Homeopathic treatment for Rheumatoid arthritis

Rheumatoid Arthritis (RA) is a long-term, progressive, and disabling autoimmune disease. It causes inflammation, swelling, and pain in and around the joints and other body organs.

Rheumatoid arthritis (RA) is the most common persistent inflammatory arthritis, occurring throughout the world and in all ethnic groups.
The prevalence is lowest in black Africans and Chinese, and highest in Pima Indians.
The clinical course is prolonged, with intermittent exacerbations and remissions.
Patients with RA have an increased mortality when compared with age matched controls, primarily due to an increased risk of cardiovascular disease.
This is most marked in those with severe disease, with a reduction in expected lifespan by 8–15 years.
Around 40% of RA patients are registered as disabled within 3 years of onset, and around 80% are moderately to severely disabled within 20 years.
Functional capacity decreases most rapidly at the beginning of disease and the functional status of patients within their first year of RA is often predictive of long term outcome.
Factors that associate with a poorer prognosis are disability at presentation, female gender, involvement of MTP joints, radiographic damage at presentation, smoking and a positive RF (Rheumatoid Factor).

Other Factors:

In former years, around 25% of patients required a large joint replacement but rates are now falling, probably reflecting more aggressive and effective medical therapy.
Rheumatoid arthritis is a chronic inflammatory disorder that can affect more than just your joints. In some people, the condition can damage a wide variety of body systems, including the skin, eyes, lungs, heart and blood vessels.
An autoimmune disorder, rheumatoid arthritis occurs when your immune system mistakenly attacks your own body’s tissues.
Unlike the wear-and-tear damage of osteoarthritis, rheumatoid arthritis affects the lining of your joints, causing a painful swelling that can eventually result in bone erosion and joint deformity.
The joint damage that RA causes usually happens on both sides of your body.
So if a joint is affected in one of your arms or legs, the same joint in the other arm or leg will probably be affected, too.

Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disease that primarily affects the joints, causing pain, swelling, and stiffness. While the exact cause of rheumatoid arthritis isn’t fully understood, several genetic, environmental, and immune system factors are believed to contribute to the development of the disease. Here’s a breakdown of the potential causes and risk factors for rheumatoid arthritis:

1. Genetic Factors

Family History: Rheumatoid arthritis tends to run in families, suggesting a genetic predisposition. If someone has a close relative (such as a parent or sibling) with RA, their risk of developing the condition is higher.
HLA-DRB1 Gene: Certain genetic markers, particularly the HLA-DRB1 gene, are strongly associated with an increased risk of developing rheumatoid arthritis. These genes play a role in immune system function and may make the body more prone to autoimmune diseases like RA.

2. Immune System Dysfunction (Autoimmune Response)

Autoimmune Disorder: Rheumatoid arthritis is an autoimmune disease, which means the body’s immune system mistakenly attacks its own tissues. In the case of RA, the immune system targets the synovium (the lining of the joints), leading to inflammation, damage, and pain.
Inflammation: This immune response causes chronic inflammation in the joints, which can result in joint damage over time, including cartilage and bone destruction.

3. Environmental Factors

Certain environmental factors can trigger or worsen rheumatoid arthritis, especially in people who are genetically predisposed:

Infections: Some viral and bacterial infections may trigger or exacerbate the immune response that leads to RA. For example, infections with certain viruses (like Epstein-Barr virus or parvovirus) have been linked to the onset of RA in susceptible individuals.
Smoking: Smoking is one of the most well-established environmental risk factors for rheumatoid arthritis. It has been shown to increase the risk of developing RA, particularly in people who have the genetic predisposition to the disease (those with the HLA-DRB1 gene). Smoking also worsens the severity of the disease once it develops.
Exposure to Silica: Occupational exposure to silica dust (often in mining, construction, or stonecutting jobs) has been linked to an increased risk of developing rheumatoid arthritis.

4. Hormonal Factors

Gender: Rheumatoid arthritis is more common in women than in men, suggesting that hormonal factors may play a role. Women are two to three times more likely to develop RA, and the disease often appears during their childbearing years (typically between the ages of 30 and 60).
Pregnancy and Menopause: Hormonal changes during pregnancy or menopause may influence the course of RA. Some women experience improvement in their symptoms during pregnancy, while others may notice a flare-up after giving birth or during menopause.
Estrogen: Estrogen is believed to influence immune system function, and the higher levels of estrogen in women could potentially contribute to the development of RA. However, the exact relationship between estrogen and RA is still being researched.

