Rheumatoid Arthritis

Rheumatoid Arthritis, which is a very common form of joint inflammation all over the world, is an autoimmune disorder that can affect many organs and joints in the body and reduces the quality of life of the person with the pain it causes.

Aim in the RTM system is not to take actions that will directly eliminate symptoms such as pain, which is a reflection of this disease but to reveal the causes that cause rheumatoid arthritis specific to the individual and to determine the source part of the disease. In the treatment, the aim is to eliminate the source of the disease and to restore the cellular functions and architecture in the problem area to normal.

Let’s glance shortly at Rheumatoid Arthritis…

What is Rheumatoid Arthritis?

Rheumatoid Arthritis is a chronic inflammatory rheumatism that mostly affects small joints such as hand and foot joints symmetrically, but can also affect large joints such as knees, hips and shoulders. It is one of the types of rheumatism that causes the most damage and deformity in the joints.

What Causes Rheumatoid Arthritis?

Although the cause of Rheumatoid Arthritis has not been determined exactly, it is thought that causes such as impaired immune system function, genetic predisposition and environmental factors are effective. Inflammation occurs when a person’s immune system attacks the lining of the membranes surrounding the joints, called the synovium. This causes the synovium to thicken and the cartilage and bone tissue in the joint to be destroyed.

The synovium around the joints produces fluid to help the joint move properly. When it is inflamed, it thickens and the joint area becomes red, swollen, painful and tender. Over time, it becomes difficult to move the joint. If the disease is not treated, the shape and structure of the joint deteriorates and there is a risk of its complete disappearance over time.

  • Rheumatoid Arthritis (Inflammatory Rheumatism) and Pregnancy
  • The severity of rheumatoid arthritis usually decreases during pregnancy and increases again during puerperium. Pregnancy does not pose an additional problem for rheumatoid arthritis patients.
  • Can infections cause rheumatoid arthritis?
  • Although not yet proven, many scientists believe that rheumatoid arthritis is triggered by infection. A past infection can cause the onset of this disease. However, rheumatoid arthritis is not a contagious disease.

What are the Complications of Rheumatoid Arthritis (Inflammatory Rheumatism)?

  • Rheumatoid nodules: Tight tissue masses that can form in the lungs and any part of the body, most often around pressure joints such as elbows.
  • Osteoporosis: Rheumatoid arthritis and the side effects of some drugs used in its treatment may increase the risk of osteoporosis. In this case, the bones weaken and become more prone to fracture.
  • Dry mouth and eyes: Patients with rheumatoid arthritis are more likely to have Sjogren’s syndrome, which is a condition that reduces the amount of moisture in the eyes and mouth.
  • Abnormal body composition: In rheumatoid arthritis, even in those with normal body mass index, the proportion of body fat is higher than lean mass
  • Infections: Rheumatoid Arthritis and most of the drugs used in its treatment can weaken the body’s immune system and cause other infections to occur.
  • Heart problems: Rheumatoid arthritis can increase the risk of hardening or blockage of the arteries and inflammation of the sac surrounding the heart.
  • Carpal Tunnel Syndrome: The inflammation that occurs when rheumatoid arthritis affects the wrists can compress the nerves extending to the hands and fingers, causing difficulty in movement and pain.
  • Lung disease: People with rheumatoid arthritis may experience shortness of breath due to inflammation and scarring of the lung tissues.
  • Lymphoma: Rheumatoid arthritis can increase the risk of lymphoma, a cancer group seen in the lymph.
  • Who Gets Rheumatoid Arthritis?
  • The incidence of the disease in women is higher than in men. Although it can occur at any age, it often begins to appear in middle age. People with a genetic predisposition are more likely to be triggered by the disease.
  • How does rheumatoid arthritis differ from other types of rheumatism?
  • In rheumatoid arthritis, the joints are usually symmetrical, such as the involvement of both knees or both wrists. In order to distinguish the disease from other types of rheumatism, the location of the swollen joints and some blood tests to be applied are evaluated.
  • What are the symptoms of rheumatoid arthritis?
  • Joint tenderness and pain in the early stages
  • Prolonged joint pain, swelling or stiffness in addition to tenderness
  • Increased joint pain and stiffness in the morning
  • Pain in more than one joint
  • Deformities in the joints in the later stages
  • Anorexia and anemia in some cases
  • Lumps formed under the skin
  • How is rheumatoid arthritis diagnosed?
  • The diagnosis is made by examining the history of the disease, evaluation of symptoms and physical examination, as well as some laboratory tests and joint imaging.
  • Approach to Rheumatoid Arthritis Disease in the RTM System

An Outlook on the Cause of Rheumatoid Arthritis in the RTM System

Our body is in a constant balance against internal and external factors. With this balance, life continues by developing. Diseases occur when a disruption or problem occurs in the balance process.

