Your symptoms like pain and swelling of multiple joints of hand are seen in Rheumatoid arthritis
. This is also associated with early morning stiffness of these joints which subside to some extent with activity and as the day progress.
Positive rheumatoid factor
and cyclic citrullinated AB further points towards Rheumatoid arthritis.
Erythrocyte sedimentation rate
(ESR), swollen and tender joint counts are used to monitor disease activity.
It is treated with Disease Modifying AntiRheumatic Drugs (DMARDs) like methotrexate, sulfasalazine, hydroxychloroquine
, corticosteroids etc. painkillers, exercises to preserve range of motion of joints and prevent joint deformities.
House/ equipment modifications and modifications in day to day activities will be helpful to prevent undue strain of joints.
These drugs do take 4 to 10 weeks to show effects. Hydroxychloroquine monotherapy is used in patients with minimal disease activity. You can contact your rheumatologist
if the symptoms are aggravating so that he can titrate/ add more medications.
Some of these medications are not advisable if one is breast feeding the infant.