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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Better Treatment For Rheumatoid Arthritis And Fibromyalgia

Hi, I am 53 yo Type I Diabetic and 6mos ago was told I am also now Type II, Insulin Resistant. I have scoliosis and Spinal Stenosis. I have Fibromyalgia and RA! I have not been able to tolerate Rheumatoid Medications. Every time I try a new med I get infections and side effects. I am obese have lost some weight but tend to gain back. I am on 17 medications and supplements in including two types of Insulin daily. I use a cane but a walker is better. I cannot walk ir stand very long (5 mins or under or abt 25 - 50'. Stairs are killers, especially going down! Lately I am so weak, I feel like I can't make it out of my car with a few groceries. Need to lean on peoples, cars, rails etc. or else I can't make it. I am so afraid to fall, I loose my balance easily. 2 ½ years ago I fell and ended being hospitalized and rehabs for 3 mos. The Rehabs did help with my physical mobility issues. Now I feel so weak like I'm going to pass out or fall. Don't know where to turn. Rheumatologist, Endocrinologist, find a new Neurologist or Orthopedic? I have been living on Steroids off and on for 8 years and on the Medryl for 6 years straight, also take Gabapentin 1800 ml day and 90 mls of Cymbalta for pain plus Tylenol occasionally for pain. Cannot use Narcotics, and cannot use NSAIDS like Ibuprofen nor Aleve because I suffer from Edema in my legs. I feel so helpless, I cannot live like this anymore. Please advise if you can! Thank you, Paige. YYYY@YYYY

Mon, 11 May 2015
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Orthopaedic Surgeon 's  Response
Hi
I may suggest an rheumatologist for reiewing as pain and instability are the main issues.
Nowadays some biologics for rheumatoid are prescribed by rheumatologist which may not be producing serious side effects,which shall , definitely contain rheumatoid.For fibromyalgia, gabapentin is a choice and some doctors prefer to add amitryptaline as well for surer relief.
rehabilitation and physical therapy are essential tools to rid off so many problems and help maintain posture,gait and muscle strength and for general well being.
dietic modifications to suit the diabetes and control obesity are very very necessary
with the help of an dietician-it will lessen the pains in joints also and give muscle strength
Regards
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Suggest Better Treatment For Rheumatoid Arthritis And Fibromyalgia

Hi I may suggest an rheumatologist for reiewing as pain and instability are the main issues. Nowadays some biologics for rheumatoid are prescribed by rheumatologist which may not be producing serious side effects,which shall , definitely contain rheumatoid.For fibromyalgia, gabapentin is a choice and some doctors prefer to add amitryptaline as well for surer relief. rehabilitation and physical therapy are essential tools to rid off so many problems and help maintain posture,gait and muscle strength and for general well being. dietic modifications to suit the diabetes and control obesity are very very necessary with the help of an dietician-it will lessen the pains in joints also and give muscle strength Regards