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Suggest Treatment For Arthritis In Joints Of Hands And Feet
female 29 years old has poly arthritis start affecting small joint of both hands and feet and then affect big joints (shoulder and both knees ) ,morning stifness less than 1hour no fever by lab lecuopenia(WBC=2.4),CRP high , ESR =55 ,RF negative. recieve (NSAI drugs+plaquinel) ,but no improvement
Tue, 14 Oct 2014
Hi
Thanks for posting your queryRheumatoid 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.
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 queryRheumatoid 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.
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
I find this answer helpful
Hi,Thanks for your query. After going through your query I came to know that you are suffering from rheumatoid arthritis .ESR is quit high. CRP is high.RF is negative.When you have started disease modifying agent plaquine? It may take 2months time to start its effect.I generally start my such patients by injection triamcilone once only for immediate effect and I use methotrexate as disease modifying with good results. Analgesics are given for pain relief. You can discuss with your treating Doctor about it. I do hope that you have found something helpful. 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. Take care.
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