Rheumatoid Arthritis
1.
When should a physician be consulted for rheumatoid arthritis?
2.
My left and right little fingers' tips have recently swollen rapidly.
They do not hurt unless I apply pressure.
Does this indicate rheumatoid arthritis? I also have concerns about deformity in my ring fingers.
3.
I live in Taipei City; could you recommend a physician who specializes in this area?
JOE, 40~49 year old female. Ask Date: 2004/03/25
Dr. Xu Zhaoren reply Orthopedics
Rheumatoid arthritis is a systemic autoimmune disease that requires long-term outpatient treatment.
Patients can seek examination and treatment at the rheumatology department of a large hospital.
Reply Date: 2004/03/25
More Info
Rheumatoid arthritis (RA) is a chronic inflammatory disorder that primarily affects joints but can also have systemic effects. It is essential to seek medical treatment for RA symptoms when they begin to interfere with daily activities or when there is a noticeable change in joint function or structure. Here’s a detailed response to your questions:
1. When to Seek Treatment for Rheumatoid Arthritis Symptoms:
You should consider seeking medical treatment for RA symptoms if you experience persistent joint pain, swelling, or stiffness that lasts for more than six weeks. Early intervention is crucial in managing RA effectively. If you notice any of the following symptoms, it is advisable to consult a healthcare professional:
- Swelling in multiple joints, particularly if it is symmetrical (affecting both sides of the body).
- Morning stiffness that lasts for more than 30 minutes.
- Fatigue, fever, or weight loss that accompanies joint symptoms.
- Changes in joint appearance, such as deformities or nodules.
- Symptoms that worsen over time or do not respond to over-the-counter pain relief.
Early diagnosis and treatment can help prevent joint damage and improve long-term outcomes. Disease-modifying antirheumatic drugs (DMARDs) are often prescribed to slow the progression of the disease and reduce inflammation.
2. Symptoms of Joint Swelling and Deformity:
The rapid swelling of your small finger joints, particularly if it is accompanied by deformity, could be indicative of RA or another form of inflammatory arthritis. While pain is a common symptom of RA, it is not always present, especially in the early stages. The fact that you are experiencing swelling without pain does not rule out RA. The deformity in your ring fingers is also concerning and should be evaluated by a rheumatologist. It is important to monitor these changes closely, as early treatment can help manage symptoms and prevent further joint damage.
3. Finding a Specialist in Taipei:
In Taipei, there are several reputable rheumatologists who specialize in rheumatoid arthritis and related conditions. You can start by checking with local hospitals or medical centers that have a rheumatology department. Some well-known institutions include:
- National Taiwan University Hospital
- Taipei Veterans General Hospital
- Chang Gung Memorial Hospital
It is advisable to look for a rheumatologist who has experience in treating RA and can provide a comprehensive treatment plan tailored to your needs. You can also seek recommendations from your primary care physician or look for patient reviews online to find a specialist who is well-regarded in the community.
In summary, if you are experiencing symptoms that suggest RA, such as joint swelling, deformity, or prolonged stiffness, it is essential to seek medical attention promptly. Early diagnosis and treatment can significantly improve your quality of life and prevent long-term complications associated with rheumatoid arthritis. Always communicate openly with your healthcare provider about your symptoms and concerns to ensure you receive the best possible care.
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