We can see diseases as a new balance or new adjustments created in the body for the continuation of life against internal and external negative conditions.

In the RTM System, there is a source model called the Triad of Disease, which causes new settings in the Body to come into play. This triple structure, which includes contamination in the body, system disorders and code changes in DNA (epigenetics), works as follows in ankylosing pondylitis.

CONTAMINATION: We call the accumulation of toxins in the body pollution. These toxins can be in the form of sometimes we are exposed to, sometimes free radicals that are constantly produced in the mitochondria, and sometimes general wastes that arise as a result of the body’s metabolic activities.

Sometimes the inadequacy of the detox, that is, the cleansing systems, and sometimes the defects in familial gene transmission can be effective in the pollution processes of the body.

Liver, Skin, Kidney and Lung have been assigned to organize our body’s detox activities. Thanks to the detox organs, the accumulated wastes are removed from our body. Defects or insufficiency in the detox organs for various reasons (insufficiency due to excessive toxin exposure) will cause toxin accumulation in the tissues backwards. Toxins will begin to accumulate first in the blood and then in the related tissue.

The body is informed by the disruption in detox processes. As a result of this information, the relevant structures are activated. At first, the defense system temporarily takes over the detox process and reflexively increases the defense cells. If the toxic process continues, then the body switches to permanent information changes in the DNA and the defense cells are permanently increased.

In other words, we now have defense and defense cells that act according to the toxic level. At first this seems fine. Because the troublesome situation caused by the toxicity has been resolved, albeit temporarily. However, in order to ensure this situation, more defense cells are active than necessary, and accordingly, there is a constant state of alarm. This process, which can be tolerated at first, opens the door to new patterns later on. Cells, which are quite large in number, do not stay idle over time and constantly determine new business processes for themselves. Over time, defense cells begin to shift the processes of reducing the toxic load in the blood to the tissues where toxic accumulations are present. This action is the first signals of a new pattern process. Because the tissues with the accumulations begin to become the target of the defense cells over time. The defense response, which is general at first, becomes tissue-specific over time. Because the tissues related to new information were also perceived as harmful.

DETERIORATION IN SYSTEMS: Sometimes, our defense system may become irregular and inadequate due to recurrent infections or intensive use of antibiotics or familial infrastructures. In the face of this situation, the body reveals new settings for defense. Although inadequacy is perceived as scarcity, the body exhibits the opposite transition with new adjustments. With this transition, it protects itself against future actions. Even if it is not necessary, it activates the backup defense cells as if it is needed and increases the defense level to one when it should be. When attacked, these cells take action and coordinate the defense. But even if the danger situation is over, these cells always remain in the attack state. However, it has no specific task and no cell to attack. That is, these cells are both active and non-functional and empty. So what do these redundant circulating defenseless cells do?

Deteriorations in other systems appear as a chronic disease if the defense system is intact.

However, if there are deteriorations in the other system in addition to the deterioration in the defense system, the defense cells can take on the task of correcting these disorders and try to correct them. E.g; As a result of the deterioration in the detox systems or the insufficiency of the circulatory system, the wastes of the joint will accumulate in the joint. In this case, the defense cells that are inactive in the circulation will directly wage a war against these accumulations.

INFORMATION EXCHANGE IN DNA: Causes such as contamination in the body or disorders in the systems we have explained above make information changes in DNA, and as a result of this information change, defense cells increase. These increased defense cells will fight the toxins or metabolic wastes accumulating in the joints and become specific. This will appear as Rheumatoid Arthritis.

Treatment of Rheumatoid Arthritis in the RTM System

The process called disease in the RTM System is actually new set points necessary for the continuation of life. The essence of the treatment is not to eliminate the symptoms of the disease, but to solve the disease triad, which is the source of the problem, with the TREATMENT TRIAD.

