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Conditions > Rheumatoid Arthritis > All About Rheumatoid Arthritis > When Should I See My Doctor?
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When Should I See My Doctor?

If you have not been diagnosed with rheumatoid arthritis, but suspect you may have it, it’s important to see a doctor to get a diagnosis and begin any needed treatment as soon as possible.

If you’re experiencing joint pain – as most people do at least occasionally – and wondering if it might be rheumatoid arthritis, the following are clues that it may be. At the very least, you should schedule an appointment with your doctor right away to have it checked out.

•    Regular morning joint stiffness
•    Persistent joint pain that does not improve
    Joint pain that is getting worse over time
    Joints that are swollen, red, hot or tender to the touch
    Joint pain accompanied by fever
•    Several affected joints
    Joint problems that affect with your ability to move or function

If you have already been diagnosed with arthritis, it is important to maintain regular appointments with your doctor to monitor your disease and response to treatment. Your doctor will let you know how often he or she wants to see you. But if you have an obvious change in or worsening or symptoms or an adverse response to medication, it’s important to contact your doctor even if it is not time for your regularly scheduled visit.

What kind of doctor should I see for my rheumatoid arthritis?

Your primary doctor for rheumatoid arthritis should be a rheumatologist. A rheumatologist is an internist (a doctor who specializes in internal medicine and treating adult diseases) who has additional training to diagnose and treat arthritis or related diseases that affect the joints, muscles, bones, skin and other tissues. Some rheumatologists may also have special training in pediatrics, orthopaedics, physical medicine, sports medicine or other medical fields.

While a rheumatologist is the best doctor to manage your RA, you will still need a primary care physician to manage other aspects of your health care. Unfortunately, having arthritis doesn’t make you immune to other health problems and may, in fact, increase your risk of some diseases. 

Melissa
23 Aug 2010, 12:09
I am in severe pain! I just turned 37. I have had episodes with my neck 'freezing up' for years. I usually go get a 10 day script for anti-inflammatories, and it takes care of it. However, in June, I had the same issue, went to the doc, got the ten day script, and nothing! It didnt touch the pain or stiffness! I called the doc back because it was changing. It was no longer just in my neck. It was in my shoulders and hips. She put me on a month's worth of anti-inflamms. Again, NOTHING!! I went back last week. I am on steroids now, and she is telling me I might have RA! I have all the symptoms. I'm going tomorrow for bloodwork. But, I am down to just one more day of these steroids. They are supposed to be 'super-strong' and get rid of the inflammation. It's not working yet! Am I supposed to be ok by now? Did I misunderstand? The stiffness/pain isnt easing up! HELP!!
Terri Robbins
20 Jul 2010, 14:22
Hi, I am wondering if I have RA I had a major back surgery Oct 2009..Full 10 inch rod & screws in back. A few months after surgery, I noticed my joints, elbows, shoulders and now my hands & fingers are starting to be very painful and stiff . I have to sleep on my back now and when I wake up, my hands are so sore and stiff, I can barely bend my fingers..also have a knot on my thumb joint which keeps me from bending my thumb. All my joints are so painful but worse in the mornings. I am wondering if this back surgery has caused this new problem. I walk very stiff when I first try to crawl out of bed..or if I sit for any length of time, I get stiff in all joints. So have a hard time motivating most of the time..could this be the start of RA?? I have no living family members to ask if it was in family. I also have Hep C which compromises my immune system . anyone have any idea's if I have RA??
jody naimo
08 Jun 2010, 16:47
how can I find some kind of a list of a top notch rheumatologist in Grand Rapids, MI I am unhappy with the one my Practitioner gave me.
Jeannette
02 Jun 2010, 13:52
Hello All i read everyone story, I'm 45 years old never thought anything like this would happen to me, but I had some blood test done but my primary doctor didn't know for sure if I had RA she says all the signs are there, I'm going to specialist, I had to put it off also because of insurance didn't have any now I do I'm going to make sure I follow up with treatments and I was told from my primary doctor to excerise more but not over do it.
J. Copeland
01 Jun 2010, 08:58
Laurie Dworak, it is a very common thing for blood work to miss the signs your body might be feeling. I knew of one lady I watched in her home with RA who was in pain for a long time (7 years) when the doctors could not find anything wrong with her and dismissed her as it was all in her head, until they saw how deformed her hands were becoming and it was too late.

Factors can change results such as what you eat, how de/over-hydrated you might be, medications you take.

Blood test to confirm RA like ANA, ESR and CRP can be negative if you have taken aspirin or Tylenol before the test to manage your pain just to get to the doctor's office. Those tests generally measure inflammation which is decreased when your pain is under control or not as severe as before you take pain medication.

Rheumatoid Factor is one test to confirm RA, but not everyone with RA is "seropositive" (like 20% of people with RA, the test is negative).

Sometimes it is just a thing where your body might suppress the chemical reactions of what is going on or the test is not sensitive enough to measure it.

I always use the analogy of when I was in labor with my first child and the staff kept insisting I was not in labor because the machines could not pick up the contractions. As they were about ready to send me back to my room from the labor room, they saw my daughter's head starting to crown and had to make a quick change of plans to move me into the delivery room.

