The DAC Early Arthritis Clinic was established to promote the early identification and treatment of rheumatoid arthritis as well as to support research efforts to determine more effective treatment and prevention strategies for arthritis. Patients are given rapid access to our doctors, allowing better and faster treatment of their joint problems. Recent research has shown that early diagnosis and treatment of rheumatoid arthritis can dramatically change the course of the disease.

What is Rheumatoid Arthritis?

Rheumatoid Arthritis, also called RA, is an autoimmune disease that mostly affects joints.  It is generally a chronic disease that if left untreated can lead to significant pain, disability, and deformities. 

Who gets RA?

About one percent of people worldwide have rheumatoid arthritis.  It is twice as common in women as men.  Often, RA starts in women in their childbearing years.   However, it can affect anyone at any age. 

What are the symptoms of RA?

Patients with rheumatoid arthritis develop pain, swelling, and stiffness in their joints.  The symptoms may start abruptly or occur gradually over time.  Some patients will have many joints which are swollen and painful, while others may have just a few joints involved.  Most patients will have stiffness when they first wake up that persists for 30 minutes or more.  RA generally involves both sides of the body and often involves the small joints of the hands and wrists as well as the feet.  Additionally, the elbows, shoulders, hips, knees, and ankles can be affected. 

What are the advantages of being seen early?

Studies have shown that patients diagnosed and treated early have better long-term outcomes.  Additionally, in the short term they are able to have better relief of their pain and return to work and their other daily activities faster. 

How do I know if I should be evaluated for RA?

Patients with warm, stiff, swollen joints, especially the hands and feet, that persist for four weeks should see their physician and ask if they might have symptoms of RA. 

What happens at the DAC in my evaluation for rheumatoid arthritis?

The first step in evaluation is talking about your symptoms and then undergoing a physical examination to look for red, warm, or swollen joints.  X-rays of your hands and feet will be taken to look for any damage that may have occurred from inflammation.  Also, blood tests will be done to look for markers of inflammation (Sedimentation rate or C-reactive protein) or antibodies related to rheumatoid arthritis (Rheumatoid Factor or anti-CCP antibodies).   Your primary care doctor may or may not have done some X-rays or bloodwork in evaluating your symptoms. 

How long does it take to find out the results of my tests and start on treatment?

It takes about one week for results of your blood work to return.  Depending on your symptoms, their severity, and the findings on your physical exam, some treatment may be started at your initial visit.  Our goal is start patients on treatment within 15 days of diagnosis of RA as this leads to better outcomes long-term.

What is the treatment for RA?

There are numerous medications available for RA.   In the short term, many patients are started on ibuprofen or related medicines to decrease the pain and swelling.  Patients who present with moderate to severe symptoms are often started on prednisone to decrease their swelling and pain.  The long term treatment of RA requires treatment with one or more medications called DMARDs (Disease modifying anti-rheumatic drugs).  These include medications such as hydroxychloroquine, methotrexate, leflunomide, or sulfasalazine.  Your doctor at the DAC can help tailor your treatment based on your symptoms, other medical conditions and medications, and the potential side effects of the medication.  Additionally, our providers will be in communication with your primary care provider about your diagnosis and plan of treatment.

I think I may have RA, what is my next step?

If you think your symptoms may be RA, then schedule an appointment with your primary care physician to discuss them.  They can refer you to see a rheumatologist for a comprehensive evaluation.  If your symptoms have started between the last four weeks to six months, then your provider may consider sending you to our Early Arthritis Clinic. 

What is the Early Arthritis Clinic at the DAC?

The goal of the early arthritis clinic at the DAC is to see patients who have at least 4 weeks of pain, swelling, and stiffness in their joints within 2 weeks of their referral.  Your primary care provider can make a specific request to have you seen in this special program.  For more information, please call our early arthritis clinic hotline at 303-394-2828 x265.

What are the advantages to being seen at the DAC?

The Denver Arthritis Clinic, or DAC, is a clinic with a full range of services.  Our eight physicians can work with your primary care provider in developing your diagnostic and treatment plan.  Additionally, our services include a full laboratory, X-ray department, and the ability to have your bone density evaluation in one place.  For patients who require IV therapy for their arthritis or osteoporosis treatment, we have a large infusion center available to provide you with comfortable and convenient service.

For more information or to arrange an appointment, call 303.394.2828 extension 265.