Question: What is the significance of morning stiffness in the clinical picture of RA?
What is the significance of morning stiffness in the clinical picture of rheumatoid arthritis patients? Does it mean the patient is only stiff in the morning? Is it only characteristic of rheumatoid arthritis or of other forms of arthritis too?
Answer: Do your joints feel stiff when you wake up in the morning? This is a common question asked by doctors who take care of patients with arthritis. If the answer is yes, they might ask how long it takes to improve. Not everyone with arthritis will feel stiff in the morning. Instead of stiffness, some may complain they hurt more in the morning or describe discomfort without pain. The duration of
symptoms in the morning is an important clue as to what type of arthritis you may have. For example,
rheumatoid arthritis or
lupus patients often complain of prolonged morning stiffness or pain which may last 45 minutes or longer. On the other hand,
osteoarthritis patients symptoms typically improve within 30 minutes but may be aggravated during the day with use of the affected joints.
Fibromyalgia patients often complain of generalized morning pain and stiffness that may not get better for hours. If you plan to see a doctor for initial diagnosis and treatment of your arthritis, make sure you can relate how you feel in the morning. If you have been diagnosed with rheumatoid arthritis, be ready during your follow up when the doctor asks you about your morning stiffness. Less morning stiffness or discomfort typically indicates that you are responding to treatment.
Answer provided by Scott J. Zashin, M.D., clinical assistant professor at University of Texas Southwestern Medical School, Division of Rheumatology, in Dallas, Texas. Dr. Zashin is also an attending physician at Presbyterian Hospitals of Dallas and Plano. He is a fellow of the American College of Physicians and the American College of Rheumatology and a member of the American Medical Association. Dr. Zashin is author of Arthritis Without Pain - The Miracle Of Anti-TNF Blockers. The book is a must-have for anyone on one of the biologic drugs (Enbrel, Remicade, Humira) or considering the biologic drugs. Read my review of the book.