5. Age

Age of Onset: Rheumatoid arthritis can occur at any age, but it most commonly develops between the ages of 30 and 60. The risk of developing RA increases with age, although it can also occur in children (known as juvenile rheumatoid arthritis).

6. Obesity

Body Weight: Being overweight or obese is considered a risk factor for developing rheumatoid arthritis. The excess fat tissue in the body can produce inflammatory proteins (such as cytokines), which can contribute to joint inflammation and increase the risk of RA.
Fatty Tissue Inflammation: Fat tissue can release substances that trigger inflammation, leading to an increase in joint damage and the development of rheumatoid arthritis, especially in people with a genetic predisposition.

7. Other Autoimmune Diseases

People with other autoimmune diseases, such as lupus or Hashimoto’s thyroiditis, are at an increased risk of developing rheumatoid arthritis due to a shared underlying issue with immune system dysfunction.

Types

Rheumatoid arthritis (RA) is a complex autoimmune disorder, and it primarily affects the joints, but there are different types of RA that can vary in severity, duration, and how they impact the body. The classification of RA typically refers to its form or presentation, which may vary from person to person. Below are the main types of rheumatoid arthritis:

1. Seropositive Rheumatoid Arthritis

Seropositive RA refers to the presence of rheumatoid factor (RF) and/or anti-cyclic citrullinated peptide (anti-CCP) antibodies in the blood. These are proteins that are often elevated in people with RA and are used as diagnostic markers.
This form is typically more severe and can lead to greater joint damage and systemic effects.
Characteristics:
- Positive test results for rheumatoid factor (RF) or anti-CCP.
- Higher risk of joint deformity.
- May be associated with a more aggressive disease course.

2. Seronegative Rheumatoid Arthritis

Seronegative RA means that rheumatoid factor (RF) and anti-CCP antibodies are not present in the blood, yet the patient still exhibits the clinical signs and symptoms of RA.
This type of RA can be harder to diagnose initially because of the negative blood test results.
Characteristics:
- Negative rheumatoid factor (RF) and anti-CCP tests.
- Symptoms and joint damage similar to seropositive RA.
- Can be difficult to distinguish from other types of arthritis.

3. Juvenile Rheumatoid Arthritis (JRA)

Also known as juvenile idiopathic arthritis (JIA), this is a form of RA that affects children and adolescents under the age of 16.
It can cause significant joint damage and may involve systemic symptoms, including fever and rash.
Characteristics:
- Affects children, typically under 16 years of age.
- Can involve different types of joint inflammation, including small and large joints.
- Systemic JIA: Characterized by fever, rash, and inflammation affecting internal organs.
- The disease course and severity vary widely.

4. Erosive Rheumatoid Arthritis

This type of RA is characterized by the erosion of the bones and cartilage in the affected joints. It is considered a more advanced and severe form of RA.
Characteristics:
- Rapid progression of joint damage.
- Leads to bone erosion and joint deformities.
- Often seen in long-standing or poorly managed RA cases.

5. Rheumatoid Vasculitis

This is a rare but serious complication of RA, in which inflammation affects the blood vessels. It can lead to damage to organs, tissues, and nerves.
Characteristics:
- May cause skin ulcers, nerve damage, and organ issues.
- Can lead to more severe complications like kidney failure or peripheral neuropathy.
- Often occurs in people with severe RA that has been poorly managed.

6. Felty Syndrome

A rare complication of RA, Felty syndrome is characterized by the combination of RA, splenomegaly (enlarged spleen), and low white blood cell count (leukopenia).
Characteristics:
- Common in severe, long-standing RA.
- Enlarged spleen and reduced immune function.
- Increases the risk of infections due to low white blood cell count.

7. Palindromic Rheumatism

Palindromic rheumatism is a rare condition that resembles RA but involves intermittent and recurrent flare-ups of joint pain, swelling, and inflammation.
Characteristics:
- Involves periodic flare-ups that resolve between attacks.
- The episodes are often sudden and short-lived but can cause pain and inflammation in the joints.
- It may eventually progress to classic RA in some people.

