Living with Rheumatoid Arthritis: When Flares Strike

The views and opinions expressed in this post are those of the patient and do not necessarily reflect the official policy or position of AiArthritis.

Some days, my joints feel like they've declared war on the rest of my body. That's what we call a rheumatoid arthritis (RA) flare – those unpredictable periods when this chronic illness reminds you exactly who's boss. Even with a carefully planned medication routine, these flares can blindside you, turning simple tasks into mountain-climbing expeditions.


Think of RA as an overenthusiastic security system. Instead of protecting your body, your immune system gets trigger-happy and attacks your own joints. During a flare, this attack goes into overdrive. For some people, these episodes might last a few days; for others, they can stretch into weeks or even months. Those with well-controlled RA typically experience shorter flares, usually one to two weeks. But if your RA isn't well-controlled, you might be looking at four to six weeks of increased symptoms.

What Does a Flare Feel Like?


When a flare hits, it's like your body's turned up the volume on everything. Your joints don't just ache – they scream. They swell up like balloon animals, and moving feels like you're wading through wet cement. The fatigue hits differently too. We're not talking about your average "I need a coffee" tired – this is the "I might need a nap after brushing my teeth" kind of exhaustion.


Common symptoms include:


  • Joint pain that makes you question every movement
  • Swelling that turns your fingers into mini sausages
  • Stiffness that feels like your joints have rusted overnight
  • Bone-deep fatigue that coffee can't touch
  • A general feeling of "everything's wrong" that's hard to explain
  • Sometimes even a low-grade fever
  • Unexplained weight loss
  • A mood that matches the weather during storm season


The Ripple Effect


Living with RA flares is like trying to plan your life around an unreliable weather forecast. Work deadlines don't care that your hands aren't cooperating. Friends don't always understand why you've canceled plans again. Even keeping up with basic household chores becomes a negotiation with your body.


The Usual Suspects: What Triggers Flares


While some flares seem to come out of nowhere, others have clear triggers:


  • Stress (both the mental and physical kinds)
  • That cold your kid brought home from school
  • Injuries (even minor ones)
  • Hormonal changes
  • Weather shifts (yes, your joints really can predict rain)
  • Poor sleep
  • Smoking
  • Some people even swear certain foods set them off


Surviving the Storm


Managing flares is part science, part art. Here's what helps:


  • Medication Adjustments: Consult with my healthcare provider to adjust medications during a flare. This may include increasing doses or adding short-term treatments to manage symptoms.
  • Rest and Self-Care: Prioritize rest to allow the body to recover. Gentle stretching and relaxation techniques can help alleviate stiffness and pain.
  • Heat and Cold Therapy: Applying heat or cold packs to affected joints can provide relief from pain and inflammation.
  • Healthy Diet: Eating a balanced diet rich in anti-inflammatory foods can support overall health and potentially reduce the severity of flares.
  • Support System: Leaning on friends, family, and support groups can provide emotional support and practical assistance during flares.
  • Lifestyle changes: Consider lifestyle changes such as stress management, regular exercise, avoidance of smoking, maintaining good oral hygiene and a healthy diet.


First, work with your doctor. Sometimes you'll need medication adjustments, other times you can ride it out with your current treatment plan. Learn to read your body's signals.


During a flare, become best friends with self-care. Heat packs become your constant companions. Rest isn't lazy – it's necessary. Gentle movement, when possible, keeps your joints from completely freezing up. And don't underestimate the power of a good support system.


The Communication Challenge


One of the trickiest parts of RA flares is explaining them to others. How do you tell your boss that yes, you were fine yesterday, but today your body's staging a revolt? Or help friends understand that you're not being flaky when you cancel plans – you're being realistic about what your body can handle?


The key is honesty. Help people understand that RA isn't just "a bit of arthritis." It's an unpredictable chronic condition that can change from day to day. Most people want to understand and support you – they just need to know how.


Living with RA means accepting uncertainty while staying prepared. It means being gentle with yourself during flares while remaining determined to live your life. Most importantly, it means remembering that while flares are part of your story, they don't have to be the whole story.



Eileen Davidson, also known as Chronic Eileen, is a disability and chronic illness advocate from Vancouver BC Canada. Living with a diagnosis of rheumatoid arthritis, she spends a large focus on volunteering and creating awareness around arthritis. With The International Foundation for Autoimmune and Autoinflammatory Arthritis (AiArthritis) Eileen is the Educational Media Assistant. Along with AiArthritis, Eileen is a member of the Arthritis Research Canada patient advisory board, and author with over 100 published articles.

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