Manali from Belapur Navi Mumbai is young lady in her twenties with multiple joint pains including small joints of hands. This pain of rheumatoid arthritis is more in morning time with stiffness. There is no definite cause for rheumatoid arthritis and so there is no definite treatment for this condition which can cure this disease at root level. Patient has to do regular check up, take regular drugs and do exercises to get optimum benefit. For more affected joint fluid removal and local injection of steroid and occasional surgery is justified.