8. Progressive Rheumatoid Arthritis

This refers to a subtype of RA that is marked by rapid joint damage and disability if left untreated. It can lead to severe physical impairment.
Characteristics:
- Progresses quickly with joint deformities and significant loss of function.
- May require aggressive treatment to control symptoms and slow progression.

9. Mild/Moderate Rheumatoid Arthritis

Some individuals experience a less severe form of RA, where symptoms may be present but are not as disabling.
Characteristics:
- Symptoms can be managed with medication, exercise, and lifestyle changes.
- There is less risk of joint deformity and functional impairment compared to severe forms.

10. Advanced Rheumatoid Arthritis

Advanced RA is characterized by significant joint damage and deformities, often after years of living with the disease.
Characteristics:
- Severe joint destruction and deformity.
- Difficulty moving affected joints.
- May require surgical interventions, such as joint replacement.

Sign and symptoms

Rheumatoid arthritis (RA) is a chronic autoimmune disease that primarily affects the joints but can also impact other parts of the body. The signs and symptoms of RA can vary from person to person, and they tend to develop gradually over time. Here’s a detailed list of the common signs and symptoms associated with rheumatoid arthritis:

1. Joint Symptoms

RA mainly affects the synovial joints (joints that are lined with synovial fluid, such as the knees, wrists, and hands), causing inflammation and damage over time.

Pain: Affected joints can be painful, especially during movement or at rest.
Swelling: Joints may become visibly swollen due to inflammation and fluid buildup.
Stiffness: Joint stiffness, particularly in the morning or after periods of inactivity, is one of the hallmark symptoms of RA. The stiffness often lasts for 30 minutes to several hours.
Tenderness: The affected joints may be tender to the touch.
Symmetrical Joint Involvement: RA often affects joints on both sides of the body (e.g., both wrists, both knees, both hands). This distinguishes RA from other forms of arthritis.
Reduced Range of Motion: Over time, as inflammation and damage progress, affected joints may lose their range of motion, making movement more difficult.

Common joints affected include:
- Wrists
- Knees
- Elbows
- Shoulders
- Hips
- Fingers and toes

2. Systemic Symptoms (Affecting the Whole Body)

RA is an autoimmune disease, meaning it can affect other parts of the body beyond the joints, leading to a variety of systemic (whole-body) symptoms:

Fatigue: People with RA often experience extreme tiredness or fatigue, even after a full night’s rest.
Fever: Mild fever is common in the early stages or during disease flares.
Loss of Appetite: This may be linked to inflammation in the body and can lead to unintended weight loss.
Malaise: A general feeling of being unwell or “off,” which is common in autoimmune diseases like RA.
Sweating: Some people with RA experience night sweats or unexplained sweating during the day.

3. Deformities and Joint Damage (Later Stages)

If left untreated or inadequately managed, RA can lead to joint damage and deformities over time, including:

Nodules: Rheumatoid nodules are firm lumps that develop under the skin near affected joints, commonly seen on elbows, forearms, or hands. They are more common in people with severe disease.
Joint Deformities: Chronic inflammation can cause joint deformities, such as the “swans neck” (bent fingers) or “boutonnière” deformity (where the middle joint of a finger bends abnormally).
Loss of Joint Function: Joint destruction can lead to permanent loss of function in severe cases, particularly if RA is not managed effectively.

4. Specific Symptoms in the Hands and Feet

Fingers and Toes: RA often causes symmetric joint involvement, meaning that it affects both hands or both feet at the same time. The small joints of the fingers and toes are commonly affected first, leading to:
- Swelling and deformity in the fingers (e.g., knuckle swelling).
- Hammer toes or bunions in the feet.
Hand Deformities: The fingers may appear crooked, and joint alignment can change due to prolonged inflammation.

5. Exacerbations (Flares)

RA symptoms tend to come and go in periods of exacerbations or “flares,” which can last for days to months. During a flare, symptoms worsen, while in between flares, there might be periods of relative symptom relief.

Increased Joint Pain: During a flare, joint pain can become more intense.
Increased Swelling: The affected joints may become noticeably larger and more swollen during a flare-up.
Higher Levels of Fatigue: Flares can also lead to more severe fatigue, making it difficult to perform daily activities.

