Rheumatoid Arthritis
Comprehensive management of rheumatoid arthritis including biologic therapies and joint preservation strategies.
Book a consultation →Rheumatoid arthritis (RA) is a chronic autoimmune disease in which the immune system mistakenly attacks healthy joint tissue. This causes inflammation, pain, swelling and, if untreated, permanent joint damage. The disease typically affects joints symmetrically — fingers, wrists, knees and feet are often first affected.
- Morning joint stiffness lasting more than 30 minutes
- Swelling, warmth and redness of joints
- Symmetrical joint pain (same joint on both sides of the body)
- Fatigue and general malaise
- Rheumatoid nodules (soft bumps under the skin)
- Weight loss and low-grade fever
Dr. Kaci takes a personalized approach to RA treatment, combining disease-modifying antirheumatic drugs (DMARDs) with biologic therapies and rehabilitation support. The goal is to achieve remission or minimal disease activity.
- ✓Conventional DMARDs (Methotrexate, Leflunomide, Hydroxychloroquine)
- ✓Biologic therapies (anti-TNF, anti-IL-6, abatacept)
- ✓JAK inhibitors for refractory cases
- ✓Corticosteroids for rapid inflammation control
- ✓Physiotherapy and occupational therapy
- ✓Regular monitoring with laboratory and imaging investigations
Can rheumatoid arthritis be cured?
There is no definitive cure for RA, but with the right treatment many patients achieve remission — where the disease is practically inactive and quality of life is normal. Early start of treatment is key.
How quickly should treatment start after diagnosis?
As soon as possible. Joint damage can begin within the first weeks. We recommend starting DMARDs within 3 months of symptom onset.
Are biologic therapies safe?
Biologic therapies have a good safety profile when properly monitored. Tests for tuberculosis and hepatitis are done before starting. Regular laboratory checks are performed during treatment.
Does diet affect rheumatoid arthritis?
An anti-inflammatory diet (rich in omega-3, vegetables and fruits) can help reduce inflammation. However, it does not replace medication. Weight loss reduces mechanical stress on joints.
How often should I have check-up visits?
During the active phase every 4–6 weeks. When disease is under control, visits are every 3–6 months. Blood tests are monitored regularly.
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