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Rheumatoid Arthritis Flares: What Triggers a RA Flare? | Johns Hopkins Medicine

March 13, 2020

There’s not a single
trigger in any one patient. In fact in one patient can
have several unique triggers and a trigger can be different
from patient to patient. But the common themes that I hear about in my patient population are definitely emotional stress. People going through a difficult time whether it is sometimes at work, at home or if they’re stressed about
any particular situation, that can definitely trigger a flare. Infections can certainly trigger flares. But one of the most
common triggers or flares that I hear about is weather. And unfortunately we don’t
have much control over it. It is rather known, well-known that arthritis does the best
in dry, hot environments. I would just suggest
that for many patients when they are in that
almost a pre-flare state when they recognize that
they are about to flare and many patients do recognize that, if they can modify anything
in their life at that point, for example, stress
which is hard to modify, but maybe get extra rest and sleep sometimes it might be helpful. But these are the general triggers that patients often talk about
in terms of their RA flares.


  • Reply Jess n Her Guys June 15, 2018 at 9:05 pm

    WOW! Thank you. I have arthritis & just started vlogging abt it. So, I just wanted to say I appreciate your video 🙂 Have a great day! ~Jess~

  • Reply Joe September 13, 2018 at 12:50 pm

    I discovered my RA with an extremely painful rt hand, blood test, a trip to an emergency room, a shot of morphine and, a script of 20mg prednisone. I started golumumab infusion.  I have CKD3 , Tylenol doesn't work at all and, two weeks ago 'both' hand started to hurt and, lo and, behold, the left hand flared with a bit less pain!! My message is to thank you for your message. Please don't give up. **I also have PD, both shoulders doing good after spending all of 2017 having them totally reverse replaced. In 4 wks I will have me left knee replaced.  I thank God for my wonderful wife, my care taker and everyone I have met. Should I use my hands with hard work when they are not flaring? I have worked hard my whole life.

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