Erosive Osteoarthritis

Posted by anniebrook @anniebrook, Feb 12, 2021

I have been trying to get answers for many years to find out why my OA in my hands is so painful and debilitating. It doesn't look as bad to the eye as many other people I have met that also have OA but have huge joint nodes but say it's not too painful. I had the traditional basal thumb surgery on left and right hands,left went well 10yrs ago but right which I had one yr later has never been pain free.. About 6 mths ago the pain in the back of my right wrist became so much worse at the same time a large lump appeared.I thought this was probably a Ganglion then a few weeks later a softer round lump appeared on the dip joint on the inside of my right little finger which as made the joint very swollen. Eventually got Xrays of both hands which have now been diagnosed as Erosive Osteoarthritis which I have never heard of. Prognosis doesn't look good with this type of OA. Has anyone else been diagnosed with this and do I ask to be referred to a Rheumatologist ? How do I deal with this ? Is there any meds I can take for pain and to slow down the progression ? Thank you

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@pmb462

Please forgive me, the supplement discussed is Boron. I just learned about Boron reading these posts, and have not discussed it with my physicians.
I am prescribed the following medications:
Diclofenac Sodium Gel 1% (Voltaren) as needed, not enough, or often enough, leaving clothing off, and not touching anything for 15 minutes is challenging!!
Methocarbamol (Robaxin) muscle relaxer, 750 mg 1 or 2 per day
Gabapentin 300 mg (Neurontin) 4 tab spread through the day
Hydroxychloroquine (Plaquenil) 200 mg 2/day
Meloxicam 15 mg, cut in half for one tab/day, each with a food, morning and noon.
Triamcinolone Cream 0.1% for mild psoriasis, on wrists and ankles and lower legs.

Methotrexate tab 2.5 mg 6 tabs, all at once, only once per week.
Leucovorin Calcium 10 mg, 12 hours after the Methotrexate (once per week to offset some Methotrexate side effects).

for pain: (confidential and ambiguous amounts, for confidentiality; Max 90 MME/day is fairly standard maximum) (MME=Morphine MG Equivalent)
Oxycodone / APAP Tab 10-325 mg (Percocet) (1 tab is 15 MME)
Morphine Sulfate ER Tabs 15 MG, (1 tab is 15 MME)

Additionally, I take other medications.

I will be seeing my Rheumatologist next week and will ask about BORON as a Supplement.

As I understand, the Severe Erosive Inflammatory Osteoarthritis is the worst type of arthritis. Basically, nothing can be done, except some medications to try to help stop the pain and help slow the progression of the disease. They say it is not fatal however, I feel myself dying a little every day. Last year, I lost about 30 lbs, I went from an active endurance athlete weighting 185, now, I weigh about 150. Some of this may be due to several stress factors, losing my last parent and dealing with the estate, going on disability at work and having to quit my work and routine, losing my client and co-worker relationships and sports related relationships, lunch groups, and basically all social activities, and dealing with insurance, including private disability insurance, ETC. At my last Neurosurgeon appointment, we were both teary eyed, discussing the need to fuse S1-L5, and losing lots of Range of Motion, rehab ETC. We both know that it's straight downhill for me, the physicians don't want to tell me that, because each patient is different and the prognosis is variable but, I can tell that it is not good. The 2 distal joints in each hand are so eroded and have bone growth that looks like a piece of popcorn at each joint, there is no visible joint, it is just a large mass, resembling a piece of popcorn, with no space between bones and I have the gull-wing appearance on X-ray's . I believe I am heading to the point of being a 2X4 piece of inflexible human. I admire those who have this disease and manage it, and especially those who have it worse than I do. I live such a sheltered life that it is hard to be grateful for what I have. For me, this is the year of GRATITUDE TO ALL, AND ACCEPTANCE OF MYSELF AND OF ALL OTHERS, AND EMPATHATIC TO THEIR SITUATIONS. Growing up is not for sissies! I feel I have so much to offer others but my isolation hinders my outside contact.

I need to add a bidet to my toilet, and make other house adjustments before my next surgery. At 60, I often feel that I should be in an assisted living facility, where I can get several good meals/day. Currently, I have no appetite, and force myself to eat something for dinner. It seems like I cannot complete any tasks that I start. I often spend 20 hours/day in bed. It's so difficult to manage my day-to-day needs, laundry, hygiene, cleaning, cooking, maintenance, dressing myself and basically most of my ADL's. I do still drive; however, I wonder why and how.

I have always been so independent, it is hard for me even grasp the idea that I have any limitations at all or to understand my limitations, and when to call someone for help, and how to hire others to do what I used to easily do myself. I'm hard headed and independent. I don't grasp the concept to contract with others to do what I used to do. I am also very financially conservative, so that also makes it hard to pay someone to do what I used to do just the year earlier.

I do not intend to be negative; I merely want to express my situation hoping that I can help others who are struggling also. I want to write a book about my struggles with this disease, including the mental challenges, physical challenges, social challenges, financial challenges, all coming as a brick wall hitting me. Even the physicians did not believe that there was anything wrong with me. My right leg lost 2 cm in circumference, or 36 cubic inches before physicians began to be concerned and figure out what I had been complaining about. My L4-L5 was pinching nerves, cutting off communication with the muscles in that leg, and the loss was from atrophy (neglect of my physicians). The physicians want to send you to a shrink for complaining about pain, instead of searching for the real physical problems. Physicians are not perfect, it is an art. You Know Your Own Body better than anyone, be persistent. I recommend if you have lower back pain, to measure the circumference of each leg in several locations (same locations on each leg) periodically to see if there has been any atrophy. I could actually see that my Right leg was smaller than the Left!

