Adults only (18+)

What Does a Rheumatoid Arthritis Flare-Up Feel Like?

A rheumatoid arthritis (RA) flare-up is a period when symptoms suddenly worsen or intensify, often catching people off guard and causing significant discomfort. During a flare, the body’s immune system becomes more active, increasing inflammation in the joints and sometimes affecting overall wellbeing. Understanding what a flare-up feels like helps people recognise these episodes early and manage them effectively.

Intense Joint Pain and Tenderness

One of the most noticeable features of an RA flare-up is a sudden increase in joint pain. The affected joints—commonly the small joints of the hands, wrists and feet—may feel intensely sore, aching or throbbing. The pain often worsens with movement and may become constant, interfering with everyday activities.

Severe Stiffness and Reduced Mobility

Flare-ups typically cause pronounced stiffness in the joints, especially in the morning or after periods of rest. This stiffness can last for several hours and make it difficult to bend or straighten fingers, wrists or other joints. Reduced mobility during a flare can affect the ability to perform tasks like writing, dressing or gripping objects.

Swelling, Warmth and Redness

Inflammation during a flare causes joints to swell and feel warm or hot to the touch. The skin over affected joints may appear red or flushed. Swelling can make the joints look visibly enlarged or puffy.

Fatigue and Malaise

Many people experience overwhelming fatigue during RA flare-ups. This tiredness can be debilitating and may be accompanied by a general feeling of being unwell, low-grade fever or flu-like symptoms. The systemic nature of RA means flares can affect more than just the joints.

Emotional and Psychological Impact

The unpredictability and severity of flare-ups can lead to feelings of frustration, anxiety or sadness. Coping with increased pain and reduced function can be challenging and may affect mental wellbeing.

Trigger Factors

Flares can be triggered by various factors such as stress, infections, changes in medication, injury or overexertion. Identifying personal triggers can help manage or avoid future flare-ups.

Managing a Flare-Up

During a flare, rest is important, alongside taking prescribed medications like anti-inflammatory drugs or corticosteroids. Applying heat or cold to affected joints may provide relief. Consulting a healthcare professional is advised if flares are frequent or severe to adjust treatment.

Summary

A rheumatoid arthritis flare-up feels like a sudden increase in joint pain, stiffness, swelling and fatigue, often accompanied by emotional distress. Recognising these symptoms early and managing them effectively supports better control of the disease.