Rheumatoid arthritis nodules are knobs located just under the skin and created by a collection of tissue. They tend to form over pressure points that are constantly beset with friction along or inside tendons. Rheumatoid arthritis causes the formation of nodules. The exact process that happens in order for them to form is unknown and yet to be studied.
These nodules are more prevalent in men than in women. Approximately 25 percent of patients that suffer from rheumatoid arthritis develop firm, nodules. This number increases to 75 percent of patients with rheumatoid arthritis associated Fealty Syndrome.
These nodules are normally the color of the patient’s skin. They can range in size from a few millimeters(pea-size)to a few centimeters(marble size or even walnut size)in diameter. Nodules occur anywhere in the body however they are most prevalent at the fingers, heel, the elbow, the back and the forearm. There can be one or more nodules in an infected area. Found in mostly chronic rheumatoid arthritis cases, nodules are associated with causing joint deformity and are associated with serious extra-articular manifestations of blood vessels, lungs and eyes. The size and severity of nodules varies and normally increases as the disease progresses.
Rheumatoid arthritis nodules are mostly benign. Doctors do not recommend treatment unless other symptoms are present. Most nodules are not painful, however those on the palms of the hands or the bottoms of the feet may become irritated. This can result in an uneven gait, problems with wearing shoes and a self-consciousness in regards to the cosmetics of the nodules.
The first line of defense for joint pain, limited joint mobility and other minor complaints involve oral medications, physical therapy and intraocular steroid injections. Steroid injections may reduce the size of the nodules but it will not cure them. Doctors should be careful when using injections around or inside tendons. It is possible to break-down or damage tendons if proper care is not taken.
In extreme cases doctors will consider surgery. There cases are only considered when nodules cause infections, neuropathy, fistula formation or ulceration. While it is possible to remove arthritis nodules surgically, it is very likely that they will return. Sometimes nodules will reoccur in as little as a few months time.
Not all patients that suffer from rheumatoid arthritis will have nodules. It is important to know that there is help for those that do suffer with this ailment.
I read many arthritis articles but this is the first one one nodules. Thank you for this post. It’s very useful
this post is very usefull thx!