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Rheumatoid Arthritis

Rheumatoid Arthritis is a form of inflammatory arthritis in which uncontrolled proliferation of the synovial lining of joints results in potentially serious damage to the underlying cartilage. Susceptibility to rheumatoid arthritis depends on both genetic factors, which have been clearly identified, and by environmental triggers, which have yet to be defined.  Worldwide, it is the most common and most severe form of inflammatory arthritis with an incidence in some populations of more than 1%.  The disease affects women far more frequently than men and has a peak prevalence in the 40-50 age range.  Typically, rheumatoid arthritis involves 10 or more joints in symmetric fashion most frequently affecting the small joints of the hand.  It can, however, involve the cervical spine and large joints, such as the hip and knee, where uncontrolled inflammation can lead to the need for surgical procedures such as spine fusion and knee or hip replacement.  Rheumatoid arthritis can also cause symptoms outside of the skeletal system including fatigue, anemia, skin nodules, dry or inflamed eyes, inflammation of blood vessels, and inflammation of the lining of the heart and lungs.  Treatment of rheumatoid arthritis requires an interdisciplinary approach.  Medications can slow and on occasion completely arrest the joint inflammation, while orthopedic surgery can repair and/or replace damaged joints.  Physical and occupational therapy can restore muscle strength and joint motion and is critical to maintaining function.

For an appointment call The Faculty Practice at (212) 598-6516 or The General Arthritis Clinic at (212) 598-6321 or 6322.

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