ABSTRACT

The aetiology remains unknown, though there are several initiating factors seen with evidence of immune overactivity. However, certain aetiological factors may be involved, and the American Rheumatism Association has laid down certain criteria. Rheumatoid arthritis (RA) is an autoimmune disease, but genetics, environmental factors hormones may play a role. There is no cure for rheumatoid arthritis. RA symptoms develop gradually, and it is not always possible to know when the disease first developed. Many people have symptoms that are present continuously, some have symptoms that completely resolve and others have alternating periods of bothersome symptoms and complete resolution. But recent discoveries indicate that remission of symptoms is more likely when treatment begins early with strong medications known as disease-modifying antirheumatic drugs. Regular exercise is important for RA Exercise strengthens muscles that support joints. Synovectomy is extremely useful in the knee joint because a major part of the synovium is readily available.