People with rheumatoid arthritis face emotional challenges as well as physical ones. The emotions they feel because of the disease (including fear, anger, and frustration) combined with any pain and physical limitations can increase their stress level. Although there is no evidence that stress plays a role in causing rheumatoid arthritis, it can make living with the disease difficult at times. Stress may also affect the amount of pain a person feels. There are a number of successful techniques for coping with stress. Regular rest periods can help, as can relaxation, distraction, or visualization exercises. Exercise programs, participation in support groups, and good communication with the healthcare team are other ways to reduce stress.

 

With the exception of several specific types of oils (see Rheumatoid Arthritis Research), there is no scientific evidence that any specific food or nutrient helps or harms people with rheumatoid arthritis. However, an overall nutritious diet with enough -- but not excessive quantities of -- calories, protein, and calcium is important.

 

Some people may need to be careful about drinking alcoholic beverages because of the medications they take for rheumatoid arthritis. Those taking methotrexate may need to avoid alcohol altogether, since one of the most serious long-term side effects of methotrexate is liver damage.

 

Some people notice that their arthritis gets worse when there is a sudden change in the weather. However, there is no evidence that a specific climate can prevent or reduce the effects of rheumatoid arthritis. Moving to a new place with a different climate usually does not make a long-term difference in a person's rheumatoid arthritis.