6. Other Symptoms (Non-Joint Symptoms)

Dry Eyes and Mouth (Sicca Syndrome): RA can be associated with Sjögren’s syndrome, an autoimmune disorder that causes dryness in the eyes and mouth.
Lung Problems: Some people with RA develop rheumatoid lung disease, which can cause symptoms like shortness of breath, dry cough, and chest pain.
Heart Problems: RA increases the risk of heart disease, including pericarditis (inflammation of the lining around the heart) and heart attacks.
Blood Vessel Inflammation (Vasculitis): Severe RA can sometimes lead to inflammation of the blood vessels, known as rheumatoid vasculitis, which can cause skin rashes, ulcers, or more serious issues like nerve damage.

7. Rheumatoid Arthritis in Children (Juvenile Rheumatoid Arthritis)

Growth Problems: Children with juvenile rheumatoid arthritis may experience growth delays or growth abnormalities.
Swelling in Larger Joints: The knees and hips are commonly affected in children, along with other symptoms similar to adults.
Eye Problems: In some cases, inflammation of the eyes (called uveitis) can occur, which can lead to vision problems if left untreated.

What to eat

When managing rheumatoid arthritis (RA), diet plays an important role in reducing inflammation, supporting joint health, and improving overall well-being. While there is no specific “RA diet,” certain foods have been shown to have anti-inflammatory effects, help manage symptoms, and support the immune system. A healthy, balanced diet can complement medical treatments and improve quality of life.

Foods to Eat for Rheumatoid Arthritis:

1. Omega-3 Fatty Acids (Anti-inflammatory)

Omega-3 fatty acids have strong anti-inflammatory properties that can help reduce joint pain and stiffness. They are found in:

Fatty fish: Salmon, mackerel, sardines, herring, and anchovies are excellent sources.
Flaxseeds: Ground flaxseeds can be added to smoothies, oatmeal, or baked goods.
Chia seeds: Rich in omega-3s, chia seeds can be sprinkled on salads or mixed into yogurt or smoothies.
Walnuts: A good source of omega-3s that can be eaten as a snack or added to dishes.

2. Antioxidant-Rich Fruits and Vegetables

Fruits and vegetables are rich in vitamins, minerals, and antioxidants, which can help reduce inflammation and support overall health. These are particularly beneficial for RA:

Berries: Blueberries, strawberries, raspberries, and blackberries are high in antioxidants that help fight oxidative stress and reduce inflammation.
Leafy Greens: Spinach, kale, collard greens, and arugula are rich in antioxidants, including vitamin C, and anti-inflammatory compounds.
Cruciferous Vegetables: Broccoli, cauliflower, Brussels sprouts, and cabbage contain compounds that may help reduce inflammation.
Tomatoes: Rich in vitamin C and lycopene, tomatoes have anti-inflammatory properties.
Peppers: Bell peppers (especially red ones) contain high levels of vitamin C, which can help reduce inflammation.

3. Whole Grains

Whole grains provide fiber, which helps reduce inflammation and supports overall digestive health. Opt for:

Brown rice
Oats
Quinoa
Barley
Whole wheat bread and pasta (in moderation)

4. Healthy Fats

In addition to omega-3 fatty acids, other healthy fats can support joint health:

Olive oil: Contains oleocanthal, a compound with anti-inflammatory effects. Use it for cooking or in salad dressings.
Avocados: Packed with healthy fats, fiber, and anti-inflammatory compounds, avocados can help reduce joint pain and stiffness.

5. Nuts and Seeds

Nuts and seeds are rich in healthy fats, fiber, and antioxidants, all of which support a healthy immune system and reduce inflammation.

Almonds
Walnuts
Pumpkin seeds
Flaxseeds
Chia seeds

6. Turmeric and Ginger

Turmeric: Contains curcumin, a powerful anti-inflammatory compound. You can add turmeric to smoothies, soups, curries, or make turmeric tea.
Ginger: Known for its anti-inflammatory properties, ginger can be used fresh in cooking or consumed as tea.

7. Lean Protein

Protein is important for maintaining muscle mass and supporting joint health. However, it’s best to choose lean protein sources that are less likely to cause inflammation:

Chicken (preferably organic or pasture-raised)
Turkey
Tofu and tempeh (for plant-based protein)
Legumes: Beans, lentils, and chickpeas are good sources of plant-based protein and fiber.

8. Green Tea

Green tea contains polyphenols, especially epigallocatechin gallate (EGCG), which has anti-inflammatory effects and may help slow the progression of RA. Drinking a cup or two of green tea a day can be beneficial.

