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Feeling stiffness and pain in thigh. Done with all the blood work. What are the findings? - Online Doctor Chats

Date : 06-Jun-2013
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User:Hello Doctor
Doctor:Good Evening.
Doctor:Please proceed with your query.
User:Hello Dr. XXXXXXX
User:I have a query related to my wife..
Doctor:Ok. Please proceed.
User:She was feeling stiffness and pain in her right thigh sine last couple of months for which we saw a ortho specialist in XXXXXXX hospital Gurgaon last week.
User:After observing her clinically he advised these blood investigations : Hemogram; ESR; CRP; RA Factor; Thyroid; Anti CCP, 250 H Vit D3 level
User:Also X XXXXXXX : Pelvis B/L Hips
Doctor:Please continue.
User:X XXXXXXX and all blood parameters are OK except RA factor which is at 39 (normal limit
User:After observing these result he suspected Rheumatoid Arthritis...
User:I would like to know what you will say about it please
Doctor:ESR is a value which rises in all sorts of inflammation in the body.
Doctor:and when RA Factor is positive, Rheumatoid Arthritis is a possibility.
User:Is that a possibility or it confirmed ?
Doctor:Along with the physical examination, Xrays and these investigations, the examining doctor would be able to confirm.
User:X XXXXXXX is absolutely fine doctor..
User:What is Anti CCP ?
Doctor:I believe your doctor would have gone through all the details and would have come to this conclusion.
User:He said that this is the starting of the disease...
User:But is this disease normal and common or is it serious in nature...
Doctor:Anti CCP stands for Anti-Cyclic Citrullinated Peptide antibody
Doctor:Rheumatoid arthritis is a coomon condition.
User:Ok..what is the meaning if it is below the normal limit
Doctor:It just indicates the prognosis for the disease condition.
Doctor:I mean, it indicates whether there is a chance for damaging the joint.
User:But is their anything serious ? with result
Doctor:Don't worry, modern medicine has enough of medications to take control over Rheumatoid Arthritis.
User:Ok...our doctor has advised us following medication :
Doctor:If medications are taken properly with regular check ups, the damages can be prevented.
User:Zerodol; Razo; CCM and Riconia
User:and he has asked for followup check up after 1 month..
User:Is this medication appropriate ?
Doctor:It would take care of the pain and other symptoms.
User:Also the treatment will be one time or it will be for a prolonged period ?
Doctor:You will have to continue the treatment for long time.
Doctor:In some cases it may be life long tooas this is a chronic condition.
User:What is the exact meaning of chronic condition doctor ?
Doctor:Chronic means which stays over a long period of time.
User:But it is not necessary that it will continue for life long ?
User:It can be or it cannot be....right doctor ?
Doctor:To continue life long or not will depend upon her improvement with the medications.
Doctor:Yes, you are right XXXXXXX
User:Thanks doctor your reply was a great relief...
Doctor:You are welcome.
User:Would like to suggest something please...??
Doctor:You can also take consultation from a Rheumatologist who can help her along with the Orthopedician.
User:Can you suggest some good Rheumatologist in Delhi/NCR
Doctor:A Physiotherapy expert can guide her with certain exercises too.
Doctor:One of our customer care executives will assist you further in finding a good Rheumatologist at Delhi
Doctor:Can you please confirm your mobile number?
Doctor:Fine. Thank you.
User:Does she needs to take some prevention's for food etc ?
Doctor:She can take normal food as she continued till now.
User:Thanks a lot for your valuable suggestions Dr. XXXXXXX .
Doctor:Do you have any other questions?
Doctor:Thanks for consulting me.
User:Yes please....i just want to confirm once again that we should really worry and continue with treatment..and disease will vanish ?
User:*not really worry
Doctor:Dear XXXXXXX please do not worry about Rheumatoid Arthritis. It can be well controlled by medications. Your wife will be able to lead a very normal life.
User:Thanks doctor thank you very much....
Doctor:You are welcome.
User:Have a nice time ahead..
Doctor:Thanks for consulting me.
Doctor:Have XXXXXXX day.
Doctor:Bye for now.
User:Bye doctor
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