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Suggest Treatment For Rheumatoid Arthritis In Feet
Hi,
I was recently diagnosed with psoriatic sero negative rheumatoid arthritis. I was put on diclophenic (50mg ) since about january. As diagnosis I have been put on methotrexate and folic acid. My GP asked to see me recently as has said I need to stop taking the diclophenic as it increases the toxicity of the methotrexate to my organs.. But I am very unstable without it. I cannot get up, get my foot in a shoe, move it, I am completely in able to walk.He has told me to take 8 paracetamol a day but this has never helped me before, and to be honest I do not want to be taking 8 paracetamol a day! My friend said she is on sulfazine and if she does not take this along with her methotrexate she is in excruciating pain...
Could you please give me some advice as I really cannot deal with no pain relief as the paracetamol does not do anything for me and obviously I need to carry on my life..im only 17 and need to try and get a job if im capable. The arthritis is in the joints in my feet/toes.
many thanks
I was recently diagnosed with psoriatic sero negative rheumatoid arthritis. I was put on diclophenic (50mg ) since about january. As diagnosis I have been put on methotrexate and folic acid. My GP asked to see me recently as has said I need to stop taking the diclophenic as it increases the toxicity of the methotrexate to my organs.. But I am very unstable without it. I cannot get up, get my foot in a shoe, move it, I am completely in able to walk.He has told me to take 8 paracetamol a day but this has never helped me before, and to be honest I do not want to be taking 8 paracetamol a day! My friend said she is on sulfazine and if she does not take this along with her methotrexate she is in excruciating pain...
Could you please give me some advice as I really cannot deal with no pain relief as the paracetamol does not do anything for me and obviously I need to carry on my life..im only 17 and need to try and get a job if im capable. The arthritis is in the joints in my feet/toes.
many thanks
Fri, 26 Sep 2014
Hi
Thanks for posting your query
Rheumatoid arthritis is a disease that is autoimmune in nature. It affects mainly synovial joints like the joints of hands, feet, although any joint can be affected by it. Just like various chronic diseases like diabetes, hypertension and ischaemic heart disease are not curable but controllable; rheumatoid arthritis is also controllable.
With proper medication you can lead an absolutely normal life without any pain or disability. The drugs usually given are methotrexate ,HCQS,Sulfsalazine along with folic acid and pain killer.You may comtinue with diclofenac till we have desired effect with folitrax/sulfsalazine/hcqs.
It is not advisable to stop medication on your own as it only leads to accrual of joint damage and leads to joint deformities. So keep a positive attitude and take regular medication; also exercise regularly.
Please feel free to ask me if you have any other query. Do you have a family history of multiple joint pains?
My advice would be visit a rheumatologist/physician for evaluation and treatment.
Hope this information suffices.
Take care
Regards
Dr.chugh, Orthopaedic surgeon
Virtual clinic http://bit.ly/drmchugh
Thanks for posting your query
Rheumatoid arthritis is a disease that is autoimmune in nature. It affects mainly synovial joints like the joints of hands, feet, although any joint can be affected by it. Just like various chronic diseases like diabetes, hypertension and ischaemic heart disease are not curable but controllable; rheumatoid arthritis is also controllable.
With proper medication you can lead an absolutely normal life without any pain or disability. The drugs usually given are methotrexate ,HCQS,Sulfsalazine along with folic acid and pain killer.You may comtinue with diclofenac till we have desired effect with folitrax/sulfsalazine/hcqs.
It is not advisable to stop medication on your own as it only leads to accrual of joint damage and leads to joint deformities. So keep a positive attitude and take regular medication; also exercise regularly.
Please feel free to ask me if you have any other query. Do you have a family history of multiple joint pains?
My advice would be visit a rheumatologist/physician for evaluation and treatment.
Hope this information suffices.
Take care
Regards
Dr.chugh, Orthopaedic surgeon
Virtual clinic http://bit.ly/drmchugh
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