With the Treatment Triad, it is aimed to initiate the detox process in order to return to the normal state of balance in the body, to resolve the inflammation that occurs due to the increase in regional toxic load and the degeneration process that occurs as a result. Thanks to the detox in the body, it is aimed to regulate the microcirculation in the region, to withdraw the inflammation and degeneration processes, and thus to ensure the normal cellular cycle. The main purpose is to eliminate the imbalance in the systems, to open the blockages in the circulatory processes, to ensure the flow and to normalize the immune responses. Ultimately, it is aimed to return the epigenetic changes in DNA to the primary set points by providing the body’s detox activities and regulating the deteriorated systems. Another important point here is that the process is carried out by taking into account the individual differences.

The main part of the treatment triad is RTM Phytotherapy. The phytotherapy protocol is determined by evaluating the detailed anamnesis, laboratory and imaging findings of the individual, and measurements specific to RTM clinics. With the RTM Phytotherapy protocol, the disease trait, which forms the source part, is withdrawn and the treatment process is carried out. By informing the body with the seed parts of the plants, it is aimed to normalize the epigenetic changes in DNA that determine the new adjustment constants. In order to adapt the body to the normalization of this information, the treatment triad is activated by using the leafy parts of the plants, accelerating the detox activities in the body and regulating the systems. When the disease triad is withdrawn, it is aimed for the body to return to its norm form.

In order to accelerate the treatment process, other traditional medicine methods such as intra-articular ozone injections, Ozone therapy, Cupping, Acupuncture, Magnetic field, Laser, USG ESWT treatment can also be planned according to the needs of the patient.

Frequently Asked Questions

Do genetics and gender matter in rheumatoid arthritis?

Genetic factors are thought to be effective in the development of rheumatoid arthritis. Rheumatoid arthritis is four times more common than normal in first-degree relatives of patients. There is a risk of 12-15% in identical twins and 2-5% in fraternal twins.

Although the incidence of the disease in women is 2-3 times higher than in men, it has been observed that this rate becomes equal in advancing ages.

How does rheumatoid arthritis start, is there a delay in diagnosis?

It has been reported that the average time from the onset of complaints about the disease to the diagnosis is 4 months. The symptoms at the beginning of the disease are mild and may not be specific to this disease, it is a slow and insidious onset. In addition, the laboratory parameters used for the diagnosis may be negative or may be positive due to other conditions, which may lead to a delay in the diagnosis.

Can rheumatoid arthritis be prevented, what is the benefit of early diagnosis?

The formation mechanisms of rheumatoid arthritis have not been fully determined yet. However, it is a well-known fact that a healthy lifestyle and not smoking have a positive effect on the disease. Thanks to the early diagnosis, the damage to the whole body system, especially the joints, can be slowed down or stopped.

What is the Frequency of Rheumatoid Arthritis?

The incidence of the disease in different populations has been reported between 0.5% and 1%. It has been reported that the annual probability of new cases changes to approximately 3 in 10 thousand.

Is there any harm in the pregnancy of a female patient with rheumatoid arthritis?

It is recommended to coincide with the silent period of pregnancy when the disease is under control. If you have become pregnant out of control, you can continue to take drugs that can be used during pregnancy if necessary. Generally, the symptoms of Rheumatoid Arthritis are relieved temporarily during pregnancy, so there is the advantage of reducing drug use.

Rheumatism patients are advised to discontinue many long-acting drugs that they were using before, when they decide to become pregnant. In some cases, the disease may exacerbate when the drug is discontinued, and if possible, the disease is tried to be suppressed with short-acting and more harmless drugs such as low-dose steroids for the baby.

Does Smoking Have an Effect on the Formation of Rheumatoid Arthritis?

As in many other diseases, it has been clearly reported that smoking has a negative effect on the formation of Rheumatoid Arthritis.

Do Dental Problems Have a Role in the Formation of Rheumatoid Arthritis?

According to clinical studies, it has been stated that it is effective in the occurrence of rheumatoid arthritis when dental caries is not treated. However, it has been concluded that recurrent bacterial and viral infections, especially inflammations in the teeth, tonsils and gallbladder, are effective in the formation of rheumatoid arthritis.

