Rheumatoid arthritis is an autoimmune, inflammatory disease that's characterized by "flares," or periods when the disease is active and causing uncomfortable symptoms. For some people, flares are infrequent and mild, while for others they are prolonged and excruciating. Here's what you need to know to cope with your RA flares:
Can you tell when you're going to flare?
Some sufferers report that they can tell when a flare is coming on. They may feel more sore than usual as well as more tired. (Most RA patients normally have some degree of joint pain.) Joints may begin to feel stiffer in the morning and take longer than usual to loosen up. If RA patients have been to the doctor, their bloodwork may let them know a flare is in the works because inflammatory markers may rise. Depression may set in as a feeling of well-being is replaced by fatigue and twinges that signal oncoming pain.
How long does a flare last?
Flares can last anywhere from a few days to months, or however long it takes you to find a medication that keeps them under control.
What causes flares?
You might find your arthritis flaring after you experience an infection anywhere in your body or go through a period of extreme stress. But you also might find yourself flaring for no apparent reason. The reasons behind flares aren't always clear.
How can you stop a flare?
"You may not be able to completely stop a flare, but you can reduce its severity. Medication is important to control your symptoms and prevent the joint damage that inflammation causes. If your arthritis is mild to moderate, your rheumatologist may prescribe an NSAID, or nonsteroidal anti-inflammatory drug, to be taken orally. If your disease is more severe, you may require a DMARD (disease-modifying antirheumatic drug) such as Methotrexate, which can be taken orally or injected. You might also need a corticosteroid to reduce inflammation.
How can I live my life during a flare?
It can be difficult, especially if the flare is extended or particularly severe. Although it's important to rest, don't abandon your exercise program. A physical therapist can help you modify it if necessary. Use hot or cold packs on inflamed joints. Heat can offer pain relief, while cold decreases blood flow to the area, lessening inflammation. If you're having trouble keeping up with your commitments, let your friends and family know and ask for help.
Sources:
Arthritis Foundation, www.arthritistoday.org
The Road Back Foundation, www.roadback.org
