Rheumatoid arthritis and osteoporosis: what to know

Inflammation, reduced movement, menopause, low body weight and some medicines can contribute to weaker bones. Osteoporosis may develop without obvious symptoms until a fracture occurs, while rheumatoid arthritis can cause pain and stiffness for different reasons. A clinician may consider your fracture history, risk factors, medicines and a bone-density test when deciding on assessment.

A fall or injury does not need to look dramatic to deserve attention if bone strength is reduced. New back pain, loss of height or pain after a minor impact should be discussed promptly.

Ask your care team about weight-bearing and resistance exercise suited to your joints, balance work and fall prevention at home. Adequate dietary calcium, vitamin D and protein may support bone health, with supplements considered only when appropriate for you. Take prescribed medicines as directed and mention steroid exposure, smoking, alcohol use and previous fractures. Treating rheumatoid arthritis activity can help preserve movement and function.

Seek prompt assessment after a fall, sudden back pain, a suspected fracture or pain that begins after a minor injury. Urgent help is needed for inability to bear weight, a visibly deformed limb, numbness with weakness, or severe pain that is rapidly worsening.

Do my medicines or risk factors suggest a bone-density assessment? Which exercises are safe for my joints? Should I take calcium or vitamin D? How should a new fracture affect my rheumatoid arthritis plan?