Rheumatoid Arthitis (RA)

Children With Developmental Challenges 3(2+1)

Lesson 6 & 7 : Physical Disabilities- Orthopedic Impairment

Rheumatoid Arthitis (RA)

Rheumatoid arthritis is generally worse in the mourning and associated with stiffness; in the early stages, patients often have no symptoms after a morning shower. Osteoarthritis, on the other hand, tends to be worse after exercise. In the aged and children, pain might not be the main presenting feature; the aged patient simply moves less, the infantile patient refuses to use the affected limb.
It affects joints and occurs before 16 yrs. Hence it is also called Juvenile Rheumatoid Arthritis.

Symptoms include

  • stiffness after immobility
  • pain with joint movement
  • limitations in joint motion
  • fever in some cases.
  • May lead to contractures and visual impairments.


Rheumatoid arthritis is a disorder in which the body's own immune system starts to attack body tissues. The attack is not only directed at the joint but also to other parts of the body. In rheumatoid arthritis, most damage occurs to the joint lining and cartilage which eventually results in erosion of two opposing bones. Rheumatoid arthritis often affects joints in the fingers, wrists, knees and elbows.
The latest drugs like Remicade can significantly improve quality of life in the short term. In rare cases, surgery may be required to replace joints but there is no cure for the illness.

Last modified: Monday, 9 April 2012, 6:57 AM