N
The Global Insight

Why does rheumatoid arthritis make me so tired?

Author

John Hall

Updated on April 29, 2026

Why Does RA Cause Fatigue? Antibodies that cause the inflammation of RA affect your central nervous system, not just your joints. High inflammation levels can lead to severe fatigue. RA also causes long-term pain.

How do I stop fatigue with rheumatoid arthritis?

Start with these tips to help you manage chronic RA fatigue and regain energy.

  1. Talk to your doctor about controlling RA inflammation. ...
  2. Kick-start your exercise routine. ...
  3. Nix the naps. ...
  4. Try assistive devices. ...
  5. Consider cognitive behavioral therapy (CBT). ...
  6. Ask your doctor about medications for fatigue.

How can I boost my energy with rheumatoid arthritis?

The next time you feel fatigued, try one of these simple energy-boosting strategies.

  1. Take a break. Sometimes a simple change of scenery may be all you need to feel refreshed. ...
  2. Hydrate. RA isn't the only possible culprit of fatigue. ...
  3. Eat a nutritious snack. ...
  4. Get some exercise. ...
  5. Play some music. ...
  6. Breathe deeply. ...
  7. The takeaway.

Does RA always cause fatigue?

Symptoms of rheumatoid arthritis (RA) don't stop at joint pain and swelling. Most people with RA also experience mental and physical exhaustion, a symptom known as fatigue. Studies show that up to 80% of people with RA have at least some sense of feeling run down, and more than 50% have high levels of fatigue.

How do you stop autoimmune fatigue?

Protect yourself from the damage of chronic inflammation.

  1. Here are some strategies that may help with fatigue: Take it easy. ...
  2. Plan ahead. If you have limited energy, choose the most important activities. ...
  3. Inform family and friends. ...
  4. Eat a healthy diet. ...
  5. Get regular exercise. ...
  6. Get enough sleep. ...
  7. Find support.

Arthritis Advice - Dealing with Fatigue

Does RA fatigue go away?

Most people without a chronic disease can feel tired after a long day but recover after a night's rest. People with RA experience fatigue day after day irrespective of their activity or how much rest they get.

What does RA fatigue feel like?

People with rheumatoid arthritis typically have several permanently inflamed joints. The inflammation inside the body can lead to general physical weakness, drowsiness and exhaustion. This feeling of extreme tiredness is also called "fatigue." Some people find this to be the worst symptom of the disease.

What is the life expectancy of someone with rheumatoid arthritis?

The average duration of disease were 10.5 years in male patients and 17.7 years in female. The average life span of the patients with RA, revealing 65.8 years in male and 63.7 years in female, were much shorter than of general population. The causes of all deaths were investigated by ourselves and/or autopsy.

Will methotrexate give me energy?

Sometimes a medication can both relieve fatigue associated with disease activity and induce fatigue. For example, methotrexate (Rheumatrex, Trexall, Otrexup) is used to help bring active RA under control, leading to a reduction in disease-related fatigue.

Does rest help with rheumatoid arthritis?

Fatigue, a frequent and often prominent symptom of rheumatoid arthritis, is a guide to therapy. Sufficient rest to prevent fatigue combined with appropriate physical therapy would be expected to improve the treatment of rheumatoid arthritis.

Can I get disability if I have rheumatoid arthritis?

Rheumatoid arthritis is considered a disability by the SSA and you are able to get disability benefits with rheumatoid arthritis. In order to qualify for disability benefits with rheumatoid arthritis, you need to meet the medical requirements listed in the SSA's Blue Book.

Will rheumatoid arthritis cripple me?

Unlike osteoarthritis, rheumatoid arthritis can be a crippling condition that only gets worse with time. Left untreated, the disease almost always attacks at least five joints, and sometimes many more. Without treatment, the deformed joints may become increasingly difficult to move.

Can methotrexate cause extreme tiredness?

Common Side Effects

Many also complain of headaches, fatigue and an overall “blah” feeling. This is sometimes called “methotrexate fog,” and can occur a day after receiving a dose of methotrexate (which is taken in pill form or injected once a week).

Is 20mg of methotrexate a lot?

For rheumatoid arthritis, the usual starting dose is 7.5mg, taken once a week. This can be slowly increased up to 20mg (tablets) or 25mg (pre-filled injection pen or syringe) once a week. For psoriasis, the usual starting dose is 2.5mg to 10mg, taken once a week. It can be slowly increased up to 30mg once a week.

What happens if you don't take folic acid with methotrexate?

You should take folic acid with methotrexate to help prevent a folate deficiency. Taking methotrexate can lower levels of folate in your body. A folate deficiency can lead to symptoms like upset stomach, low blood cell counts, tiredness, muscle weakness, mouth sores, liver toxicity and nervous system symptoms.

What is the best painkiller for rheumatoid arthritis?

NSAIDs. Most people with RA are advised to take a non-steroidal anti-inflammatory drug to decrease pain and inflammation. NSAIDs are sold over-the-counter, under such names as Advil and Aleve, as well as by prescription, under names such as Mobic and Celebrex.

What should you not do if you have rheumatoid arthritis?

If they sound familiar, it's not too late to get back on track.

  1. Not Seeing a Rheumatologist. Your regular doctor may have diagnosed your RA. ...
  2. Too Much Couch Time. You need rest, just not too much. ...
  3. Canceling Doctor Appointments. ...
  4. Not Taking All Your Medications. ...
  5. Skipping Medication When You Feel Good. ...
  6. Overlooking Your Mood.

Does RA get worse with age?

RA usually presents between the ages of 25 and 45 years , but it can affect people of any age. When the onset of RA occurs at a younger age, there is more time for it to progress. Consequently, it may cause more severe symptoms over time and is more likely to lead to complications.

Does RA make you gain weight?

RA can result in weight loss or gain, depending on a person's symptoms, medications, and overall health. While maintaining a moderate weight can be challenging, being underweight can potentially cause harm.

What is Stage 4 rheumatoid arthritis?

At stage 4, there's no longer inflammation in the joint. This is end-stage RA, when joints no longer work. In end-stage RA, people may still experience pain, swelling, stiffness, and mobility loss. There may be reduced muscle strength.

Why do autoimmune diseases make you tired?

Consequently, it is likely that dysregulation in inflammatory cytokines and their receptors in autoimmune disease serves to disrupt the normal physiological homeostasis of cytokines and contribute to fatigue.

Does rheumatoid arthritis shorten your life?

RA can shorten your life expectancy by an average of 10 years compared to people who don't have the disease. But people with RA are living longer than ever before. Though the disease may still affect life expectancy, it doesn't have as much impact as it did in the past.

How does rheumatoid arthritis make you feel?

Signs and symptoms of rheumatoid arthritis may include: Tender, warm, swollen joints. Joint stiffness that is usually worse in the mornings and after inactivity. Fatigue, fever and loss of appetite.

What medication helps with RA fatigue?

A study presented at the 2020 conference of the European E-Congress of Rheumatology shows that methotrexate and prednisone, two prescription drugs commonly prescribed for rheumatoid arthritis, can help ease fatigue when started early in a patients' treatment plan.

Why should you not touch methotrexate?

Methotrexate and pregnancy

Even touching or inhaling the dust from the tablet can allow the medicine to get into the body. Methotrexate goes into sperm, so it's important that a man taking it doesn't get his partner pregnant.