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Already A Patient Of Rheumatoid Arthritis From Last 30 Years.

Posted on Wed, 3 May 2023

Question: Already a patient of rheumatoid arthritis from last 30 years. Continuing on the medicines listed in current medication. It was good since last 8 months but it started paining suddenly at below places :
Unable to lift the shoulder
There is pain and swelling on the fingers and wrist
Knee pain
Pain in the back occasionally

Note : No tests recently done. Is it required to have a whole body checked up once ? Your advice will be really helpful

Follow up: Dr. Dr. Gopal (36 hours later)

Hi Team,

Could you please respond to the above query. Request expert suggestion on this condition from a Rhumatologis

Answered by Dr. Dr. Gopal (31 hours later)

Brief Answer:
Overall could be acute exacerbation of rheumatoid disease.

Detailed Answer:
Hi Bhavik, I am Dr Gopal Goel , Orthopedic Surgeon.
I have read the details you mentioned in your complaints.
I would like to answer as follows
1. Shoulder- This is likely to be a frozen shoulder. Treatment is pain killers , physiotherapy and local injection , if required.
2. Finger and Wrists_ Swelling in fingers and wrists means increase in Rheumatoid activity. Get R A Factor and Anti- CCP antibodies . It may require addition of more and newer anti rheumatic drugs like Iguratimod.
3. Knee Pain - Again could be due to increased rheumatoid activity or Severe arthritis . Go for Local Injection.
4. - Back Pain : may be due to muscle weakness or Osteoporosis . Go For Vit D3, Se Calcium, And Bone Densitometry , X Ray L S Spine.
Thanks for the question. I hope to have answered all your questions. Please feel free to ask any other question.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Gopal (19 hours later)

Hi sir,
Thanks for the response. I was planning to go for the whole body test along with RA factor and anti ccp antibodies tests as mentioned by you.
Could you please help to prescribe this so i can go ahead with these tests. Prescription could be on your letter pad and kindly help to send on my email YYYY@YYYY

Thanks for your advice and diagnosis.

Answered by Dr. Dr. Gopal (4 minutes later)

Brief Answer:
Not allowed legally

Detailed Answer:
Hi Bhavik , I am Dr Gopal Goel < Orthopedic Surgeon.
Your request for a prescription on my letterhead is not possible due to Medico Legal reasons. Supreme court of XXXXXXX has put a ban on online consultations.
Thanks

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Above answer was peer-reviewed by : Dr. LAKSHMI