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Rheumatology

What Is Rheumatism, and How Is It Different from Rheumatoid Arthritis?

The problem may begin with knee pain when climbing stairs or stiffness in your fingers when you wake up. You may then notice that movements you used to perform easily have become more difficult. As the symptoms continue, you may wonder: Do you have rheumatism or rheumatoid arthritis? Can this problem be cured completely? Understanding the nature of joint pain and its accompanying symptoms can help you know when to consult a doctor. In this article, we will discuss the symptoms and causes of rheumatism, the difference between rheumatism and rheumatoid arthritis, and the main available treatment options.
What Is Rheumatism, and How Is It Different from Rheumatoid Arthritis?

What Is Rheumatism and What Are Its Symptoms?

Rheumatism is a general term used to describe a group of conditions that affect the joints, muscles, bones, tendons, and connective tissues. It is not the name of one specific disease. Therefore, rheumatic symptoms vary from one condition to another depending on the cause and the affected tissues.

If you have a joint problem, you may notice one or more of the following symptoms:

  1. Joint pain: You may feel constant or intermittent pain that worsens with movement or rest, depending on the condition causing it.
  2. Joint stiffness: You may have difficulty moving the joint when you wake up in the morning or after sitting for a long time.
  3. Joint swelling: You may notice swelling around the joint, sometimes with redness or increased skin temperature.
  4. Reduced mobility: Daily activities such as walking, climbing stairs, or holding objects may become more difficult.
  5. General fatigue: You may feel constantly tired, especially if you have a chronic inflammatory disease.

You may wonder why your joint pain or fatigue keeps returning even when you have not made much effort. In some cases, these symptoms may be linked to an inflammatory rheumatic disease, including rheumatoid arthritis.

What Causes Rheumatism?

If you are wondering what causes rheumatism, the answer depends on the type of problem affecting your joints. There is no single cause for all conditions. Common factors that may contribute to joint pain include:

  1. Aging: The cartilage that protects the ends of the bones may gradually wear down, increasing the likelihood of osteoarthritis.
  2. Autoimmune disorders: The immune system may mistakenly attack the body’s tissues, as happens in rheumatoid arthritis.
  3. Genetic factors: Certain genes may increase your susceptibility to some types of joint disease.
  4. Injuries and repetitive strain: A previous joint injury or repeated stress on a joint may increase the likelihood of certain muscle and joint problems.
  5. Metabolic disorders: High uric acid levels may cause crystals to form inside the joints and lead to gout.
  6. Some infections: Certain infections may cause joint inflammation, requiring medical evaluation to identify the cause and treatment.

Having one of these factors does not mean that you will definitely develop rheumatism. However, it may help the doctor understand your condition and choose the appropriate tests.

What Is the Difference Between Rheumatism and Rheumatoid Arthritis?

If you are searching for the difference between rheumatism and rheumatoid arthritis, it is important to understand that the two terms are not exact synonyms. Rheumatism is a general name for a group of conditions, while rheumatoid arthritis is a specific autoimmune disease.

Rheumatism

Rheumatism includes a variety of disorders affecting the joints, muscles, and connective tissues, such as osteoarthritis, gout, tendonitis, and some inflammatory diseases. Its causes, symptoms, and treatment vary according to the diagnosis.

Rheumatoid Arthritis

Rheumatoid arthritis is a chronic autoimmune disease in which the immune system attacks the lining of the joints, causing inflammation, swelling, pain, and stiffness. If the inflammation continues without appropriate treatment, it may damage and deform the joints.

How Can You Distinguish Between Rheumatic Pain and Rheumatoid Arthritis?

It is not possible to distinguish all conditions called rheumatism based on pain alone, but certain signs may help you understand the nature of the problem:

  1. Location of pain: Osteoarthritis may affect one joint or several weight-bearing joints, while rheumatoid arthritis often affects the joints of the hands and feet.
  2. Morning stiffness: In rheumatoid arthritis, stiffness often lasts more than 30 to 60 minutes. It is usually shorter in osteoarthritis, although exceptions exist.
  3. Distribution of symptoms: Rheumatoid arthritis often affects matching joints on both sides of the body, although this is not always the case.
  4. Disease progression: Rheumatoid arthritis may damage the joints if untreated, while complications of other conditions vary according to their type and severity.

These signs are not enough to diagnose the disease yourself. Some symptoms overlap between different conditions, and a doctor must interpret them alongside your medical history, physical examination, and test results.

How Is Rheumatism Diagnosed?

If you have recurring joint pain, you may wonder which tests are needed to identify the cause. There is no single test that detects all rheumatic diseases. Diagnosis depends on symptoms, a medical examination, and tests selected by the doctor according to the condition.

