Rheumatoid arthritis.

Posted by jshaw1663 @jshaw1663, Jul 13 9:15pm

I having been seeing a Dr. they first done exray and said I do have it. Went to arthritis Dr and my numbers are not showing. I take methotrexate injections once weekly I also take plaquenal and cymbalta and it seems to be getting worse. One hand and joints hurt more on left side. I am so tired I can’t get going. I wake-up as tired as I went to bed. When I do stuff flower bed and do house work I’m exhausted. But my arm sometimes from elbow down just aches and lots of more stuff. I am anemic and this time she said my platelets are low and few more things were low. Somebody please talk to me. Now she is sending me to Ochsner‘s in Louisiana

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Profile picture for cathcath @cathcath

You really have your hands full! I have had RA, fibromyalgia, OA and Sjogren's for 34 years, none of which showed up on tests until the past two years. I have been on the drugs you named. At one time I was on Hydrocodone for 15 years. I didn't get addicted because I only took it when pain was unbearable (a 7 or up), so rarely daily use. I have family members with bipolar, as well, and my suggestion would be to see a therapist, both for support with bipolar and for help in dealing with the other things on your plate. It is very easy to get overwhelmed dealing with all that you are. I agree that a rheumatologist is far better trained and better able to diagnose. I also use progressive relaxation, both to keep the pain down and to sleep. I also have changed my diet to a Mediterranean diet, with emphasis on anti-inflammatory foods. I use pool exercises, which I got from PT. I have consulted with an OT, as well, to learn how to do things in a way that produces less pain and makes long term mobility possible. Sometimes tens units help, as do ice packs or heat packs, depending on what works for you. Our diseases are not things that can be easily treated and it often takes a team approach to get it right. Above all else, I listen to my body and when it says "Stop", I do. I can't say that I like stopping, because I don't, but it is better than the pain I will suffer and the long-term damage I may do by continuing. Please stay in touch and keep us updated. Be good to yourself, this is the only body you are going to get!

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Very good advice.

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Profile picture for Becky, Volunteer Mentor @becsbuddy

@jshaw1663 Welcome to Mayo Clinic Connect! I’m so glad you found this site. You do sound like you need help. You said that you’ve seen an arthritis doctor—was this a rheumatologist? They would be able to help with most all of your problems. When you go to Ochsner, do you know what you are being sent for?
When will you go and is it an easy trip?

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@becsbuddy

I’ve been searching around this site for an appropriate board for my questions. If this is not the right board for me, please let me know and feel free to redirect my concerns.

I am a 72 year old male with 40-plus years of increasing pain. I had an NM bone scan several years ago that showed several locations of arthritis in my body. The report said it was not positive for Paget’s (my AP is consistently 157-170). My primary doc sent me to a rheumatologist who met with me for three minutes, said at my age I had to expect pain and it was just osteoarthritis. Three minute office visit.

Had a repeat NM bone scan a few days ago at a different hospital. This report says arthritis in the left shoulder and both feet. Completely ignored both knees, both hips, lumbar and cervical spine, all of which have been mentioned to me as arthritic spots. The scan interpretation also did not mention the right hand arthritis diagnosed two days earlier by an orthopedic doc.

Primary doc now wants me to go to a different rheumatologist to discuss fibromyalgia.

Can a NM bone scan just be bad? Does it matter who reads it? How accurate are the scans? How can previously noted areas of arthritis just disappear?

After 40 years of pain I am looking for an answer. I do not want, and I will not take, any addictive medicines. I just want to know what this is. Any thoughts? If more info is needed, just ask. Thanks.

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Ive got Rheumatoid/osteo and fibro , recently my eyesight started getting blurry so I went off hydroxy, ( waiting to get an appointment with the rheumatologist since she upped the dose 6 months ago). She took me off leuflonamide cos of my fatty liver battle. So that leaves me with nothing. everything hurts I too do stuff that needs doing around my place and then I pay for it. Are there other meds besides the two I mentioned??

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Profile picture for tisme @tisme

Ive got Rheumatoid/osteo and fibro , recently my eyesight started getting blurry so I went off hydroxy, ( waiting to get an appointment with the rheumatologist since she upped the dose 6 months ago). She took me off leuflonamide cos of my fatty liver battle. So that leaves me with nothing. everything hurts I too do stuff that needs doing around my place and then I pay for it. Are there other meds besides the two I mentioned??

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@tisme have you tried Methotrexate?

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Profile picture for andid @andid

@tisme have you tried Methotrexate?

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@andid yes thats the first one the doc put me on but thats not good for non alcoholic fatty liver either.

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I'm sorry for your pain and suffering. Hope you get some answers soon.

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I am looking for a good cookbook or website maybe even a dietician for my RA. My rheumy is trying to reduce my prednisone after 4-5 years (I'm at 4 mg now) for my PMR. He also has me on Aria Simponi infusions for my RA. I'm in more pain now. Is it the reduction of prednione or Aria Simponi that is causing my pain. I'm 75 year old female & a caregiver for my husband with LBD.
Your thoughts?

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84 yr-old hubby's rheumatologist had him on Methotrexate for about 30 years.
It helped him be able to function normally -- especially with his hands, and prevented pain he had prior to that. She switched him to Azathioprine a couple of years ago when he started having other autoimmune problems -- pulmonary fibrosis, osteoporosis, kyphosis, compression fractures and MGUS.

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Hello all:

Who coordinates your care everyone? Is it your PCP or your rhuemo? I don't "need" to go through my PCP for my insurance, but it would be helpful for someone to coordinate for/with me. I have a bunch of docs now and I'm never sure whos is looking at or following up with stuff. My rhuemo is responsive as is my ortho. My PCP less so. I have several others in the mix as well. Thoughts? Tx

K

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Profile picture for marieirene @marieirene

I am looking for a good cookbook or website maybe even a dietician for my RA. My rheumy is trying to reduce my prednisone after 4-5 years (I'm at 4 mg now) for my PMR. He also has me on Aria Simponi infusions for my RA. I'm in more pain now. Is it the reduction of prednione or Aria Simponi that is causing my pain. I'm 75 year old female & a caregiver for my husband with LBD.
Your thoughts?

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@marieirene
Hello:
Look up anti-inflammatory diet, Mediterranean diet, which will give you helpful ideas and tell you what foods to avoid.
Changing my diet has helped me immensely!
Good luck and wish you well.

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