Rheumatoid Arthritis Knee Treatment in Jaipur — Dr. Dheeraj Dubay
Rheumatoid arthritis (RA) is an autoimmune condition that causes the immune system to attack joint linings, leading to inflammation, pain, and eventual joint destruction. Dr. Dheeraj Dubay works closely with rheumatologists in Jaipur to provide comprehensive care — including knee replacement surgery for patients with advanced RA joint damage.
Forbes World Record
Most surgeries in a single day
35,000+ Surgeries
Successful joint replacements
23+ Years Experience
Expert orthopaedic care
Health Minister Award
3 consecutive years
What is Rheumatoid Arthritis?
Unlike osteoarthritis which is mechanical wear-and-tear, rheumatoid arthritis is an inflammatory condition where the immune system mistakenly attacks the synovium — the lining of the joint. This causes persistent inflammation that can rapidly destroy cartilage and bone. RA often affects both knees symmetrically and may involve other joints and organs.
Causes and Risk Factors
- •Autoimmune dysfunction — immune system targeting healthy joint tissue
- •Genetic predisposition — HLA-DR4 gene association
- •Environmental triggers — smoking, infections, hormonal changes
- •Female gender — RA affects women 3x more often than men
- •Age — most commonly develops between 30–60 years
- •Family history of autoimmune conditions
Symptoms of Rheumatoid Arthritis in the Knee
- ⚠Symmetric joint involvement — both knees often affected simultaneously
- ⚠Morning stiffness lasting more than 30–60 minutes
- ⚠Warm, swollen, and tender joints
- ⚠Systemic symptoms — fatigue, low-grade fever, weight loss
- ⚠Rheumatoid nodules under the skin near pressure points
- ⚠Fluctuating disease activity — flares and remissions
- ⚠Progressive joint deformity without proper management
Diagnosis of Rheumatoid Arthritis
RA diagnosis requires a combination of clinical, laboratory, and imaging findings. The ACR/EULAR 2010 criteria are used for classification.
Treatment of Rheumatoid Arthritis
Non-Surgical Options
- ✓DMARDs (disease-modifying drugs) — methotrexate, leflunomide
- ✓Biologic agents — TNF inhibitors, IL-6 blockers, JAK inhibitors
- ✓Corticosteroids for rapid disease control during flares
- ✓NSAIDs for symptom relief
- ✓Physiotherapy to maintain joint range and muscle strength
- ✓Occupational therapy for joint protection strategies
Surgical Options
- →Synovectomy — surgical removal of inflamed synovium (arthroscopic)
- →Total knee replacement — when joint destruction is severe
- →Bilateral knee replacement — staged or simultaneous if both knees are affected
- →Revision surgery if a previous replacement has failed
Why Choose Dr. Dheeraj Dubay?
- ✓Extensive experience with inflammatory arthritis joint destruction patterns
- ✓Close collaboration with rheumatologists for combined medical-surgical care
- ✓Expertise in complex RA knee replacements with bone loss management
- ✓35,000+ total joint surgeries with excellent outcomes in RA patients
- ✓Advanced robotic techniques to optimise alignment in RA-deformed knees
Frequently Asked Questions
Yes — knee replacement is highly effective for RA patients with severe joint damage. Pre-operative optimisation of disease activity with your rheumatologist reduces infection risk and improves outcomes. Dr. Dubay has extensive experience in RA knee replacements.
Related Conditions
Ready to Walk Without Pain?
Book a consultation with Dr. Dheeraj Dubay today. Available at Shalby Hospital Vaishali Nagar and Dr. Dubay Hip & Knee Clinic, Vidhyadhar Nagar, Jaipur.