Rheumatoid Arthritis

Rheumatoid Arthritis Care at UVM Health

Rheumatoid arthritis (RA) is a long-term autoimmune disease in which the body’s immune system mistakenly attacks the lining of the joints. This causes pain, swelling and stiffness, and can eventually lead to joint damage. RA most often affects the hands, wrists and feet, and usually involves the same joints on both sides of the body.

RA differs from osteoarthritis, the more common form of “wear-and-tear” arthritis. With early diagnosis and appropriate treatment, many people with RA can manage symptoms, protect their joints and maintain active, fulfilling lives.

Why Choose UVM Health?

At University of Vermont Health, rheumatologists provide comprehensive, compassionate care for common and rare autoimmune rheumatic diseases. Our rheumatologists combine advanced clinical expertise with a patient-centered approach to support your long-term health.

As one of the leading rheumatology programs in the region, we offer:

Dedicated specialists: Your care is led by board-certified rheumatologists with expertise in a wide range of autoimmune rheumatic diseases. Your care team may also include primary care providers, cardiologists, dermatologists, pulmonologists, ophthalmologists, orthopedic surgeons, and physical and occupational therapists.
Advanced treatments: Our physicians stay current with the latest medication therapies. They work closely with you and other specialists to find treatments that control inflammation and support long-term health.
Convenience: Rheumatology services are available at multiple locations across the region. When possible, we coordinate same-day appointments and offer digital health options whenever possible.

Rheumatoid Arthritis Symptoms

Symptoms can vary from person to person and can come and go. Common symptoms include:

Joint pain, swelling and tenderness
Stiffness, especially in the morning or after rest, lasting longer than 30–60 minutes
Warmth or redness around affected joints
Fatigue or low energy
Low-grade fever
Loss of appetite or unintentional weight loss

Diagnosing Rheumatoid Arthritis

Your care team will start with a physical exam and a review of your medical history, including medications and recent illnesses.

Testing may include:

Blood tests: To look for inflammation or antibodies linked to RA
Imaging tests: X-rays, ultrasound or MRI imaging to assess joint damage

Because RA symptoms can resemble other conditions, diagnosis may take time. Early evaluation by a rheumatology specialist can significantly improve long-term outcomes.

Rheumatoid Arthritis Treatment

There is no cure for rheumatoid arthritis, but treatment can greatly reduce symptoms, slow joint damage and improve quality of life. Treatment plans are personalized and may include:

Medications: To reduce inflammation and pain or slow or stop immune system damage to the joints
Physical and occupational therapy: Exercises to improve strength, flexibility and joint function
Healthy lifestyle choices: Regular, low-impact physical activity, balanced nutrition and quitting smoking
Surgery: In some cases, surgery may help repair or replace severely damaged joints

Your care team will work with you to choose a treatment plan that fits your needs, goals and lifestyle while helping you manage your symptoms confidently.