What is rheumatoid arthritis?

Rheumatoid arthritis (RA) is a chronic autoimmune condition that causes discomfort, swelling and stiffness in the lining of your joints. It most often affects joints in your fingers, hands, wrists, knees, ankles, feet and toes. Unlike other types of arthritis, RA typically affects joints on both sides of the body.

An autoimmune condition happens when the immune system, which normally protects the body, becomes confused and starts attacking healthy tissues. In rheumatoid arthritis, this happens when the immune system causes inflammation in the joints.

You can manage RA effectively if it is diagnosed early. However, if left untreated, the condition causes serious side effects, such as joint deformities and disability.

rheumatoid arthritis patients enjoying their day outside together

Rheumatoid arthritis symptoms

Signs and symptoms of rheumatoid arthritis may include:

  • Pain, aching or stiffness in more than one joint
  • Tender, warm, swollen joints
  • Stiffness, especially in the mornings or after periods of inactivity
  • Fatigue
  • Fever
  • Loss of appetite

Early RA often affects smaller joints, like those in the fingers and toes. As the condition progresses, it may spread to larger joints, including the wrists, knees and shoulders. Symptoms usually affect both sides of the body equally.

About 40% of people with RA may also experience symptoms beyond the joints, affecting areas such as the skin, eyes, lungs, heart, kidneys, salivary glands, nerve tissue and blood vessels.

The symptoms of RA can vary in how severe they are and may come and go. There are times when symptoms get worse, known as flares, followed by periods of improvement, called remission, when discomfort and swelling may lessen or go away. If left untreated, RA can cause joints to change shape or shift over time.

What causes rheumatoid arthritis?

Rheumatoid arthritis occurs when the immune system attacks healthy tissues within the joint. Doctors do not know what causes it. Some people are thought to be genetically predisposed to the condition. But environmental triggers, such as chemicals or infections, may cause the immune system to react improperly.

With RA, the immune system releases cells that attack the synovium, a tissue within the joint that produces fluid to ease movement. The cells cause the synovium to become inflamed, which causes pain and other symptoms in your joints. Over time, the synovium becomes thicker and begins damaging surrounding bone and cartilage, which causes the joint to stretch. This stretching causes weakness and instability in the muscles, tendons and ligaments around the joint, which, in turn, may lead to joint deformity, permanent stiffness and other long-term joint damage.

RA risk factors

Factors that may increase your risk of rheumatoid arthritis include:

Possible complications

Seeking help for symptoms of RA allows your doctor to diagnose and treat it early. Although the condition cannot be cured, treatments can prevent it from getting worse and causing other conditions, such as:

  • Anemia: RA can lower your red blood cell count, a condition known as anemia.
  • Cardiovascular disease: People with rheumatoid arthritis have a higher risk of cardiovascular disease, which includes conditions like heart attack and stroke, though the exact reason for this increased risk is unclear.
  • Carpal tunnel syndrome: Carpal tunnel syndrome, common in people with rheumatoid arthritis, occurs due to compression of the median nerve and causes symptoms like aching, numbness and tingling in the hand.
  • Widespread inflammation: Rheumatoid arthritis can cause widespread inflammation in the body, affecting the lungs (leading to chest pain and shortness of breath), heart (causing pericarditis and chest pain), eyes (causing pain or dryness), and blood vessels (leading to vasculitis, which can restrict blood flow and be life-threatening).
  • Osteoporosis: Rheumatoid arthritis and some of its treatments can affect bone mass, making you more prone to osteoporosis.
  • Permanent joint damage: If rheumatoid arthritis isn't treated early or controlled, joint inflammation can cause permanent damage, including harm to bones, cartilage, tendons (which may rupture) and joint deformities.
  • Rheumatoid nodules: Rheumatoid arthritis may cause small bumps to form under the skin.
doctor discussing rheumatoid arthritis complications with a patient

How is rheumatoid arthritis diagnosed?

