What Causes Stiff Joints?

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I've Got Rhythm, I've Got Rheumatoid Arthritis

With apologies to George Gershwin, I thought it might be nice to review with you the importance of the circadian rhythm in rheumatoid arthritis.


I am often asked by my patients why they have more pain and stiffness in the morning. After all, I never ask about "evening stiffness." It's always morning stiffness on my mind when I ask a patient how he or she is doing.


It appears that this is related to the circadian rhythm, which refers to the 24-hour biological cycles we all have, and...

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