Rheumatoid arthritis (RA) is a chronic inflammatory disease that largely affects the joints. Here’s how stress can exuberate symptoms. Rheumatoid arthritis (RA) is a long-term health condition that affects about 1.5 million Americans, and about 2 or 3 times more women than men. It is classified as both an autoimmune disease and an inflammatory disease. Symptoms include stiffness
Rheumatoid arthritis (RA) is a long-term health condition that affects about 1.5 million Americans, and about 2 or 3 times more women than men. It is classified as both an autoimmune disease and an inflammatory disease. Symptoms include stiffness and pain in the joints that can greatly impact daily life.
Stress can make RA worse because the physical response of the body—the fight, flight, or freeze response—can intensify the immune system's reaction, worsening RA symptoms. Learn more about RA and stress, how to manage stress, and more.
Stress and rheumatoid arthritis are linked. When people experience stressful events, they can have a physical reaction called the flight, fight, or freeze response. This is when the body releases chemicals that can cause an immune or inflammatory response, especially if stress happens too often or lasts too long without relief. This immune or inflammatory response can lead to RA or increased symptoms of RA.
Inflammation is a healthy response the body uses to heal. It can include stiffness, redness, swelling, pain, heat, or a combination of these symptoms. Sometimes the body mistakenly attacks healthy cells, and inflammation causes damage to the body instead of healing. This is called inflammatory disease.
Physical or emotional stress can activate the immune system. Sometimes the immune system becomes overactive or begins to attack healthy cells by mistake instead of attacking only unhealthy cells. This is called autoimmune disease.
Stress can be a problem for people with RA. People with RA can cope with and manage their symptoms by preventing and managing stress in ways that are effective for them.
Exercise can be considered as a treatment for both rheumatoid arthritis and stress. People with RA can begin with low-intensity exercises to prevent injury and then increase as needed.
Like exercise, eating a healthy, well-balanced diet can help with both stress and RA. In fact, eating a plant-based diet with plenty of fruits and vegetables has been shown to relieve RA symptoms. Additionally, people who follow a plant-based diet tend to have lower stress levels and higher moods than those who eat meat.
Here are some nutrition tips for stress:
Here are some nutrition tips for rheumatoid arthritis:
Support groups are led by qualified professionals and focus on supporting people with a shared problem. There are many benefits of support groups. Talking with other people going through the same or similar issues can help you feel connected, and it can reduce stress. In addition to providing support for the specific challenge, such as living and coping with RA, support groups provide emotional support.
Here are some support groups and similar options for rheumatoid arthritis:
Similar to the flight, fight, or freeze stress response, there is a relaxation response that leads to positive physical and psychological changes. Learning how to relax (and relaxing regularly) can greatly reduce stress levels. There are techniques and exercises specifically for relaxation to reduce stress, but nearly anything a person finds relaxing can help.
Relaxation options may include:
There are measures that can be taken to help manage rheumatoid arthritis. Some of them are the same as those for managing stress, which means they provide double benefits. RA is a condition that can change over time and can ebb and flow in severity of symptoms, so it is important to review care plans regularly.
Some tips for managing RA include:
It is important to talk with a healthcare professional:
Rheumatoid arthritis is a long-term condition that involves stiff, painful joints. Stress can make RA symptoms worse. There are steps that can be taken to reduce stress and improve RA symptoms, such as eating a healthy diet, exercising, and making time for relaxation.
Rheumatoid arthritis can be challenging and life-altering. Facing high stress levels at the same time can be even more unpleasant, and it can make RA symptoms worse. If you or someone you know is experiencing RA or stiff, painful joints along with stress, you are not alone, and help is available. Reach out to a healthcare professional such as a primary care practitioner, rheumatologist, or mental health professional for support.
An RA flare-up (or flare, a time when symptoms worsen) can feel different for different people. It may include new symptoms or an increase in one or more symptoms. For example, someone experiencing an RA flare may feel exhausted and the joints in their hands may hurt much more than they typically do.
It is not clear if RA causes anxiety, but people with RA are at an increased risk of anxiety and they experience anxiety at a higher rate than the general population. Additionally, symptoms of RA and living with a long-term health condition can be stressful.
It is unclear if emotional trauma can cause rheumatoid arthritis. However, people who have experienced emotional trauma are at an increased risk of developing rheumatoid arthritis.