Diagnosing rheumatoid arthritis usually includes a physical exam, imaging tests and blood tests. If RA is in very early stages when you see your doctor, it may be difficult to diagnose because symptoms may be mild and not clearly linked to the condition.

Rheumatoid arthritis treatment

Although there is no cure for RA, treatment can help you manage symptoms, slow the progression of your condition and lower your chances of developing complications. Doctors from different specialties treat various aspects of rheumatoid arthritis, so you may work with a primary care provider, rheumatologist or orthopedic surgeon during your treatment.

Treatment typically starts with medications, but your provider may also recommend making certain lifestyle changes and receiving physical or occupational therapy. You may need surgery if you have severe joint damage or pain that interferes with your ability to go about your daily life.

Find a location near you

We offer several locations for your care, including specialty arthritis centers in North and Central Texas.

AccentCare Home Health of Brenham

526 W Main St, Brenham, TX, 77833

Not accepting walk-ins

AccentCare Home Health of College Station

1605 Rock Prairie Rd Ste 206, College Station, TX, 77845

Not accepting walk-ins

AccentCare Home Health of Huntsville

122 Medical Park Lane B, Huntsville, TX, 77340

Not accepting walk-ins

AccentCare Home Health of Marble Falls

1100 Mission Hills Dr Ste 100, Marble Falls, TX, 78654

Not accepting walk-ins

AccentCare Home Health Of McKinney

6800 Weiskopf Ave Ste 100, McKinney, TX, 75070

Not accepting walk-ins

AccentCare Home Health Of Taylor (Hutto)

