Rheumatoid arthritis (RA) presents a rollercoaster of experiences, with days of joint relief followed by sudden swelling and intense pain. These episodes, known as flares, can be both unpredictable and incapacitating. Defining and addressing flares has been a challenge due to their individual variability. Recent RA research aims to bridge this gap and provide clarity for both doctors and patients.

Understanding Flares Through Research

Dr. Clifton O. Bingham III has led an international effort through OMERACT (Outcome Measures in Rheumatology) to comprehend and classify RA flares. This initiative involved global RA patients in focus groups, interviews, and surveys to gather firsthand insights. The findings revealed that flares are a common aspect of the RA experience, even during periods of overall control.

Flare Types and Triggers

Flares come in two forms: predictable and unpredictable. Predictable flares stem from identifiable triggers, like excessive activity or stress. Though these cause temporary discomfort, symptoms tend to resolve with time. Unpredictable flares, however, lack a clear trigger and may not improve on their own.

Defining a Flare

Defining flares is a complex task as patients and doctors often have differing viewpoints. Patients describe flare symptoms subjectively, with sensations of unrelenting pain and stiffness. While pain, stiffness, and fatigue are recurring themes, their intensity and duration vary. Achieving alignment between patient experiences and doctor assessments has been a challenge.

Seeking Relief for RA Flares

Efforts are underway to create a questionnaire that empowers patients to evaluate their symptoms accurately and guides doctors in assessing severity. Until then, it's essential to listen to your body and communicate openly with your doctor about changes in symptoms. Even if lab tests don't fully reflect it, discussing flare experiences can identify contributing factors beyond RA. During flares, prioritize rest and self-care. If discomfort persists, consulting your doctor is advised.

The journey through RA flares involves understanding, communication, and self-care. By collaborating with healthcare professionals and sharing experiences, patients can find relief and work towards effectively managing the ups and downs of RA.