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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Pain And Swelling On The Feet And Hands Indicate?

I have spontaneous pain and swelling with Very localized swelling on my feet and hands with no injury usually at night that wakes me up. I have 5 or six family members with RA including my mother and her siblings? I am now noticing finger joint changes. My doctors don t seem impressed but I am really hurting. I have l /4 and l/5 joint disease and injections.
Thu, 1 Feb 2018
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General & Family Physician,  's  Response
Hello,

Thanks for your query on HCM

"As"per your clinical history is concerned please follow like this -

1)Do a clinical examination by your treating Doctor [rheumatologist] and to confirm it do [ESR, RF and anti-CCP].

2)If confirmed then discuss with your Doctor about prescription medications like [naproxen sodium, oral corticosteroid and adalimumab]

3)Discuss with your physio about specific exercise plan.

Do follow few lifestyle modifications like -

1)Do exercise regularly. Gentle exercise can help strengthen the muscles around your joints, and it can help fight fatigue you might feel. Check with your doctor before you start exercising. If you're just getting started, begin by taking a walk. Try swimming or gentle water aerobics. Avoid exercising tender, injured or severely inflamed joints.

2)Apply heat or cold. Heat can help ease your pain and relax tense, painful muscles. Cold may dull the sensation of pain. Cold also has a numbing effect and decreases muscle spasms.

3)Try to relax. Find ways to cope with pain by reducing stress in your life. Techniques such as guided imagery, distraction and muscle relaxation can all be used to control pain.

Hope that helps

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What Do Pain And Swelling On The Feet And Hands Indicate?

Hello, Thanks for your query on HCM As per your clinical history is concerned please follow like this - 1)Do a clinical examination by your treating Doctor [rheumatologist] and to confirm it do [ESR, RF and anti-CCP]. 2)If confirmed then discuss with your Doctor about prescription medications like [naproxen sodium, oral corticosteroid and adalimumab] 3)Discuss with your physio about specific exercise plan. Do follow few lifestyle modifications like - 1)Do exercise regularly. Gentle exercise can help strengthen the muscles around your joints, and it can help fight fatigue you might feel. Check with your doctor before you start exercising. If you re just getting started, begin by taking a walk. Try swimming or gentle water aerobics. Avoid exercising tender, injured or severely inflamed joints. 2)Apply heat or cold. Heat can help ease your pain and relax tense, painful muscles. Cold may dull the sensation of pain. Cold also has a numbing effect and decreases muscle spasms. 3)Try to relax. Find ways to cope with pain by reducing stress in your life. Techniques such as guided imagery, distraction and muscle relaxation can all be used to control pain. Hope that helps