Rheumatoid vs osteo vs psoriatic: How to differentiate the pain?

@kjoed53 go get your uric acid level tested. If it’s high, even if it’s in the boundaries, you probably have gout my whole body slows down and gets stiff after over exertion or a change in the weather, the tart cherry capsules and the tart cherry juice, relieve the pain and inflammation that pointed in the direction of the gout. Plus, the fact that my dad had gout.

@loriesco
I have had a complete blood workup and urine analysis. I have PMR and SMM on top of my existing osteoarthritis. I have been seen by orthopedic surgeons, neurosurgeons, pain management specialists, rheumatologist and hematologist oncologist. I have had X-rays, MRIs, a PET scan and a bone marrow biopsy. I appreciate the advice but gout is the one thing I can safely say that I don't have.

@kjoed53 did you have your uric acid level tested? There are two kinds of gout by the way. One responds to purines, and is triggered by purines; the other is psuedogout, and only anti-inflammatories ease the pain. I had all the other stuff too... (except the bone marrow biopsy). Somehow, even with my 2 hospitalizations, it slipped through the cracks. I used to test low for uric acid because I could control my purines but no longer.
Its real easy to try moving your body alkaline with lemon water and tart cherry juice (I prefer the tablets). I went to so many arthritis doctors over 25 years it is just crazy.

@loriesco
My rheumatologist ran every test in the book and ruled out everything but PMR and an unknown blood disorder. He sent me to a hematologist oncologist who ran everything again plus some, ordered an immediate 24 hour urine collection, a full body PET scan and bone marrow biopsy. The results of his testing showed SMM even though I was on 25mg prednisone for the PMR. I saw 8 doctors in 6 months and I've had more tests run during that time period than the rest of my combined life and I'm 73. My doctors have been very thorough. PMR is a diagnosis of exclusion. They rule everything else out first.

@kjoed53 I still didn't hear from you that your uric acid level was normal. Mine is normal now. I have no arthritis pain. I went through a gallizion tests, 3 rheumatologists, 5 osteoarthritis doctors, a neurologist, 3 orthopedic surgeons....2 endocrinologists, and a few PCM doctors over 25 years. I would like to think they did a simple uric acid level test but maybe it didn't show yet, or they were looking for something else like an immune disorder. (feels the same as that).

@loriesco
Everything was normal except inflammation markers, PMR markers and blood disorder markers...ESR, CRP, M-protein, free Kappa Lt chains and kappa lambda ratio, etc

@kjoed53 your dancing around this, Did you have a uric acid level test? You keep telling me about how normal everything ELSE is, LOL. One test, one test alone. the rest can BE normal!

@loriesco
I had all the tests done and all but the ones I mentioned came back negative. I don't know why you think I have to say it any different. I'm sorry if you had incompetent physicians but mine are both competent and diligent and I don't feel the need for another diagnostician, especially an amateur one. I'm sorry if that offends you but I have grown tired of you harping on the same subject over and over. I'm negative for everything but PMR and SMM... period.

How do u tell the difference between the two pain wise and symptom ?? I know I have both ( diagnosed )

@kjoed53 no need to be disrespectful. You just didn’t answer the question it was very specific you danced around with 1 million things that were not Jermaine to me. You don’t want my help so that’s OK. My doctors are as confident as doctors are made and they teach all the doctors around the world at UCSD so disparaging my doctors get you nowhere and as part and parcel of your avoiding the specific question. We’re done here.