Hi . My wife, Kelly Mack (a contributor here), was diagnosed at age two, 45 years ago - before modern treatments, with the damage to show for it. She has used a wheelchair since her teens. Obviously, her RA is not invisible. In fact, she wrote this article on how to stick out: https://rheumatoidarthritis.net/living/stick. Concerning "invisible illness" she writes "I feel for my friends with RA who struggle with an invisible illness that they have to explain to others, who are often not understanding and supportive. While there are things I don’t like about always being visible, at least I don’t have to defend myself and explain that I have pain and a condition that can make life challenging. It is obvious!" Daniel's case is a great example of what Kelly wrote of - they are friends both diagnosed as children, with extreme forms of juvenile RA. In many ways Daniel has experienced worse issues (cancer, heart attack and subsequent cardiac issues, etc...), but because sometimes his issues haven't been readily visible he has run into problems, such as people not believing he should have handicapped parking or occasionally need a hand reaching items in a store or other lack of understanding the seriousness of the condition. I don't know if you have ever had people underestimate the extent of the limitations RA causes, but if so, that is a form of the "invisible illness" problem. Hope this information is helpful and know that this community is here for you. Best, Richard (Team Member)