If you know there is something wrong in your body, don't give up until you find someone who will listen. Try going to the doctor for your blood work without taking anything for the pain so there will be more of a chance the antibodies can be discovered. When they tell you to fast, make sure you follow the instructions.
Sara
22 Mar 2010, 16:31
I have been reading through some of the comments left and have a lot to be thankful for and a lot not to be thankful for. My mom was diagnosed with RA about ten years ago, not long after being diagnosed with lupus and sjogrens. I have been tested over and over again for all of these since 1998. I had symptoms of lupus and was diagnosed with fibromyalgia after 10 years, then recently(three weeks ago)I was diagnosed with RA. They had already told me that I had degenerative bone disease and the arthritis in my back. I hope this has answered some of the questions about how long it takes for a diagnosis that is positive. My mom has been told she is an anomaly for having three autoimmune disorders, but now she is terminally ill with cancer. Through all of this, she has taught me to be strong everyday to make it to the next one. This is what I intend to do. I hope everyone else can do the same and listen to what your doctors tell you and follow their instructions. They don't spend all that time in school for nothing.
Marti
02 Feb 2010, 10:37
This is addressed to Betty in the comments. I also have AS,RA, and OCD( this is not obsessive compulsive disorder but osteocodritis desecans) the OCD is where tendons get pulled off joints taking small portions of bone with it. I dealt with the AS my whole life and handled it well. I had to manipulate my legs with my hands and extreme pain. Now I realize it was nothing compaired to what is going on now. I would like to contact you somehow but I do not know how. PLEASE LISTEN EVERYONE--DO NOT PUT OFF SEEING A DOCTOR WHEN THE FIRST SYMPTON STARTS SO YOU DO NOT LOSE MUCLE MASS AND MOBILITY.
sim
04 Dec 2009, 11:45
Please all. Go see a Holistic Doctor. QRA practioner in you area and see what can be done. The look at the organs and see what's going on. Don't suffer! I'm having joint pains that they are helping me with and diagnosed with RA. Here is a number 888-588-7576. They will put you in touch with someone in your area and pray for the best.
SANDRA .J
24 Nov 2009, 09:08
HI LAURIE DWORAK I SENT YOU A EMAIL ABOT SIGN &SYMTOMS AND PUT THE WRONG DATE OF MY DIAGNOSIS IT WAS 10/14/09.I AM SO SORRY FOR THAT. ISTILL HAVE NOT SEEN A RHEUMATOLOGIST YET BECAUSE OF INSURANCE&INCOME. IT'S HARD BUT I WANT GIVE UP. AND I HOPE YOU WANT GIVE UP HANG IN THIER .GOOD LUCK.
SANDRA .J
23 Nov 2009, 17:40
Hi.Laurie Dworak I HAVE HAD SIGN AND SYMPTOMS FOR 3 YEARS AND WAS JUST DIAGNOSIS 12/14/09 .I AM IN A LOT OF PAIN ALL THE TIME. AND IT IS HARD STAY FOCUS ON ANYTHING .WISH I COULD TELL YOU THAT IT GET BETTER BUT I AM NEW AT THIS TO.BUT I CAN SAY TO YOU GO TO THE DOCTOR TO BE TESTED. AND DON'T LET ANYONE TELL YOU THAT IT IS NOTHING WRONG.
Jennifer
23 Nov 2009, 10:17
Laurie,

My blood work and Xrays were also negative. I was diagnosed with RA after I had an MRI that showed fluid around my joints.
Laurie Dworak
17 Nov 2009, 10:32
Hi, wondering if anyone could tell me the span of time in which they went from signs and symptoms to diagnosis? I seem to have all of the above, but blood work and x-rays do not confirm. I have read about many people not being diagnosed for years and then wind up with damage that can not be reversed. Has anyone had all the signs and symptoms, but not been confirmed by lab studies? If so, how long could it go on before there ARE lab studies to confirm?

Thanks for any help you can offer!
Darlene
01 Oct 2009, 15:56
I am 58 years old and have always had joint issues I always chalked it up to over use. My first test for RA came back negative. The pain and swelling only got worse. My Doctor thought the test was false and re tested with X-rays of my wrists. I am now under the care of a Rheumatologist. This has resulted in more tests and MRIs. She finds that there is already damage to my bones and there is nothing to do to change that fact. I am told I cannot reverse the damage that has been done. I have both Osteoarthritis and RA.
I am now on steroids, methotrexate, and Aleve. I hope to come off the steroids. I still have significant trouble in the mornings and evenings. Even with the help of my husband it now takes 2 hours in the morning to get me out the door.
Five years ago a brain tumor was removed and a VP Shunt put in place. I thought, OK this is what I will have to deal with. I can. But folks, this beats that experience by a long shot. Don’t let anyone tell you different. Please follow up with your doctor, don’t let there be damages that cannot be reversed.
cleorisa robin shelby
29 Jun 2009, 16:22
loonking for a lupus rheumatoid arthritis doctor in wayne michigan
Betty
19 May 2009, 09:31
I just want to say I took Humira about two and one-half years ago. It was very effective but I got scared of it knowing the side effects it can have. Sure enough, began to feel really bad last year, I went to my internist and from the tests he ran we learned I now have multiple myeloma. I regret ever making the decision to use Humira. I have OA, RA and AS. It may all be a coincidence, but my advise to everyone is to be very careful with the biologics.
Bob
11 May 2009, 19:03
Just diagnosed today with ra and not sure what I am dealing with or what the future holds. I am 41 years old and it has started in my pinky fingers. Wondering how quickly it will spread and any good links for research.
Andy Lindsay
12 Apr 2009, 18:33
My rheumatologist just recently stopped practicing in my area. Can someone please recommend a rheumatologist in the Cincinnati, OH area that has experience with young adults who have JRA? I have a list of doctors that my previous rheumatologist gave me but I have no idea who to choose. Any help is greatly appreciated.
Arlene Johnson
15 Mar 2009, 13:13
I need a name of an excellent Rheumatologist in the SE Michigan area. I prefer someone in the Novi/W. Bloomfield/Farmington Hills area of MI, but will travel further if necessary.
Can you help?

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