I have studied your case with diligence.
Possibility of rheumatoid arthritis
and ankylosing spondylities can be considered
You have already raised ESR.
When such patients come to our hospital I advise them blood test like RA factor, ACCP, , complete blood count
, HLA B27.
Rheumatoid arthritis may involve small joints and early morning stiffness in joints, does she have such complain?Ankylosing spondylitis
typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased does she have such stiffness in spine?
A treatment regimen for Rheumatoid arthritis and ankylosing spondylitis involves medication, exercise, good posture practices, and other treatment options such as applying heat/cold to help relax muscles and reduce joint pain.
NSAIDs, DMARDs (disease-modifying anti-rheumatic drugs) are sometimes prescribed in more severe cases. These include methotrexate
.Corticosteroid injections for severe pain and inflammation in a specific joint.TNF-a inhibitors, a newer class of biologic medication.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.