Arthritis literally means “inflammation of the joints.” It’s usually due to years of wear and tear. Rheumatoid arthritis is different. It’s an autoimmune condition. The body’s immune attacks the lining of joint surfaces like it’s an invader. It is considered genetic, although the cause and triggers are poorly understood.

Signs and symptoms:
Joint swelling and pain is most often in the fingers. Other organs can be affected, causing eye inflammation and heart or lung problems.

What to do:
See your doctor to confirm the diagnosis. The first steps in reducing inflammation include ibuprofen or Tylenol. Disease modifying anti-rheumatic drugs (DMARDS) are the new frontier in therapy. They suppress your immune system very effectively. Great for rheumatoid control, but beware. With a suppressed immune system, you’ll be more susceptible to other infections. Patients must get screened for hepatitis and tuberculosis to avoid a disastrous flareup. These medications often require intravenous infusion. Natural prevention includes avoiding unnecessary pinching and tight gripping with fingers.

Thought for the Day:
If your fingers are swollen into knots, you may benefit from DMARD shots.


Contributed by Family Practice Doctor Kyle Scarborough, M.D. You can reach him at

drscarborough@familylifemedical.com