatoid Arthritis and not an initial symptom.

Homeopathic Cure of Rheumatoid Arthritis

A study published in the British Journal of Clinical Pharmacology has shown that there is a significant improvement in Joint articular index, Pain, Grip strength and Stiffness in patients administered with homoeopathic medicines over a fixed period. Moreover, no side effect was observed in patients who were given Homeopathic medicines.

The Unique Aspects Of Homeopathy in Treatment of Rheumatoid Arthritis

What is important in Homeopathy is to get a complete history of the patient. The patient needs to talk to the doctor in detail starting with the onset of symptoms. The doctor may also ask questions about social and family backgrounds. They ask such questions to make sure that they can establish some kind of a link between the onset of Rheumatoid Arthritis and patient’s habits, social interactions, family interactions etc.

Based on these details, doctors choose a medical course for the patient. Homeopathic may not provide instant relief but will work in the long run, as it cures the root of the disease along with curing the disease.

Consulting an experienced Homeopathic Doctor with specialization in Arthritis is suggested for treatment of Rheumatoid Arthritis.

10853 people found this helpful

Arthritis - Know Ayurvedic Way Of Tackling It!

Dr.Suganya V 88% (121ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Chennai
Arthritis - Know Ayurvedic Way Of Tackling It!

Inflammation and resultant pain in the joints are usually the basic tenets of Arthritis. This joint disorder can be painful and often, a debilitating one. It can also make the joints stiff. There are many ways of dealing with this problem, but with Ayurveda, one can get to the root cause of the ailment and its presence. This helps in taking a well rounded holistic approach towards treating it with ancient know how that revolves around improving the immune system and building better health which is vital. Arthritis is known as Sandhivat in Ayurvedic jargon. Read on to find out how Ayurveda can help in dealing with Arthritis.

Herbs: One can make use of various herbs that contain Linoleic Acid to help in providing lubrication to the joints so as to prevent pain and stiffness. These herbs include Borage seed oil which is extracted from borage seed, Evening Primrose oil, Blackcurrant seed oil, Capsaicin, Curcumin, Feverfew, Flaxseed oil and a standard Ayurvedic concoction that combines Ashwagandha, Gugulla, ginger, cumin and haldi or turmeric. These substances can help in treating the joints that are suffering from the pain of Arthritis.

Diet: In Ayurveda, to treat ailments like Arthritis, it is usually recommended that a patient should start by flushing out the bodily toxins from within. Diet is one of the ways in which this can be done. A detoxification diet to clean the colon would be one of the foremost ways of doing a cleanse. Further, in one's daily diet, there should be a good dose of vegetables, fruits and other juices. Also, one must have plenty of herbs and spices which can be used to season the food. Curd should generally be avoided and garlic should be used liberally. The various properties help in an inside out cleanse that will help the system function in a better manner so that the treatment of ailments is also effectively supported.

Exercise: In Ayurveda, a certain amount of daily exercise which spans at least 45 minutes to one hour, is a must. A pattern of healthy eating, restful sleep and exercise is what usually helps in treating ailments like Arthritis. For this ailment specifically, light exercise like walking is recommended. Various Yoga asanas that involve sitting, standing, balancing and lying down poses, as well as restful poses, will also help in treating knee, shoulder and lower back pain specifically. Also, mustard oil massages can help in reducing the pain.

These are a few ways in which Ayurveda can help the Arthritis patient live a more normal life with minimal pain.

1536 people found this helpful

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