What is Rheumatoid Arthritis?

Rheumatoid arthritis (RA) is an autoimmune condition where your immune system overacts. Instead of just protecting you from bacteria and viruses, it targets your joints, leading to pain, swelling, and inflammation. If not controlled, RA can potentially damage the joints.

What is a Flare-Up?

A flare-up in rheumatoid arthritis is a period of increased disease activity, characterized by increased pain in the affected joints, increased swelling as a sign of inflammation, joints feeling very warm and tender, a reduction in function and capability, and systemic symptoms such as fatigue and reduced activity level.

Duration and Triggers of Flare-Ups

Flare-ups can last from a few days to several weeks. Triggers include stress (emotional, mental, or physical), changes in medication, other active medical issues such as infections, and the natural progression of the disease.

Managing Mild Flare-Ups

A mild flare-up involves a 20-25% increase in overall disease activity and may be managed conservatively. This can include using Tylenol or anti-inflammatory medications as needed, ensuring proper intake of supplements like glucosamine, omega-3, and curcumin, utilizing ice or heat based on comfort, and taking your medication as prescribed, especially after missing doses due to illness or pharmacy delays.

Managing Moderate to Severe Flare-Ups

For a moderate to severe flare-up, which means greater than 25% worsening in symptoms and activity level, notify your prescribing physician or rheumatologist. You may need a short-term steroid burst for quick control. Adjustments in the treatment regimen may be necessary, such as increasing dosage, frequency, or changing medication.

Important Considerations

RA naturally involves fluctuating flares. Frequent or severe flares require treatment regimen adjustments. Brief flare-ups that are well-managed may not need long-term treatment changes. Always work with your treating rheumatologist to tailor the management to your specific needs.