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Does PR cause permanent damage to the joints?

cause damage joints PERMANENT PR
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Does PR cause permanent damage to the joints?

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A. It’s not supposed to cause joint damage, after a flare up of pain/inflammation the joints and surrounding tissue should return back to normal. This is one way to tell it apart from RA which usually causes joint damage. However with constant attacks of inflammation some damage may occur and may also be the reason for progression on to some other form? It may be that damage is happening at a micro level.

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