  • What should we do to prevent rheumatoid arthritis?
  • Getting rid of excess weight
  • Not smoking
  • Taking care of dental health
  • Exercising regularly
  • Eating a balanced and healthy diet
  • Avoiding alcohol
  • Managing stress
  • Wearing comfortable and flat shoes

How is the joint involvement?

Joint involvement in rheumatoid arthritis causes severe pain. Sometimes, although it is not seen at first, swellings are added to these pains in the course of time. It holds the small joints oppositely, that is, symmetrically, as in the fingers and toes. Although rare, its onset can also be seen in large joints such as hips and shoulders. However, over time, small joints are also involved and symmetrical involvement of small joints is expected for diagnosis. Especially in the morning hours, long-lasting stiffness, pain or stiffness is seen in the inflamed joints. Pain is more intense at night.

Spinal involvement is not usually seen in rheumatoid arthritis. In some cases, the neck vertebrae may be involved and cause severe pain in the back of the head and the upper part of the neck. When the involved joints are not treated appropriately, a rapidly progressive deterioration may occur in their structure and progressive deformity develops over time.

Applying excessive heat to inflamed joints damages and increases complaints. On the contrary, applying cold to joints that have just begun to swell can have a relaxing effect.

Is there any internal organ involvement?

No significant internal organ involvement is sought in rheumatoid arthritis. However, as in many chronic diseases, if proper treatment is not performed, some internal organs may also be affected over time. It is not clear whether these involvements are due to the characteristics of the disease or to the drugs used continuously. Leading an increasingly sedentary life may also be adding other disorders to rheumatoid arthritis. Most likely, all these factors work together. After all, rheumatoid arthritis is a musculoskeletal disease and cannot be considered an internal organ disease.

Is It Dangerous To Use Rheumatoid Arthritis Medicines During Pregnancy?

The drugs used in the treatment of rheumatism can be examined in three groups according to their availability during pregnancy. In the first group, there are those that can be used safely during pregnancy as they carry very little risk for both the mother and the baby.

In the second group, there are drugs that are safe to use during pregnancy, under the supervision of a doctor and under special care. Drugs in this category pass to the baby through the placenta at very low doses.

The drugs in the third group are drugs that are known to harm the baby with certainty. Those in this group should never be used by pregnant patients. In fact, if possible, they should be stopped for a certain period of time before becoming pregnant.

How is Rheumatoid Arthritis Surgery?

In cases where medications are insufficient, inevitably severe joint damage and associated pain and movement disorders, surgery may be required to repair the damaged joints. Damaged joint parts can be replaced by artificial materials by the surgeon. In order to increase the success of the surgical operation, an exercise program that will prepare the muscles beforehand can be recommended. Most post-surgery rehabilitation is performed to get the maximum benefit from the new joint.

What kind of foods should rheumatoid arthritis patients consume?

The importance of healthy changes in diet in addition to the treatment of rheumatoid arthritis is known. A Mediterranean-style diet is thought to be effective in suppressing inflammation and reducing joint pain. The basis of this type of nutrition is to follow a diet that is mostly vegetables and fruits, sufficient lean meat and more fish are consumed. Nuts such as almonds and walnuts that contain healthy fats can be consumed. It is necessary to avoid foods that can increase inflammation, such as fried foods, refined carbohydrates, carbonated drinks, animal fats, prepared foods and processed meats.

Is rheumatoid arthritis a chronic disease?

Rheumatoid arthritis is a chronic and long-term disease that usually affects more than one joint, although long periods of silence can sometimes occur between attacks.

What happens if inflammatory joint rheumatism is not treated?

Inflammatory joint rheumatism is a disease that can lead to severe pain and serious deformities in the joints, which can greatly reduce the quality of life and mobility of the person, if not treated.

Which plant is good for rheumatoid arthritis?

Plants such as Rosehip, Chamomile, Ginger, Turmeric, Licorice are thought to be good for rheumatoid arthritis due to their anti-inflammatory and pain-relieving effects, richness in vitamins, and calming properties.

Is it good for rheumatism hot or cold?

In cases of active inflammation, applying heat is not good and may even exacerbate complaints. Applying cold can provide relief.

Does rheumatoid arthritis go away on its own?