A young physician thought that since I could take my shirt off by myself, that I did not have any problems, even after knowing that I had Severe Erosive Osteoarthritis. I am extremely flexible or hyper flexible, and this tends to disguise some to the stiffness or lack of mobility that is typical. Just because I look young and athletic and very flexible, does not mean that I don't have very real, very painful, very serious problems, I am just atypical. Physicians, please listen to your patients & be Objective. Patients please be persistent, investigate, and get second opinions. Actually, I am not in a position to give advice on anything, especially unsolicited advice. So, I am sorry to those whom I might offend.

I am not trying to wine or cry or ask for sympathy, I am merely trying to express my personal situation and what I am going through in order for me to help others going through similar problems. I ask those with similar or worse situations to post up, so that together, we can help others. Maybe we can build a bridge for others to cross, as they come to the raging waters that we have crossed, so that it might be easier for the next person; That is my Hope and Prayer.

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I'm so sorry for all you are going through. I'm not familiar with your particular disease, so I have no words of wisdom to tell you. But I will pray for you. I know that never hurts, and often helps.

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Hello. I also have erosive osteoarthritis, diagnosed in 2019. I have been to 3 different Rheumatologists and one occupational therapist, none of which has heard of my particular type and don’t know how to treat it, so it’s treated like rheumatoid arthritis. My pc recommended contacting Mayo Clinic. They do not have a Dr who specializes in it. They do have an inflammatory hand clinic. I will be researching that next. Have you found any answers for treatment?

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I too have inflammatory, erosive osteoarthritis that is NOT associated with an autoimmune disease. It started in my thirties, which I was expecting because my mother and her aunt on her father's side also had it. My two middle fingers have the typical gull wing look and most but not all of the joints in my hands have now been affected. It tends to move into a given joint often on the same finger of each hand, but not always, and stay there for several years waxing and waning and eventually deforming the joint to some degree before moving onto another finger. I have had the most success with following an anti-inflammatory diet the includes avoiding dairy products most of the time, eating almost no red meat, and incorporating anti-inflammatory spices and foods into my diet whenever possible. I also have arthritis in other parts of my body, but recently found out that the kind in my hands is its own subset. I also had a lot more pain during peri menopause than I do now in menopause. Currently, it is confined to my left ring finger, which looks like a sausage past where my rings sit. It has been settled in there for a long time now. My understanding is that there is no cure, only management.

The best I can say is that you have to avoid inflammatory foods and experiment with what makes it worse. For example, I am very sensitive to night shade plants like peppers. I cut them out of my diet entirely for a month several years ago and then put some raw ones in my salad one night. By the next day, my fingers were killing me. I have noticed that tomato sauce is also terrible for my condition. So, now I only have these things once in a while, and I can be sure that when I do, I'm going to have more pain the next day. In short, there is no quick fix for this.

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Ah yes, the nightshades! I try to avoid anything with them. My ring finger, left hand was one of the last to go. The first joint is pretty much normal size and the 2nd joint makes it impossible to wear my wedding ring. My pinky finger, left hand is the only one left that looks normal size.

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Has anyone else been diagnosed with Erosive Osteoarthritis? What is your treatment plan? Any studies?

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@mememc52

Has anyone else been diagnosed with Erosive Osteoarthritis? What is your treatment plan? Any studies?

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@mememc52 Hello, You might like to take a look at this ongoing discussion of Erosive Osteoarthritis, and try to connect with some of the posters there.
Sue

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@sueinmn

@mememc52 Hello, You might like to take a look at this ongoing discussion of Erosive Osteoarthritis, and try to connect with some of the posters there.
Sue

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Where is the discussion located?

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@mememc52

Where is the discussion located?

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I'm sorry, I forgot to attach the link, brain fog from trying to answer questions and prepare to travel whilst clearing up storm damage!
Here it is:
https://connect.mayoclinic.org/discussion/erosive-osteoarthritis/
Sue

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@anniebrook

I'm sorry you have so much pain,I think I may end up with a trigger finger as my ring finger on right hand does get stuck slightly sometimes.My gran suffered with it terribly,she would shout my cousin and I when we were around 8trs old to pull it out she wold scream out in pain,not nice at all.Nature is so cruel.

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I went to my orthopedic surgeon when a trigger finger started. He gave a shot in it on the underside due to inflammation and it hasn't triggered since. I had read that they need do be addressed quickly to avoid them getting worse.

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@mememc52

Has anyone else been diagnosed with Erosive Osteoarthritis? What is your treatment plan? Any studies?

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Hi @mememc52, welcome. As @sueinmn suggested, I moved your posts to this existing discussion on Erosive Osteoarthiritis so you can more easily connect with other members like @kirstenlheld @eoamanor @ellye @anniebrook @ga29 @lindylous @kgresh11 @kilh and many others.

Mememc52, what is your current treatment plan?

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