Tweet 1 🌀 Rheumatoid Arthritis (RA) Flares — This is for all rheumatoid arthritis patients and caregivers. Please discuss with your doctor and don’t follow this blindly as medical advice.
🌀 What exactly is a Rheumatoid Arthritis (RA) flare?
It’s when your joints become more painful, swollen, warm, or stiff than usual — sometimes with fatigue or low energy.
Flares can be mild or severe, short or long. They may strike without any clear reason.
#RheumatoidArthritis #RAflare #NirjaraMultispecialityClinic #NileshNolkha #FreedomFromPain
🌀 What exactly is a Rheumatoid Arthritis (RA) flare?
It’s when your joints become more painful, swollen, warm, or stiff than usual — sometimes with fatigue or low energy.
Flares can be mild or severe, short or long. They may strike without any clear reason.
#RheumatoidArthritis #RAflare #NirjaraMultispecialityClinic #NileshNolkha #FreedomFromPain
Tweet 2 🔀 Types of Flares Seen in Rheumatoid Arthritis:
1️⃣ 🔥 Palindromic / Single-joint flare – sudden, severe pain, often immobilizing.
2️⃣ 🌧️ Subtle multi-joint flare – swelling and stiffness in several joints.
3️⃣ 🌪️ Generalized flare – multiple joints flare together, disabling and painful.
Sometimes, what looks like a flare has no identifiable reason.
#Rheumatology #RAflare #NirjaraMultispecialityClinic #NileshNolkha
1️⃣ 🔥 Palindromic / Single-joint flare – sudden, severe pain, often immobilizing.
2️⃣ 🌧️ Subtle multi-joint flare – swelling and stiffness in several joints.
3️⃣ 🌪️ Generalized flare – multiple joints flare together, disabling and painful.
Sometimes, what looks like a flare has no identifiable reason.
#Rheumatology #RAflare #NirjaraMultispecialityClinic #NileshNolkha
Tweet 3
📊 How common are Rheumatoid arthritis flares?
Nearly every person with RA has flares at some point.
In long-term studies, more than 90–99 % of patients experienced at least one flare within three years — even on good medicines.
👉 This does not mean treatment failed. It means RA can act unpredictably at times.
#RheumatoidArthritis #Rheumatology #NirjaraMultispecialityClinic #NileshNolkha
📊 How common are Rheumatoid arthritis flares?
Nearly every person with RA has flares at some point.
In long-term studies, more than 90–99 % of patients experienced at least one flare within three years — even on good medicines.
👉 This does not mean treatment failed. It means RA can act unpredictably at times.
#RheumatoidArthritis #Rheumatology #NirjaraMultispecialityClinic #NileshNolkha
Tweet 4
What usually triggers a rheumatoid arthritis flare?
•💊 Missed or irregular medication (one of the most common and consistent reasons which patients often fail to acknowledge)
•Infections 🦠
•Stress or fatigue 😥
• Heavy physical exertion
•Weather ☁️ (sometimes)
🍋 Food like sour or protein-rich meals rarely cause flares (often food is given most undue blame for flares) — those links are mostly myths.
Every patient is different, and most flares make no sense at all.
#RheumatoidArthritis #ArthritisMyths #NirjaraMultispecialityClinic #NileshNolkha
What usually triggers a rheumatoid arthritis flare?
•💊 Missed or irregular medication (one of the most common and consistent reasons which patients often fail to acknowledge)
•Infections 🦠
•Stress or fatigue 😥
• Heavy physical exertion
•Weather ☁️ (sometimes)
🍋 Food like sour or protein-rich meals rarely cause flares (often food is given most undue blame for flares) — those links are mostly myths.
Every patient is different, and most flares make no sense at all.
#RheumatoidArthritis #ArthritisMyths #NirjaraMultispecialityClinic #NileshNolkha
🧭 Tweet 5
What should you do if you are having flare of rheumatoid arthritis ?
•Use your doctor-approved “flare plan” (e.g., NSAID or short Prednisolone course).
•Rest, apply gentle warmth, stay hydrated, and record your symptoms.
•Tell your rheumatologist if flares repeat or last longer. Not every pain is inflammation – sometimes it’s fibromyalgia-like pain, needing a different approach.
