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Experts highlight early warning signs, autoimmune disease risks and the importance of timely medical intervention

  Noida : Arthritis is no longer limited to older adults, with younger people also experiencing joint pain, swelling and stiffness. Data from 64 patients who visited the OPD of Yatharth Super Speciality Hospital, Noida, for arthritis-related complaints revealed that 32 patients (50%) were below 40 years of age, while the remaining 32 patients (50%) were between 40 and 80 years. The findings underline the importance of early diagnosis and timely treatment.

On World Arthritis Day, specialists at Yatharth Super Speciality Hospital highlighted the growing need for awareness of arthritis and autoimmune diseases, which can affect people across age groups.

 *Dr. Sachin Sharma, Consultant – Orthopaedics, Yatharth Super Speciality Hospital, Omega-1, Greater Noida,* said that joint problems should not automatically be attributed to ageing. Rheumatoid arthritis can develop in people in their 20s and 30s, while excess weight, previous injuries, physical inactivity and improper exercise techniques can also contribute to joint problems.

Sharing a case, Dr. Sharma said, “We treated a 28-year-old patient who experienced pain and swelling in the fingers of both hands and wrists, along with prolonged morning stiffness. Initially, he assumed these symptoms were due to work-related fatigue, but investigations revealed rheumatoid arthritis. Persistent joint pain, swelling or morning stiffness lasting more than 30 minutes should prompt medical consultation. Early diagnosis and appropriate treatment can help prevent permanent joint damage.”

Dr. Kriti Kishor, Consultant – Clinical Immunology & Rheumatology, Yatharth Super Speciality Hospital, Noida Extension, said, “Nearly 70–75% of patients visiting our OPD are below 40 years of age, as many autoimmune diseases commonly affect young people. Prolonged sitting, increased screen time, poor posture and lack of physical activity can also contribute to neck and back pain. Joint swelling, stiffness, difficulty wearing footwear and prolonged morning stiffness are important warning signs. Treatment must be individualised, and painkillers should not be taken without medical supervision.”

Dr. Kishor highlighted two complex cases. A 15–16-year-old girl presented with anaemia, fever, mood disturbances, seizures and difficulty recognising family members. Investigations revealed positive ANA and ENA tests, and she was diagnosed with neuropsychiatric systemic lupus erythematosus (SLE). Following treatment, she has remained well for the past two to three years.

In another case, a 35-year-old man had recurrent episodes of coughing up blood over three years, along with anaemia, persistent leg ulcers and swelling. Suspecting severe vasculitis, the medical team initiated intensive treatment, and he has shown significant recovery over the past eight to nine months.

Dr. Kishor added that treatments such as disease-modifying antirheumatic drugs (DMARDs) and biologics have improved the management of autoimmune diseases. With appropriate treatment and regular follow-ups, many patients can lead active lives.

Dr. Israrul Haq, Consultant – Rheumatology & Clinical Immunology, Yatharth Super Speciality Hospital, Noida 110, said that the importance of recognising early symptoms.

“Arthritis symptoms should not be dismissed as age-related issues, fatigue or ordinary pain. If you experience persistent joint pain, swelling or morning stiffness, you should consult a specialist. Starting treatment at the right time can help control the disease and prevent permanent joint damage.”

Dr. Haq explained that conditions such as rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis and lupus can develop at a young age. Persistent swelling in the small joints of the hands and feet, prolonged morning stiffness and stiffness after periods of rest warrant medical evaluation. Sudden, severe joint pain accompanied by redness, swelling and fever requires urgent medical attention.

Experts recommend regular physical activity, a balanced diet and maintaining a healthy weight to support joint health. Excess weight can increase pressure on the knees and raise the risk of osteoarthritis. Prolonged use of painkillers without medical advice should also be avoided due to potential complications involving the stomach, kidneys and blood pressure.

On World Arthritis Day, the specialists urged people not to ignore persistent joint symptoms. Greater awareness, timely medical evaluation and appropriate treatment can help prevent complications, preserve joint function and improve quality of life.

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