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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Arthritis, No Relief With HCQS Tablets, Have Intense Pain In Hands And Legs. Suggestion For Pain Relief?

My Mom who s is 43 years old ...... Suffering from arthiritis doctors suggested her to take HCQS tablets for control pain but it is not effective she feels more pain in the morning when she wakes up from the bed and suffer more and she cant move her hand she feels more pain initially it was paining on her legs now it is came under some control but now her hands giving more trouble .......Kindly suggest something to control pain Thank u ... Dr Rohit Gulati for responding to my query here is the report Haemoglobin : 10.9gm% Total Count : 5,400cells/cumm Differential count Neutrophils : 54% Lymphocytes : 41% Eiosinophils : 04% Monocytes :01% Basophils :00% ERTHROCYTE SEDIMENTATION RATE : 36mm/hr Min: 02-18mm/hr
Fri, 7 Sep 2012
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Internal Medicine Specialist,  's  Response
Dear friend, thank you for choosing HCM.

arthritis is often mis/ inadequately evaluated.
has she done RA factor, anti-CCP level, CRP, Xrays of joints?
is she on NSAIDS, steroids, methotrexate?
has she been to a rheumatologist?
please give thsi info .
your tests mentioned are normal, but in no way indiate any arthritis.
I would advise a rheumatology consultation. there are many line sof therapy if type of arthritis is confirmed and may be beneficial.

I hope to have answered your query satisfactorily.
Take care and please keep me informed of your progress.
Good Luck !
May I request you to rate your experience here before you close.
Thank you.
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Orthopaedic Surgeon, Joint Replacement,  Dr. Saurabh Gupta's  Response
hi,
if your moms pain and stiffness is in morning for greater than one hour and reduces followig activity and bilateral symmetrical hand joints are involved then it may be rheumatoid arthritis.

ur moms ESR is raised. RA factor, anti-ccp antibody test ,CRP should also be done to make the diagnosis.If diagnosis is confirmed then NSAIDs, DMARD, Biological agents alone are in combination are started. Physiotherapy & lifestyle modification is also required.
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  User's Response
Dr. rohit Gulati's  Response
get an RA factor test, empty stomach. and also CBC, send me the reports and i shall be able to guide u further.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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Suffering From Arthritis, No Relief With HCQS Tablets, Have Intense Pain In Hands And Legs. Suggestion For Pain Relief?

Dear friend, thank you for choosing HCM. arthritis is often mis/ inadequately evaluated. has she done RA factor, anti-CCP level, CRP, Xrays of joints? is she on NSAIDS, steroids, methotrexate? has she been to a rheumatologist? please give thsi info . your tests mentioned are normal, but in no way indiate any arthritis. I would advise a rheumatology consultation. there are many line sof therapy if type of arthritis is confirmed and may be beneficial. I hope to have answered your query satisfactorily. Take care and please keep me informed of your progress. Good Luck ! May I request you to rate your experience here before you close. Thank you.