9. Probiotics

Probiotics support gut health and the immune system. A healthy gut may help reduce the risk of inflammation in the body:

Yogurt (with live cultures)
Kefir
Sauerkraut (fermented foods)
Kimchi

Diet and Regimen

Managing rheumatoid arthritis (RA) involves a combination of medical treatment, physical activity, and a healthy diet that can help reduce inflammation, support joint health, and improve overall well-being. A tailored diet and regimen can help manage symptoms, improve quality of life, and potentially slow disease progression. Below is a comprehensive diet and regimen that may be beneficial for individuals with RA.

Diet for Rheumatoid Arthritis

A well-balanced, anti-inflammatory diet plays a significant role in managing RA symptoms. Below are foods that may help reduce inflammation and support joint health, as well as those to avoid.

Foods to Include in Your Diet:

1. Omega-3 Fatty Acids (Anti-inflammatory)

Omega-3s help reduce inflammation and are found in:

Fatty fish: Salmon, mackerel, sardines, herring, anchovies.
Chia seeds, flaxseeds, and walnuts: Plant-based sources of omega-3 fatty acids.
Hemp seeds: Another plant-based source of omega-3s.

2. Antioxidant-Rich Fruits and Vegetables

These foods are high in vitamins, minerals, and antioxidants that reduce inflammation:

Berries: Blueberries, strawberries, raspberries, blackberries.
Leafy greens: Spinach, kale, collard greens, arugula.
Cruciferous vegetables: Broccoli, Brussels sprouts, cauliflower.
Tomatoes: Rich in lycopene, an antioxidant that helps fight inflammation.
Bell peppers: High in vitamin C, which has anti-inflammatory effects.
Carrots and sweet potatoes: Packed with beta-carotene, which has antioxidant properties.

3. Whole Grains

Whole grains help reduce inflammation and provide fiber:

Brown rice
Oats
Quinoa
Barley
Whole wheat bread and pasta (in moderation)

4. Healthy Fats

Incorporating healthy fats into your diet can support joint health:

Olive oil: Contains oleocanthal, a compound that mimics the effect of anti-inflammatory drugs.
Avocados: Rich in healthy fats and fiber, avocados have anti-inflammatory properties.
Nuts and seeds: Almonds, walnuts, flaxseeds, chia seeds, and pumpkin seeds.

5. Lean Protein

Protein is important for maintaining muscle mass, but choose lean sources to avoid excess saturated fats:

Chicken, turkey, and lean cuts of beef.
Tofu and tempeh for plant-based protein.
Legumes: Beans, lentils, and chickpeas.

6. Anti-inflammatory Spices

Some herbs and spices have anti-inflammatory properties:

Turmeric: Contains curcumin, which has powerful anti-inflammatory effects.
Ginger: Known for its anti-inflammatory benefits, it can help reduce joint pain.

7. Probiotics

Probiotics help support gut health, which may reduce inflammation:

Yogurt (with live cultures)
Kefir
Kimchi, sauerkraut, or other fermented foods.

Foods to Avoid:

1. Processed and Red Meats

Processed meats: Bacon, sausages, deli meats, hot dogs.
Fatty cuts of red meat: Beef and pork, particularly those that are heavily processed, can increase inflammation.

2. Refined Carbohydrates and Sugary Foods

Refined carbs: White bread, white rice, and sugary cereals can cause spikes in blood sugar and increase inflammation.
Sugary foods: Soda, candy, baked goods, and other high-sugar foods.

3. Trans Fats

Trans fats can contribute to inflammation and worsen RA symptoms:

Margarine
Packaged snacks
Fried foods

4. Dairy (For Some People)

Some people with RA may find that dairy exacerbates symptoms, especially if they have lactose intolerance or sensitivity to casein.

Milk, cheese, and ice cream may be problematic for some.

5. Nightshades (For Some People)

Some individuals report that nightshades worsen RA symptoms, although scientific evidence is mixed. Consider reducing or avoiding these foods if you notice flare-ups:

Tomatoes
Potatoes
Eggplants
Bell peppers

6. Alcohol

Alcohol may interfere with RA medications and worsen inflammation, so it is best consumed in moderation or avoided altogether. It can also interact with certain drugs used to treat RA.