#RheumatoidArthritis #RAflare #NirjaraMultispecialityClinic #NileshNolkha #FreedomFromPainnil
What should you do if you are having flare of rheumatoid arthritis ?
•Use your doctor-approved “flare plan” (e.g., NSAID or short Prednisolone course).
•Rest, apply gentle warmth, stay hydrated, and record your symptoms.
•Tell your rheumatologist if flares repeat or last longer. Not every pain is inflammation – sometimes it’s fibromyalgia-like pain, needing a different approach.
#RheumatoidArthritis #RAflare #NirjaraMultispecialityClinic #NileshNolkha #FreedomFromPainnil
Tweet 6
We have a flare plan given to all our rheumatoid arthritis patients (Please discuss with your doctor and don’t follow this as medical advice.)
For Mild to Moderate Flare Pain
Use one of NSAID (you can use any per your choice ) as advised:
Eg
• Naproxen 500 mg twice daily 🕘 or
• Diclofenac 50 mg two–three times daily 💊 or
• Etoricoxib 90 mg once daily 🌙 or
Etc
Take after food, for short duration 1-3 days only. Don’t stop your regular RA meds.
#RheumatoidArthritis #Rheumatology #NirjaraMultispecialityClinic #NileshNolkha
For Severe or Palindromic Flares (if reasonably sure of no clear infection)
If pain is unbearable or disabling we can use steroids as below :
• Take Prednisolone (Wysolone) 20–40 mg/day for 1–3 days 🩺 (as thought by many no clear slow tapering required for acute very short period steroid doses)
• If still severe, Dynapar injection SOS can be given by a local doctor/nurse 💉
• Occasionally, a Depo-Medrol injection may help for longer relief.
All are part of your pre-planned “flare pack.”
If you have regular severe unbearable flares requiring steroids inform your doctor. Patients need to monitor infections, sugars and blood pressure on above medications.
#RheumatoidArthritis #RAflare #NirjaraMultispecialityClinic #NileshNolkha
We have a flare plan given to all our rheumatoid arthritis patients (Please discuss with your doctor and don’t follow this as medical advice.)
For Mild to Moderate Flare Pain
Use one of NSAID (you can use any per your choice ) as advised:
Eg
• Naproxen 500 mg twice daily 🕘 or
• Diclofenac 50 mg two–three times daily 💊 or
• Etoricoxib 90 mg once daily 🌙 or
Etc
Take after food, for short duration 1-3 days only. Don’t stop your regular RA meds.
#RheumatoidArthritis #Rheumatology #NirjaraMultispecialityClinic #NileshNolkha
For Severe or Palindromic Flares (if reasonably sure of no clear infection)
If pain is unbearable or disabling we can use steroids as below :
• Take Prednisolone (Wysolone) 20–40 mg/day for 1–3 days 🩺 (as thought by many no clear slow tapering required for acute very short period steroid doses)
• If still severe, Dynapar injection SOS can be given by a local doctor/nurse 💉
• Occasionally, a Depo-Medrol injection may help for longer relief.
All are part of your pre-planned “flare pack.”
If you have regular severe unbearable flares requiring steroids inform your doctor. Patients need to monitor infections, sugars and blood pressure on above medications.
#RheumatoidArthritis #RAflare #NirjaraMultispecialityClinic #NileshNolkha
Tweet 7
To summarise on how to tackle flare in rheumatoid arthritis patients
1) Flares are often very painful and often random with no relation to any constant factor in most
2) Missing or irregular medicines (often most common) and heavy exertion may be most consistent causes of rheumatoid flares
3) Always have ready made plan for flares from your rheumatologist. Inform them if flares are recurrent.
#RheumatoidArthritis #Rheumatology #NirjaraMultispecialityClinic #NileshNolkha
To summarise on how to tackle flare in rheumatoid arthritis patients
1) Flares are often very painful and often random with no relation to any constant factor in most
2) Missing or irregular medicines (often most common) and heavy exertion may be most consistent causes of rheumatoid flares
3) Always have ready made plan for flares from your rheumatologist. Inform them if flares are recurrent.
#RheumatoidArthritis #Rheumatology #NirjaraMultispecialityClinic #NileshNolkha
@DrAkhilX @DrSamB21 @IlliasulK @DurgaPrasannaM1 @Rheumat_Aravind 👆
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