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What Causes Severe Osteoarthritis With Symptoms Of MS And MND?

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Posted on Tue, 17 Mar 2015
Question: How do you differentiate the symptoms of severe osteoarthritis with some of the symptoms of MS & MND.
I have just read the 10 early signs of these conditions and 4-5 of them are exactly as I experience.
I have had 4 total joint replacements and a spinal laminectomy with quite advanced OA in every joint in my system. I am concerned that I may have early stage MND until now I have put the symptoms that are shared merely to my OA ? RA. My name is XXXXXXX I am 64years old and have been nursing fulltime for the past 45years
The five symptoms I experience Muscle spasm, exhaustion weakness, numbness unilateral limb only, mild memory loss probable associated with too many tasks
undertaken at a time rather than planning which I now do., Depression controlled with SSRI's daily
? Simply put Are my symptoms more likely due to OA or early onset MND. IU also have 7 discs prolapsed some anteriorly and some posteriorly resulting in severe back pain and sometimes loss of balance
doctor
Answered by Dr. Naval Mendiratta (47 minutes later)
Brief Answer:
is it MND?

Detailed Answer:
Good evening

Thank you for writing on health care magic

Well osteoarthritis, MS, and MND are very different diseases. MS normally affects the brain and spinal cord with no effect on the joints. MND or motor neuron disease affects the nerves from the brain along with the muscles of the upper limb and lower limb. It doesn't not affect the joints either.

Some people have a severe variant of osteoarthritis which can damage the joints and head them towards replacement. It is known as erosive OA. The only close diagnosis which we need to evaluate is rheumatoid arthritis as it is a treatable cause.

So it is a very different variant and if you are not observing muscle weakness you need not worry about ms or MND.

Do let me know for more queries.

Would be happy to help out

Regards
Dr naval
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Naval Mendiratta (17 hours later)
Thank you for your reply It eases my concerns considerably I have had a serology test for RA the result stated I did not have the ? Genetics or whatever else it maybe that determines a positive result for RA. However orthopaedic specialists have stated to me on many occasions that my fingers and most joints replicate RA. Can you advise me of what the treatment options are for RA and can they be also used for OA. I do not want to take any more opioids than I already take and I do not wish to go down the steroid path of management.Can you advise me of any further treatment options
"Sorry I forgot to mention I do get muscle weakness particularly after doing to much or if my body is stressed as with an infection, fever or other viral conditions. It is mainly in the legs and they recover after resting.
doctor
Answered by Dr. Naval Mendiratta (15 hours later)
Brief Answer:
osteoarthritis

Detailed Answer:
Good evening

Sorry for the late reply.
Well the management for rheumatoid arthritis I'd very different. You need to be on stronger immunosuppressants with regular blood monitoring. Yes you are write the joints in osteoarthritis can very well resemble rheumatoid but those are non inflammatory swellings known as bouchards or herbedens nodes. But trust me the medications are much worse than opiods with lot of side effects.

You probably have an erosive osteoarthritis causing quite some damage to the joints.

As for the post fever myalgia it is a very common symptoms after viral infections and happens in lot of people. For it I will recommend you check your vitamin d levels and get supplements for it. It will help in the problems you face.

Hope the information is useful.

Do let me know for more queries

Regards
Dr naval
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Naval Mendiratta (14 hours later)
No more questions at this stage I thank you for responses they are direct to the issue at hand I value your approach. You have been most helpful in providing me with info to digest and decide which direction to seek in future management of my ever increasing debilitating condition. I do try so very hard to walk a minimum of 1.5 kilometres each day eat healthily and maintain a positive outlook on my future needs.i am sorry for my lengthy responses to you . Thank you Dr
Naval
doctor
Answered by Dr. Naval Mendiratta (3 hours later)
Brief Answer:
no worries

Detailed Answer:
Good evening

Oh don't worry about that at all. I am glad I could be of some help, cause every patient needs the understanding of their disease or else they are left wandering for answers

You take care. Eat healthy keep exercising.

Wish you a healthy life ahead

Regards
Dr naval
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
Answered by
Dr.
Dr. Naval Mendiratta

Rheumatologist

Practicing since :2007

Answered : 754 Questions

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What Causes Severe Osteoarthritis With Symptoms Of MS And MND?

Brief Answer: is it MND? Detailed Answer: Good evening Thank you for writing on health care magic Well osteoarthritis, MS, and MND are very different diseases. MS normally affects the brain and spinal cord with no effect on the joints. MND or motor neuron disease affects the nerves from the brain along with the muscles of the upper limb and lower limb. It doesn't not affect the joints either. Some people have a severe variant of osteoarthritis which can damage the joints and head them towards replacement. It is known as erosive OA. The only close diagnosis which we need to evaluate is rheumatoid arthritis as it is a treatable cause. So it is a very different variant and if you are not observing muscle weakness you need not worry about ms or MND. Do let me know for more queries. Would be happy to help out Regards Dr naval