Rheumatoid arthritis - Symptoms (2024)

The main symptoms of rheumatoid arthritis are joint pain, swelling and stiffness. It may also cause more general symptoms, and inflammation in other parts of the body.

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. Youmay experience flares when your condition deteriorates and your symptoms become worse.

Symptoms affecting the joints

Rheumatoid arthritis mainly affects the joints. It can cause problems in any joint in the body, although the small joints in the hands and feet are often the first to be affected.

Rheumatoid arthritis typically affects the joints symmetrically (both sides of the body at the same time and to the same extent), but this is not always the case.

Pain

Thejoint pain associated with rheumatoid arthritisis usually a throbbing andaching pain. It is often worse in the mornings and after a period of inactivity.

Stiffness

Joints affected by rheumatoid arthritis can feel stiff. For example, if your hands are affected, you may not be able to fully bend your fingers or form a fist.

Like joint pain, the stiffnessis oftenworse in the morning or after a period of inactivity.

Morning stiffness that is a symptom of another type of arthritis, calledosteoarthritis, usually wears off within 30 minutes of getting up, but morning stiffness in rheumatoid arthritis oftenlasts longer than this.

Swelling, warmth and redness

The lining ofjoints affected by rheumatoid arthritis become inflamed, which can cause the joints to swell, and become hot and tender to touch.

In some people, firm swellings called rheumatoid nodules can also develop under the skin around affected joints.

Additional symptoms

As well as problems affecting the joints, some people with rheumatoid arthritis have more general symptoms, such as:

  • tiredness and a lack of energy
  • a high temperature
  • sweating
  • a poor appetite
  • weight loss

The inflammation that's part of rheumatoid arthritis can also sometimes cause problems in other areas of the body, such as:

  • dry eyes– if the eyes are affected
  • chest pain – if the heart or lungs are affected

Find out more about the complications of rheumatoid arthritis.

Page last reviewed: 08 March 2023
Next review due: 08 March 2026

Rheumatoid arthritis - Symptoms (2024)

FAQs

Does rheumatoid arthritis hurt all the time? ›

Rheumatoid arthritis signs and symptoms may vary in severity and may even come and go. Periods of increased disease activity, called flares, alternate with periods of relative remission — when the swelling and pain fade or disappear. Over time, rheumatoid arthritis can cause joints to deform and shift out of place.

How would you describe rheumatoid arthritis pain? ›

Pain. 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.

What is the truth about rheumatoid arthritis? ›

Rheumatoid arthritis (RA) has many physical and social consequences and can lower quality of life. It can cause pain, disability, and premature death. Premature heart disease. People with RA can have a higher risk for developing other chronic diseases such as heart disease and diabetes.

What are the signs that RA is getting worse? ›

An increase in joint inflammation is a clear indication that your RA is worsening. If you notice visible joint swelling and a feeling of warmth or tenderness, it's essential to address these symptoms promptly.

How bad can rheumatoid arthritis make you feel? ›

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.

Does rheumatoid arthritis hurt at rest? ›

Common symptoms of rheumatoid arthritis include: Joint pain at rest and when moving, along with tenderness, swelling, and warmth of the joint. Joint stiffness that lasts longer than 30 minutes. Feeling unusually tired or having low energy.

What part of the body hurts with rheumatoid arthritis? ›

RA can affect almost any joint in the body, and it commonly develops in the fingers, hands, and feet. It usually affects the same joint on both sides, for example, both knees. RA does not affect the sacroiliac joints, which join the spine to the pelvis. In the spine, it only affects two joints in the neck.

What disease can mimic rheumatoid arthritis? ›

Conditions That Can Look Like RA
  • Lyme Disease.
  • Psoriatic Arthritis.
  • Sjögren's Syndrome.
  • Gout.
  • Fibromyalgia.
  • Lupus.
Sep 4, 2022

What type of arthritis is the most painful? ›

Gout is an extremely painful type of arthritis caused by a buildup, overflow and/or inability to process uric acid.

Can you live with RA without medication? ›

Since RA is a progressive disease, you cannot live with it without medical treatment. If you do, the symptoms will gradually get worse and become disabling. There are some natural remedies that you can use to help with some symptoms relief. This includes using essential oils, getting acupuncture, and more.

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 number one cause of rheumatoid arthritis? ›

Rheumatoid arthritis develops because of a combination of genetic and environmental factors, such as smoking and diet. It is unclear what the genetic link is, but it is thought that having a relative with the condition increases your chance of developing the condition.

What time of day is RA worse? ›

In rheumatoid arthritis (RA), clinical symptoms of joint stiffness, pain, and functional disability are commonly most severe in the early morning. These symptoms closely follow the circadian rhythm of the pro-inflammatory cytokine, interleukin (IL)-6.

What are the 7 diagnostic criteria for RA? ›

The new criteria are as follows: 1) morning stiffness in and around joints lasting at least 1 hour before maximal improvement; 2) soft tissue swelling (arthritis) of 3 or more joint areas observed by a physician; 3) swelling (arthritis) of the proximal interphalangeal, metacarpophalangeal, or wrist joints; 4) symmetric ...

What not to do with rheumatoid arthritis? ›

If they sound familiar, it's not too late to get back on track.
  • Not Seeing a Rheumatologist. Your regular doctor may have diagnosed your RA. ...
  • Too Much Couch Time. You need rest, just not too much. ...
  • Canceling Doctor Appointments. ...
  • Not Taking All Your Medications. ...
  • Skipping Medication When You Feel Good. ...
  • Overlooking Your Mood.
Jan 20, 2022

Is rheumatoid arthritis pain constant or intermittent? ›

Rheumatoid arthritis (RA) is a disease of ups and downs. One day, your joints feel pretty good. The next, swelling and pain ratchet up and you can barely get out of bed. These symptom episodes — called flares — can be unpredictable and debilitating.

Does rheumatoid arthritis pain last all day? ›

A flare can last from a few hours to several weeks or longer. How it affects an individual will also vary. For some people, medications can help prevent flares and stop symptoms from becoming severe. Medical treatment and home remedies can also help manage symptoms during a flare.

What is the best pain relief for rheumatoid arthritis? ›

In addition to, or instead of, painkillers such as paracetamol, your doctor may prescribe a non-steroidal anti-inflammatory drug (NSAID). This may be a traditional NSAID, such as ibuprofen, naproxen or diclofenac. Or your doctor may prescribe a type called a COX-2 inhibitor, such as celecoxib or etoricoxib.

What else feels like rheumatoid arthritis? ›

Lupus and Scleroderma

Systemic lupus erythematosus (lupus) and scleroderma are two autoimmune diseases that can mimic rheumatoid arthritis. Autoimmune diseases are those in which the body's immune system attacks its own cells and tissues.

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