Rheumatoid Arthritis: Therapeutic Renewal

This very painful disease, with still mysterious causes, is treated better than the diagnosis is early. With a background treatment established within three months after the onset of signs, we can now obtain a remission of rheumatoid arthritis said Best Doctor for Rheumatoid Arthritis. As with other chronic inflammatory diseases, the arrival of biotherapies has completely changed the situation for a majority of patients.

This rheumatic disease affects 300,000 people in France and generally appears between 40 and 60 years, with a juvenile form that affects 3000 children. Rheumatoid arthritis is characterized by inflammation of the synovial membrane of the limb joints, which can lead, more or less rapidly, to the breakdown of bone and cartilage resulting in the need of Psoriatic Arthritis Doctor.

Rheumatoid arthritis causes pain and swelling mainly in the joints of the hands and wrists, symmetrically. These pains are particularly strong at night and in the morning; it takes at least half an hour to "rustle" the affected joints. As soon as these signs appear, you must consult a Doctor Specializes in Arthritis as quickly as possible in order to establish, in collaboration with a specialist, the best intervention strategy. The diagnosis is based on clinical examination of the joints and on biological analyzes. Radiological examinations can also be performed to identify bone erosions.

Triggering factor

Rheumatoid arthritis is an autoimmune disease in which the immune system reacts against certain modified proteins in the body. These changes are natural, they occur more frequently in certain organs such as the lung, but in some cases that we still do not understand, the immune system triggers a reaction against these molecules says Pain Specialist in New York. The triggering factor is therefore still unclear, but some susceptibility genes seem to be involved in 30% of cases.

Moreover, as three out of four cases are women around midlife, and therefore around the menopause, hormones could play a role. Environmental factors have also been identified, including tobacco, which plays a major role. A recent study has shown that, in patients with a slightly favourable genetic profile for rheumatoid arthritis, those who avoid smoking have a two-fold risk of seeing the disease develop.

It is also known that tobacco aggravates the disease that its development is then faster and its treatment more difficult says Bursitis Specialist. In 20 to 30% of cases, a psychological shock (mourning, rupture ...) is also at the origin of the outbreak of the disease.

Rheumatoid arthritis does not manifest itself in the same way in all patients and its evolution varies greatly from one profile to another. The treatment has two axes: analgesics, usually nonsteroidal anti-inflammatory drugs to fight against pain, associated with infiltrations and sometimes low-dose corticosteroids for the acute phase. In parallel, a background treatment is also now systematically put in place to interrupt the inflammatory process, a strategy that is all the more effective if it is initiated early.

Block inflammation

When the disease is identified early, the Bursitis Doctor prescribes metholtrexate, which remains the reference medicine to block inflammation. If the disease is already advanced or, after three months, the treatment is insufficient, the doctor can tap into the new arsenal of biotherapies to find, among the four molecules - soon five - now available, the one to which the patient will respond best .