Diagnosis may include the following steps:

  1. Physical examination: The doctor examines the joints to assess swelling, pain, and range of motion. They also ask about the duration, severity, and timing of your symptoms.
  2. Blood tests: The doctor may order an erythrocyte sedimentation rate test (ESR) or C-reactive protein test (CRP) to look for signs of inflammation. They may also order rheumatoid factor (RF) and anti-cyclic citrullinated peptide antibodies (anti-CCP) when rheumatoid arthritis is suspected.
  3. X-rays and imaging tests: X-rays, ultrasound, or magnetic resonance imaging may help assess the joints and detect inflammation or damage.
  4. Additional tests when needed: The doctor may test joint fluid if there is severe swelling, especially to rule out gout or infection-related arthritis.

An elevated inflammation marker or a positive rheumatoid arthritis test does not confirm the diagnosis by itself. Similarly, normal results do not always rule out the disease. Test results must be interpreted together with symptoms and the physical examination.

How Is Rheumatism Treated? Can It Be Cured Completely?

Treatment depends on the disease causing the joint pain, its severity, and whether there is inflammation or joint damage. There is no single treatment suitable for every condition. A doctor may combine medication, physical therapy, and lifestyle changes.

Medication

The medications prescribed vary according to the diagnosis. Common options include:

  1. Pain relievers: These help reduce pain but do not treat the underlying cause of all joint diseases.
  2. Nonsteroidal anti-inflammatory drugs: Such as ibuprofen. They may reduce pain and swelling but are not suitable for everyone, especially some people with kidney, stomach, or heart problems.
  3. Disease-modifying antirheumatic drugs: These are used to treat rheumatoid arthritis and some inflammatory diseases. Methotrexate is one example. These medications aim to reduce inflammation and limit long-term joint damage.
  4. Corticosteroids: A doctor may prescribe them for a limited time in certain cases to control inflammation, depending on the benefits and risks.
  5. Biologic and targeted treatments: These may be used when conventional treatments do not provide sufficient disease control.

Do not start or stop any of these medications on your own. Choosing treatment requires identifying the disease and considering your overall health and other medications.

Physical Therapy and Appropriate Exercise

If joint pain limits your movement, physical therapy may help restore flexibility and improve the strength of the muscles around the joints.

The treatment plan may include gentle range-of-motion exercises, muscle-strengthening exercises, and low-impact activities such as walking or swimming, according to your physical ability and the type of injury.

Avoid exercises that increase pain or cause obvious swelling. Ask your doctor or physical therapist to identify the activities that are appropriate for you.

Lifestyle Changes

You can support medical treatment through daily changes, including:

  1. Maintaining a healthy weight to reduce pressure on the knees and ankles.
  2. Exercising regularly according to your doctor’s recommendations.
  3. Getting enough sleep to help manage fatigue.
  4. Following a balanced diet containing protein, vegetables, fruit, and sources of calcium and vitamin D.
  5. Avoiding smoking, because it is associated with a higher risk of rheumatoid arthritis and may negatively affect the course of the disease.

Can Rheumatism Be Cured Completely?

The answer depends on the condition. Some cases of arthritis caused by temporary factors may improve after the cause is treated. However, there is currently no method that guarantees a complete cure for all chronic rheumatic diseases.

For rheumatoid arthritis, treatment aims to achieve remission or reduce disease activity as much as possible, relieve pain and swelling, prevent joint damage, and maintain mobility. Many patients can achieve good symptom control when treatment begins early and the treatment plan is followed.

Is Rheumatism Dangerous? Can It Cause Death?

The severity of a condition cannot be judged from the word “rheumatism” alone. It depends on the type of disease, its severity, and how well it responds to treatment.

Some conditions may cause pain and stiffness that affect mobility, while uncontrolled chronic inflammation may lead to joint damage or deformity. In some autoimmune diseases, such as rheumatoid arthritis, other organs may also be affected, including the lungs, heart, or blood vessels.

As for whether rheumatism can cause death, most joint pain does not directly threaten life. However, some systemic rheumatic diseases may be associated with serious complications if they are not diagnosed and treated appropriately.


If you have joint pain or morning stiffness, do not assume that all these symptoms mean you have rheumatoid arthritis. Rheumatism includes many diseases with different causes and treatments. Identifying the cause accurately remains the first step toward appropriate treatment.

Do not ignore persistent symptoms. Consult a doctor to evaluate your condition and develop a plan to help relieve pain, maintain joint movement, and prevent complications as much as possible.

If you still need a doctor’s consultation regarding this condition, you can easily book an appointment through Vezeeta.

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References

https://www.niams.nih.gov/health-topics/rheumatoid-arthritis

https://www.niams.nih.gov/health-topics/rheumatoid-arthritis/diagnosis-treatment-and-steps-to-take

https://www.nhs.uk/conditions/Rheumatoid-arthritis/

https://www.nhs.uk/conditions/rheumatoid-arthritis/symptoms/

https://www.nhs.uk/conditions/rheumatoid-arthritis/treatment/

https://www.mayoclinic.org/diseases-conditions/rheumatoid-arthritis/diagnosis-treatment/drc-20353653