567 Chris Kelley Blvd Ste 201, Hutto, TX, 78634

Not accepting walk-ins

AccentCare Home Health Of Temple

3809 S General Bruce Dr Ste 105B, Temple, TX, 76502

Not accepting walk-ins

AccentCare Home Health Of Waco

8300 Central Park Dr Ste A, Waco, TX, 76712

Not accepting walk-ins

Baylor Scott & White - Plano Brain and Spine Center

4708 Alliance Blvd Pavilion I, Ste 810, Plano, TX, 75093

Not accepting walk-ins

Baylor Scott & White - Texas Brain and Spine Institute

900 Scott and White Dr, College Station, TX, 77845

Not accepting walk-ins

Baylor Scott & White - The Brenham Clinic

600 N Park St, Brenham, TX, 77833

Not accepting walk-ins

Baylor Scott & White 65+ Clinic

4716 Alliance Blvd Ste 500, Plano, TX, 75093

Accepting walk-ins

Baylor Scott & White Cancer Center - Round Rock

300A University Blvd, Round Rock, TX, 78665

Not accepting walk-ins

Baylor Scott & White Cardiac Rehabilitation - Rowlett

6800 Scenic Dr Tower 1, Ste 307, Rowlett, TX, 75088

Not accepting walk-ins

Accepting walk-ins

Baylor Scott & White Clinic - Austin Avery Ranch

10526 W Parmer Ln Ste 409, Austin, TX, 78717

Not accepting walk-ins

Baylor Scott & White Clinic - Austin Circle C

5000 W Slaughter Ln Building 6, Ste 100, Austin, TX, 78749

Not accepting walk-ins

Baylor Scott & White Clinic - Austin Downtown

200 E Cesar Chavez St Ste G140, Austin, TX, 78701

Not accepting walk-ins

Baylor Scott & White Clinic - Austin Jollyville Road

11673 Jollyville Rd Ste 205, Austin, TX, 78759

Not accepting walk-ins

Baylor Scott & White Clinic - Austin North Burnet

2608 Brockton Dr, Austin, TX, 78758

Not accepting walk-ins

Baylor Scott & White Clinic - Austin Northwest

9800 N Lake Creek Pkwy Ste 200, Austin, TX, 78717

Not accepting walk-ins

Baylor Scott & White Clinic - Austin Oak Hill

5251 US 290, Austin, TX, 78735

Not accepting walk-ins

Baylor Scott & White Clinic - Austin Onion Creek

11209 S Interstate 35, Austin, TX, 78747

Not accepting walk-ins

Baylor Scott & White Clinic - Austin River Place

10815 Ranch Rd 2222, Austin, TX, 78730

Not accepting walk-ins

Baylor Scott & White Clinic - Austin Southwest

9521 US 290 Ste 105, Austin, TX, 78736

Not accepting walk-ins

Baylor Scott & White Clinic - Austin Tech Ridge

500 Canyon Ridge Dr Ste 208, Austin, TX, 78753

Not accepting walk-ins

Baylor Scott & White Clinic - Austin Westgate

4419 Frontier Trl Ste 110, Austin, TX, 78745

Not accepting walk-ins

Baylor Scott & White Clinic - Bee Cave

16018 W SH 71, Bee Cave, TX, 78738

Not accepting walk-ins

Baylor Scott & White Clinic - Belton

1505 N Main St, Belton, TX, 76513

Accepting walk-ins

Not accepting walk-ins

Baylor Scott & White Clinic - Belton South

1001 Arbor Park, Belton, TX, 76513

Accepting walk-ins

Baylor Scott & White Clinic - Brenham Hwy 290

604 US 290, Brenham, TX, 77833

Not accepting walk-ins

Baylor Scott & White Clinic - Bryan Boonville

748 N Earl Rudder Fwy, Bryan, TX, 77802

Not accepting walk-ins

Baylor Scott & White Clinic - Bryan West Villa Maria Road

2612 W Villa Maria Rd, Bryan, TX, 77807

Not accepting walk-ins

Baylor Scott & White Clinic - Buda Medical Center

5330 Overpass Rd Ste 100, Buda, TX, 78610

Not accepting walk-ins

Baylor Scott & White Clinic - Burnet

1300 E Polk St, Burnet, TX, 78611

Not accepting walk-ins

Baylor Scott & White Clinic - Caldwell

1010 Woodson Dr, Caldwell, TX, 77836

Not accepting walk-ins

Baylor Scott & White Clinic - Cameron

101 Lafferty Ave Ste B, Cameron, TX, 76520

Accepting walk-ins

Baylor Scott & White Clinic - Cedar Park

910 E Whitestone Blvd, Cedar Park, TX, 78613

Not accepting walk-ins

Baylor Scott & White Clinic - College Station Arrington Road

1296 Arrington Rd Ste 100, College Station, TX, 77845

Not accepting walk-ins

Baylor Scott & White Clinic - College Station Barron Road

2849 Barron Rd, College Station, TX, 77845

Not accepting walk-ins

Baylor Scott & White Clinic - College Station Midtown

4035 State Hwy 6 S, College Station, TX, 77845

Not accepting walk-ins

Baylor Scott & White Clinic - College Station Rock Prairie

800 Scott and White Dr, College Station, TX, 77845

Not accepting walk-ins

Baylor Scott & White Clinic - College Station University Drive

1700 University Dr E, College Station, TX, 77840

Not accepting walk-ins

Baylor Scott & White Clinic - College Station Wellborn

15195 Wellborn Rd, College Station, TX, 77845

Not accepting walk-ins

Baylor Scott & White Clinic - Copperas Cove

239 W US Hwy 190, Copperas Cove, TX, 76522

Accepting walk-ins

Baylor Scott & White Clinic - Dripping Springs

170 Benney Ln Ste 204, Dripping Springs, TX, 78620

Not accepting walk-ins

Baylor Scott & White Clinic - Gatesville

319 S State Hwy 36 Bypass Ste 401, Gatesville, TX, 76528

Accepting walk-ins

Baylor Scott & White Clinic - Georgetown

4945 Williams Dr, Georgetown, TX, 78633

Not accepting walk-ins

Frequently asked questions

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