What is the Difference Between Arthritis and Rheumatoid Arthritis?

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The main difference between arthritis and rheumatoid arthritis lies in their causes and symptoms. Here are the key differences:

  • Cause: Osteoarthritis (OA) is caused by mechanical wear and tear on joints, while rheumatoid arthritis (RA) is an autoimmune disease in which the body's immune system attacks the joints.
  • Onset: Rheumatoid arthritis often begins at a younger age and has a relatively rapid onset, developing over weeks to months. In contrast, osteoarthritis usually begins later in life and progresses slowly over years.
  • Joint Symptoms: In rheumatoid arthritis, joints are painful, swollen, and stiff, while in osteoarthritis, joints ache and may be tender but have little or no swelling.
  • Pattern of Affected Joints: Rheumatoid arthritis often targets multiple joints at once, with a symmetrical pattern of joint involvement (e.g., arthritis in both hips). Osteoarthritis usually begins in an isolated joint.
  • Systemic Symptoms: Rheumatoid arthritis frequently accompanies fatigue and a general feeling of being ill, while whole-body symptoms are not present in osteoarthritis.
  • Treatment: Rheumatoid arthritis is typically treated in secondary care by specialists, whereas osteoarthritis is normally managed by general practitioners.

Accurately distinguishing between osteoarthritis and rheumatoid arthritis is crucial for determining the proper treatment and managing the condition effectively.

Comparative Table: Arthritis vs Rheumatoid Arthritis

Here is a table comparing the differences between arthritis and rheumatoid arthritis:

Feature Arthritis Rheumatoid Arthritis
Definition An umbrella term for inflammation of the joints, including osteoarthritis (OA) and rheumatoid arthritis (RA). A specific type of arthritis that is an autoimmune disease, where the immune system attacks the joints, beginning with the lining.
Causes Mechanical wear and tear on joints. The immune system mistakenly attacks healthy tissues in the joints, releasing enzymes that destroy the linings, leading to pain, swelling, and stiffness.
Symptoms Joint aches, tenderness, but little or no swelling. Joints are painful, swollen, and stiff.
Onset Slow, over years. Relatively rapid, over weeks to months.
Age at which the condition starts Usually begins later in life. May begin any time in life.
Pattern of joints affected Affects multiple joints and develops symmetrically. Joint damage in OA primarily results from wear and tear, often related to repetitive movements or sports.
Treatment Anti-inflammatory and corticosteroid medications. Disease-modifying medications and biologics that target the immune system.

Keep in mind that there are other types of arthritis besides OA and RA, and the table above compares general arthritis with rheumatoid arthritis specifically.