Rheumatoid arthritis (RA) can affect various joints in the body, including the spine, leading to a condition commonly referred to as rheumatoid spine. In rheumatoid arthritis, the immune system mistakenly attacks the synovium—the lining of the membranes that surround joints. In the spine, this inflammation can cause pain, stiffness, and eventually lead to joint deformities and loss of function. The cervical spine is often most affected, with the potential for instability and compression of the spinal cord. This can result in symptoms such as neck pain, limited range of motion, and neurological complications. Advanced imaging techniques such as MRI or X-rays are typically used to assess the extent of joint damage. Management of rheumatoid spine involves a multidisciplinary approach, including anti-inflammatory medications, disease-modifying antirheumatic drugs (DMARDs), and physical therapy to preserve joint function and alleviate symptoms. Regular monitoring and timely intervention are crucial in preventing progressive damage and improving the overall quality of life for individuals with rheumatoid spine.