11 Red-Flag Signs Your Rheumatoid Arthritis May Be Getting Worse (2024)

CreakyJoints explains common signs that rheumatoid arthritis (RA) may be progressing according to experts including HSS rheumatologist Nilasha Ghosh, MD.

Dr. Ghosh explained, “Identifying worsening rheumatoid arthritis early will be better for your health, comfort, and quality of life. Untreated disease can lead to complications such as irreversible joint damage and deformity. The goal is to stop the inflammation before it gets to this point.”

Visibly swollen and tender joints can be a common sign. “It is a good idea to monitor which of your joints are affected by pain, stiffness, and/or swelling, as these may change from day to day and may increase over time, especially if your disease is undertreated,” said Dr. Ghosh.

She added, “If you are experiencing flares more frequently, usually manifesting as increased pain, stiffness, and swelling, your RA could be getting worse.”

Fatigue can also be common or a possible indication of high inflammation in the body. “RA fatigue could also lead to poor sleep and mood changes, which will also affect one’s energy,” noted Dr. Ghosh.

Read the full article at Creakyjoints.org.

11 Red-Flag Signs Your Rheumatoid Arthritis May Be Getting Worse (2024)

FAQs

11 Red-Flag Signs Your Rheumatoid Arthritis May Be Getting Worse? ›

She added, “If you are experiencing flares more frequently, usually manifesting as increased pain, stiffness, and swelling, your RA could be getting worse.” Fatigue can also be common or a possible indication of high inflammation in the body.

What are red flag signs of rheumatoid arthritis? ›

Swelling of the PIP and MCP joints of the hands is a common early finding (Pictured below). Wrists, elbows, knees, ankles and MTP are other joints commonly affected where swelling is easily detected. Pain on passive motion is a sensitive test for joint inflammation as is squeezing across the MCPs and MTPs.

What are the signs that RA is getting worse? ›

Increasing Joint Pain and Stiffness

If you notice that your joints are becoming more painful or stiff, especially in the morning or after periods of inactivity, it may indicate disease progression. This discomfort can affect your ability to perform daily activities.

How do you know how bad your rheumatoid arthritis is? ›

Imaging Tests

Magnetic resonance imaging (MRI) and ultrasound may help diagnose rheumatoid arthritis in the early stages of the disease. In addition, these imaging tests can help evaluate the amount of damage in the joints and the severity of the disease.

What is a bad flare up in rheumatoid arthritis? ›

An RA flare can involve an exacerbation of any symptom of the disease, but most commonly it's characterized by intense pain and stiffness in the joints.

What's the worst that can happen with rheumatoid arthritis? ›

If you have rheumatoid arthritis, you're at a higher risk of developing cardiovascular disease (CVD). CVD is a general term that describes conditions affecting the heart or blood vessels, and it includes life-threatening problems such as heart attack and stroke.

How bad can rheumatoid arthritis make you feel? ›

Signs and symptoms of rheumatoid arthritis may include: Tender, warm, swollen joints. Joint stiffness that is usually worse in the mornings and after inactivity. Fatigue, fever and loss of appetite.

What damage does RA do to your body? ›

RA is an inflammatory condition that causes pain and swelling in the joints and can also affect other areas, including the skin, eyes, brain, and cardiovascular system. It can increase the risk of other health problems, such as a heart attack or stroke. Symptoms tend to fluctuate, worsening and improving periodically.

What foods are bad for rheumatoid arthritis? ›

Foods You Should Avoid with Rheumatoid Arthritis
  • Grilled, broiled, or fried meats (and other fried foods). ...
  • Fatty foods full of omega-6 fatty acids. ...
  • Sugars and refined carbohydrates. ...
  • Gluten. ...
  • Preservatives and flavor enhancers. ...
  • Alcohol.
Sep 26, 2018

What is the life expectancy of a person with rheumatoid arthritis? ›

Nevertheless, with the right treatment, many people can live past the age of 80 or even 90 years while experiencing relatively mild symptoms and only minor limitations on day-to-day life.

What is end stage rheumatoid arthritis? ›

End-stage rheumatoid arthritis (RA) is an advanced stage of disease in which there is severe joint damage and destruction in the absence of ongoing inflammation.

What happens if RA goes untreated? ›

In the long term, people with untreated RA may experience worsening disability and joint deformity due to increased joint damage and inflammation. As symptoms worsen over time, people with RA may develop comorbidities, including depressive disorders. These may affect up to 41.5% of people with RA.

What are unusual symptoms of rheumatoid arthritis? ›

  • Hearing problems. ...
  • Snoring. ...
  • Skin rash. ...
  • Trouble breathing, chronic cough, or chest pains. ...
  • Sudden, temporary numbness in the fingers or toes. ...
  • Gum disease. ...
  • Increased fat-to-lean mass ratio. ...
  • Red eyes.

Why do I feel so ill with rheumatoid arthritis? ›

People with rheumatoid arthritis typically have several permanently inflamed joints. The inflammation can lead to 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.

What is often mistaken for RA? ›

Gout. Gout often looks like RA in its late stages, when several joints become painful and inflamed, according to the Arthritis Foundation. Confusing the issue even more is that you can have both conditions at the same time.

What are the 7 diagnostic criteria for RA? ›

Rheumatoid Arthritis
  • Morning stiffness (in/around joints, at least 1 hour before maximal improvement)
  • Arthritis (swelling) of 3 or more joint areas (observed by a physician)
  • Symmetric arthritis (swelling, NOT bony overgrowth)
  • Arthritis of Hand joints (wrists, MCPs or PIPs)
  • Rheumatoid nodules.
  • Rheumatoid factor (serum)

What does Stage 1 rheumatoid arthritis look like? ›

Stage 1: Early RA

These can include joint pain and slight joint swelling, especially in smaller joints like those in the hands and feet. This early stage is critical for diagnosis, as catching the disease early can dramatically affect the treatment outcome.

What is the hallmark symptom of RA? ›

The hallmark symptom of RA is morning stiffness that lasts for at least an hour and sometimes up to several hours. (Stiffness from osteoarthritis, in contrast, usually clears up within half an hour.) Joints may also feel very stiff if not used for long periods of time throughout the day.

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