Regimen for Rheumatoid Arthritis

Along with a healthy diet, lifestyle changes, physical activity, and proper medical care are essential to manage RA symptoms effectively.

1. Physical Activity

Exercise is crucial in managing RA to improve joint flexibility, reduce stiffness, and strengthen muscles around the affected joints. Regular physical activity also helps:

Improve circulation
Reduce fatigue
Maintain a healthy weight (which is important for joint health)

Types of exercises to consider:

Low-impact activities: Swimming, walking, or cycling can reduce strain on the joints.
Strength training: Helps improve muscle strength, which can take pressure off the joints.
Stretching: Gentle stretches can help maintain flexibility and prevent joint stiffness.

Consider working with a physical therapist to develop a safe and effective exercise routine tailored to your needs.

2. Medication Management

While diet and exercise are important, they should complement medical treatment, which is the cornerstone of RA management. Common treatments include:

Disease-modifying antirheumatic drugs (DMARDs): These drugs can slow disease progression (e.g., methotrexate).
Biologics: Targeted therapies that help modulate the immune system.
Nonsteroidal anti-inflammatory drugs (NSAIDs): To help control pain and inflammation.
Corticosteroids: In some cases, these may be prescribed to reduce inflammation quickly.

Always follow your doctor’s advice on medication management, and attend regular check-ups to monitor disease progression.

3. Rest and Stress Management

Adequate Rest: Ensuring sufficient rest is essential for managing RA fatigue and allowing joints to recover. Balance physical activity with rest, particularly during flare-ups.
Stress Management: Stress can worsen RA symptoms, so it’s important to incorporate stress-reducing activities such as:
- Mindfulness and meditation
- Yoga and breathing exercises
- Journaling or other relaxation techniques

4. Weight Management

Maintaining a healthy weight is particularly important in RA, as excess weight puts additional stress on the joints, especially weight-bearing ones like the knees and hips. A balanced diet, along with regular exercise, can help achieve and maintain a healthy weight.

5. Regular Check-ups and Blood Tests

Regular check-ups with your healthcare provider are essential for monitoring disease progression, assessing joint health, and adjusting treatment plans as necessary. Blood tests can also help monitor inflammation levels and ensure medication effectiveness.

Sample Daily Regimen for Rheumatoid Arthritis

Morning:

Start with a glass of water (stay hydrated throughout the day).
Breakfast: Oatmeal with chia seeds, walnuts, and fresh berries. Drink green tea or turmeric tea.
Take your prescribed medications, as directed by your healthcare provider.
Morning stretches or a short walk.

Mid-Morning Snack:

A handful of almonds or a piece of fruit (like an apple or a banana).

Lunch:

Grilled salmon (rich in omega-3s) with quinoa and a side of steamed broccoli.
A salad with mixed greens (spinach, kale), avocado, and olive oil dressing.
Drink water or herbal tea.

Afternoon Snack:

Greek yogurt (with live cultures) or kefir with flaxseeds.

Dinner:

Grilled chicken breast or tofu, roasted sweet potatoes, and steamed Brussels sprouts.
A small serving of brown rice or whole-grain pasta.
Drink water or herbal tea.

Evening:

Relax with light stretching or yoga.
Prepare for bed with a relaxing activity, such as meditation or deep breathing exercises.
Ensure at least 7-8 hours of sleep for optimal rest and recovery.

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Arnica:

Useful for chronic arthritis with a feeling of bruising also soreness.
The painful parts feel worse especially from being moved or touched.

Bryonia:

Helpful for stiffness also inflammation with tearing or throbbing pain, made worse by motion.
The condition may have developed gradually, additionally it is worse in cold dry weather.
Discomfort is aggravated specifically by being touched or bumped, or from any movement.
Besides this, Relief can be had from pressure and from rest.
Lastly, The person may want to stay completely still and not be interfered with.

Calcarea carbonica:

Generally, Helpful for deeply aching arthritis involving node formation around the joints.
Inflammation and soreness are worse especially from cold and dampness, and problems may be focused on the knees and hands.
Common symptoms are: weakness in the muscles, easy fatigue from exertion, additionally a feeling of chilliness or sluggishness.
The person who benefits from Calcarea is often solid and responsible, but tends to become extremely anxious and overwhelmed when ill or overworked.

