Rheumatoid Arthritis - A Patient's Journey

Question 1

What are the potential complications of RA requiring surgical intervention?

Answer 1

Chronic synovitis 
Mechanical deformities
Secondary osteoarthritis 
Poor function 
Pain

Question 2

What are the potential extra-articular complications of RA?

Answer 2

Rheumatoid nodules
Interstitial lung disease
Vasculitis

Question 3

What are the socio-economic complications/impacts of RA?

Answer 3

Direct cost to NHS and associated healthcare support services
Indirect costs to the economy including the effects of early mortality and lost productivity
Personal impact and subsequent complications for patients and their families
Approx 1/3 of people stop work within 2 years of onset

Question 4

What are the potential functional impairments that might arise from RA and the consequences of these?

Answer 4

Vertebral fractures
Osteoporosis

Special adaptive cutlery and footwear needed
Mobilising with walking aids
Use of wheelchair