HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Rheumatoid Arthritis

I have rheumatoid arthritis i am on Methotrexate and vicodin. Lately i have been having a lot of pain in different muscles surrounding major joints such as shoulders ,elbowz ,ankle.. the pain subsides within 24to48hours down to nothing. It also never hits the same spot twice in a row .... i take energy pills most everyday ... like "stackers"and such
Mon, 23 Feb 2015
Report Abuse
Orthopaedic Surgeon,  's  Response
Thank you for the question.I would suggest that you have your blood test repeated for complete blood count,ESR Anti-ccp and liver functions,Na , K levels.I would prefer to put you on two DMRD's like hydroxychloroquine 250mg daily along with methtrexate if ESR is high and more joints are now affected, which means single drug methotrexate is not sufficiently controlling disease process.You may change from vicodin to tramadol 100mg BD only till acute condition lasts ,that is 5-7 days and stop it. also rely on physical therapy more like hot fomentation,mild execises.Blood tests periodically for monitoring doses and meds.
I find this answer helpful
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.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
Suggest Treatment For Rheumatoid Arthritis

Thank you for the question.I would suggest that you have your blood test repeated for complete blood count,ESR Anti-ccp and liver functions,Na , K levels.I would prefer to put you on two DMRD s like hydroxychloroquine 250mg daily along with methtrexate if ESR is high and more joints are now affected, which means single drug methotrexate is not sufficiently controlling disease process.You may change from vicodin to tramadol 100mg BD only till acute condition lasts ,that is 5-7 days and stop it. also rely on physical therapy more like hot fomentation,mild execises.Blood tests periodically for monitoring doses and meds.