Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disease that primarily affects the joints. It is characterized by inflammation of the synovial membranes, which are the tissues that surround and lubricate the joints. RA usually affects symmetrical joints, meaning it affects the same joints on both sides of the body, such as the hands, wrists, elbows, knees and ankles. It can also affect other parts of the body, including the lungs, heart, skin and eyes.
Symptoms of RA can vary from person to person, but common signs include joint pain, swelling, prolonged morning stiffness, general fatigue, and decreased joint function. Symptoms may fluctuate, with periods of active inflammatory flare-ups and periods of relative remission where symptoms are less pronounced.
The exact cause of rheumatoid arthritis is not yet completely understood, but it is widely accepted that in addition to genetic predispositions that can increase the risk of developing the disease, it is environmental triggers, including stress (physical, mental and/or nutritional) which seems to play a role.
Treatment for rheumatoid arthritis aims to reduce inflammation, relieve pain, prevent joint damage, and improve joint function. Disease-modifying anti-rheumatic drugs (DMARDs) are often prescribed to slow disease progression and reduce inflammation. Corticosteroids can also be used to quickly control inflammation during acute flares. However, in addition to medical treatments, other interventions in your routine can help manage the condition holistically.
Inflammation is a central aspect of RA. To reduce it, it is important to adopt a suitable diet, rich in nutrients and low in inflammation. Some patients already know that removing gluten can do them good, but it's just one of many triggers on your plate.
Sleep will also play a crucial role. Quality sleep is essential to promote recovery, reduce inflammation and improve immune response.
Stress hormones, through their impact on inflammation and on the quality of sleep, have a dual role to play. Knowing how to manage your mental and emotional state through meditation and breathing can help.
Although it can be difficult to stay active due to pain and stiffness, gentle, tailored exercises can also help improve muscle strength, flexibility and joint mobility.