Rheumatoid arthritis, that is, inflammatory rheumatism, does not go away on its own, it is a chronic disease that requires long-term treatment.

What triggers inflammatory rheumatism?

Infections, stress, unbalanced diet, smoking, extreme cold or hot weather can trigger inflammatory rheumatism.

Does rheumatoid arthritis heal completely?

Since the causes of the formation of the disease have not been fully determined, the solution to its complete elimination has not been found. However, it is a treatable disease and it can be completely controlled. With appropriate treatment, complaints can be eliminated, extra-articular organ involvement can be prevented, and irreversible joint damage can be prevented.

How long does the treatment for rheumatoid arthritis take?

The duration of treatment of inflammatory rheumatism, which is a disease that usually requires long-term treatment, varies according to the age of the patient, the level of the disease and the frequency of attacks, other diseases he has, and his compliance with the treatment.

Which organs does rheumatoid arthritis damage?

Rheumatoid arthritis is a musculoskeletal disease that mostly causes small and sometimes large joint involvement.

What does rheumatic fever mean?

Acute rheumatic fever (joint rheumatism), as it is called in medicine, is a disease that is known as Beta among the people, which occurs after a throat infection caused by Group A Beta Hemolytic Streptococcus bacteria, and causes disorders by affecting the joints, heart, brain and skin.

What is extra-articular rheumatism?

It is a rheumatism that causes painful symptoms of extra-articular origin and affects soft tissues. It most often occurs in the area surrounding the joints in the shoulders, elbows, chest, wrists, fingers, waist, hips, feet, and knees. It can affect mainly the fibrous capsules, joint capsules, tendon sheath and tendons, muscles, ligaments, subcutaneous and fatty connective tissue.

Can rheumatoid arthritis patients do sports?

Regular exercise in arthritis is also beneficial in terms of strengthening the muscles surrounding the joints. However, during the attack periods when the symptoms of the disease are active, especially the problem areas should not be forced. It is recommended to choose few and light movements when starting the exercises and to increase them gradually as long as no discomfort is felt.

Is rheumatoid arthritis dangerous?

Rheumatoid arthritis is a non-life-threatening disease that can be controlled when treated timely and appropriately.

Does inflammatory rheumatism hit the lungs?

In people with rheumatoid arthritis, there is a risk of infection and occurrence in the lung tissues, which can cause progressive shortness of breath over time.

Is spa good for rheumatoid arthritis?

The application of excessive heat may damage the inflamed joints, increase the complaints and disturb the patient. Therefore, spa treatments are not recommended for the treatment of rheumatoid arthritis.

Is the sea good for rheumatism?

Swimming in the sea and taking a sea bath can make the rheumatism patient feel good due to its cooling and refreshing effect.

Is trekking good for rheumatism?

In the active period of the disease, it is necessary not to force the joints. However, regular exercise outside the periods has a protective and preventive role.

What is Pseudogout?

False gout is a joint rheumatism that develops rapidly with swelling and pain in the joints. It is also called pseudo gout because it resembles gout.

What is pseudorheumatism?

The exact source of the majority of rheumatic diseases is unknown. The definition of rheumatism covers a large number of diseases and it is important to make a differential diagnosis when the symptoms of the disease are similar to other diseases.

How many types of rheumatic diseases are there?

Basically, rheumatic diseases are examined in 2 groups.

1) Those with inflammation:

  1. a) It occurs when various microbes such as staphylococci, streptococci and tuberculosis bacilli settle in the joint.
  2. b) Important examples of germ-free inflammation that develops as a result of the deterioration of the immune system are Rheumatoid arthritis, Ankylosing spondylitis. In addition, the most well-known example of diseases that cause widespread connective tissue inflammation is Systemic Lupus Erythematosus.
  3. c) As in gout and pseudo-gout, there is also a type of inflammation that occurs as a result of irritation caused by uric acid and other crystals settling in the joints and other tissues.

2) Those who do not have inflammation:

The most important of the non-inflammatory rheumatism is calcification, that is, arthrosis. In arthrosis, there is wear in the joint, not inflammation. Over time, the cartilage in the joint thins and disappears, and bone protrusions form on the edges of the joint. The most important causes of non-inflammatory rheumatism are accidents, blows, mechanical causes, metabolic and psychological problems.