Rheumatoid Arthritis

Rheumatoid Arthritis Care at UVM Health

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

RA is different from the more common “wear-and-tear” arthritis (osteoarthritis). With early diagnosis and treatment, many people with RA are able to manage symptoms, protect their joints and maintain an active, fulfilling life.

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 expertise with a patient-centered approach to ensure you receive the care you need to live a healthier life.

As a leading rheumatology program in the region, we offer:

Dedicated specialists: You receive care from board-certified rheumatologists who specialize in a wide range of autoimmune rheumatic diseases. Your care team may include primary care providers, cardiologists, dermatologists, pulmonologists, ophthalmologists, orthopedic surgeons, and physical and occupational therapists.
Advanced treatments: Our physicians stay up to date on the newest medication therapies. They work with you and other specialists to find the right medications to achieve positive results.
Convenience: We provide rheumatology services at locations across the region. For your convenience, we schedule multiple appointments on the same day and offer digital health whenever possible.

Rheumatoid Arthritis Symptoms

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

Joint pain, swelling and tenderness
Stiffness, especially in the morning or after resting, 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.

Diagnostic testing may include:

Blood tests: To look for signs of inflammation or specific antibodies linked to RA
Imaging tests: X-rays, ultrasound or MRI imaging to look for joint changes

Because RA symptoms can be similar to other conditions, diagnosis may take time. Early evaluation by a rheumatology specialist can make a meaningful difference in 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.