Osteoporosis is a degenerative condition in which bone loss gradually it’s mass. chronic inflammation resulted from rheumatoid arthritis affects bones surrounding the joint as well as the synovium. Osteoporosis is painless and has no noticeable manifestations, so patients occasionally get diagnosed with it after a sudden fracture. Rheumatoid arthritis is one of the most common causes of secondary osteoporosis, therefore RA patients are more likely to lose bone density. Unfortunately, thin and brittle bones may take a long period to restore their normal density.