Rheumatoid Arthritis (RA) is a major health problem that is affecting life quality and lot of healthcare resources are utilised in the treatment and management, especially in countries with low GDP such as Pakistan (1,2). Rheumatoid arthritis (RA) is a chronic immune mediated disease of unknown etiology that is affecting nearly 1% of the world population (3). The major features of this disease are swelling, pain and stiffness and if left untreaded leads to permanent joint damge resulting in high rates of morbidity and mortality. RA is associated with work loss leading to augmented financial problem, amplified psychological stress, depression and, ultimately leading to decreased quality of life (4).