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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Shoulder Pain

Just had trigger finger surgery, went well, am having shoulder pain in both shoulders...had a mri on r. side, did P.T, have a slight tear ( rotator cuff), feels better after a shot and P.T...declined surgery, having MRI on left side tom, have had a shot, more painful then r, side..Surgeon ran some bloodwork......showsI am 19 for Rheumatoid factor and positive on ANA screen IFA and speckled ANA pattern and a ANA titer of 1:280. Dr, is asking for a referral to see a Rheum atologist, but may take 3 to 6 months to get in..Should I be concerned?
Tue, 30 Sep 2014
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Orthopaedic Surgeon,  's  Response

Hello,

I have studied your case with diligence.

There is no need to concern but you need to take care about Rheumatoid arthritis.

You can take dose of methotrexate.
I will advise dose 7.5mg weekly.
You can start combination consulting your treating doctor

NSAIDs, DMARDs (disease-modifying anti-rheumatic drugs) are sometimes prescribed in severe cases.
Newer biologics have role in RA.

There is good role of diet and achieve correction through it, for details you can directly contact on my profile
http://doctor.healthcaremagic.com/doctors/dr-vaibhav-gandhi/63503

Hope this answers your query. 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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Suggest Treatment For Severe Shoulder Pain

Hello, I have studied your case with diligence. There is no need to concern but you need to take care about Rheumatoid arthritis. You can take dose of methotrexate. I will advise dose 7.5mg weekly. You can start combination consulting your treating doctor NSAIDs, DMARDs (disease-modifying anti-rheumatic drugs) are sometimes prescribed in severe cases. Newer biologics have role in RA. There is good role of diet and achieve correction through it, for details you can directly contact on my profile http://doctor.healthcaremagic.com/doctors/dr-vaibhav-gandhi/63503 Hope this answers your query. 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.