Aurum metallicum:

This remedy is often prescribed for wandering pains in the muscles and joints that are better from motion and warmth, and worse at night.
The person may experience deep pain in the limbs when trying to sleep.
Also may feel discomfort that may wake the person up.
People who need this remedy have a tendency to feel depressed.

Causticum:

Useful when deformities develop in the joints, in a person with a tendon problems, muscle weakness, and contractures.
The hands and fingers may be most affected.
Stiffness and pain are worse from being cold, and relief may come with warmth.
The person often feels best in rainy weather and worse when the days are clear and dry.

Calcarea fluorica:

Helpful when arthritic pains improve with heat and motion.
Joints become enlarged and hard, and nodes or deformities develop.
Arthritis after chronic injury to joints also responds to Calcarea fluorica.

Dulcamara:

Indicated if arthritis flares up during cold damp weather.
The person gets chilled and wet.
They are often stout, with a tendency toward back pain, chronic stiffness in the muscles, and allergies.

Kali bichromicum:

This is useful when arthritic pains alternate with asthma or stomach symptoms.
Pains may suddenly come also go, or shift around.
Discomfort and inflammation are aggravated by heat and worse when the weather is warm.

Kali carbonicum:

Arthritis with great stiffness and stitching pains, worse especially in the early morning hours and worse from cold and dampness, may respond to Kali carbonicum.
The joints may be becoming either thickened or deformed.

Kalmia latiflora:

Basically, Useful for intense arthritic pain that flares up suddenly.
The problems start in higher joints also extend to lower ones.
Pain and inflammation may begin in the elbows, after that spreading downward to the wrists and hands.
Discomfort is worse especially from motion and often worse at night.

Ledum palustre:

Arthritis that starts in lower joints also extends to higher ones are candidate for this remedy.
Furthermore, Pain and inflammation often begin in the toes and spread upward to the ankles and knees in RA.
The joints may also make cracking sounds.
Ledum is strongly indicated when swelling is significant and relieved by cold applications.

Pulsatilla:

Applicable when rheumatoid arthritis pain is changeable in quality, or when the flare-ups move from place to place.
The symptoms (and the person) feel worse from warmth, and better from fresh air and cold applications.
Can benefit people who are emotional and affectionate, sometimes having teary moods.

Rhododendron:

Strongly indicated if swelling and soreness flare up before a storm, continuing until the weather clears.
Cold and dampness aggravate the symptoms.
Discomfort is often worse toward early morning, or after staying still too long.

Rhus toxicodendron:

Useful for rheumatoid arthritis, with pain and stiffness that is worse in the morning and worse on first motion, but better from continued movement.
Hot baths or showers, and warm applications improve the stiffness and relieve the pain of RA.
The condition is worse in cold, wet weather.
The person may feel extremely restless, unable to find a comfortable position, and need to keep moving constantly.
Continued motion also helps to relieve anxiety.

Ruta graveolens:

Arthritis with a feeling of great stiffness and lameness, worse specifically from cold and damp and worse from exertion, may be helped by Ruta graveolens.
Tendons and capsules of the joints can be either deeply affected or damaged by RA.
The arthritis may have developed after overuse, from repeated wear also tear.
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What is Rheumatoid Arthritis ?

Rheumatoid arthritis is a long-term, progressive, also disabling autoimmune disease. Additionally, It causes inflammation, swelling, and pain in and around the joints and other body organs.

Homeopathic Medicines used by Homeopathic Doctors in treatment of Rheumatoid Arthritis ?

Arnica
Bryonia
Calcarea carb
Aurum metallicum
Causticum
Calcarea fluorica
Dulcamara
Pulsatilla

What causes Rheumatoid Arthritis ?

Genetic factors
Either Bacteria or a virus
Antibodies attack the synovium
Inflammation causes the synovium to thicken
The joint eventually loses its shape also configuration
The damage can be severe
Women are more likely than men
Family history

What are the symptoms of Rheumatoid Arthritis ?

Joint pain
Joint swelling, warmth also redness
Stiffness
Fever
Weight loss
Fatigue
Susceptibility to infection

Reference

Davidson’s Principles and Practice of Medicine (22nd edition) Ch. 25
https://www.mayoclinic.org/diseases-conditions/rheumatoid-arthritis/symptoms-causes/syc-20353648
https://www.medicalnewstoday.com/articles/323361.php