I am a 34yr old dental hygienist who has been having joint pain and stiffness in both wrists, hand/finger joints and toe joints for about 4 mos. Sometimes the pain is excrutiating. There is also pain and stiffness in my knees, hips, and shoulders.Stiffness persists 1-2 hours in the am and returns during the day after any period of prolonged inactivity. I have been reluctant to try any medications for fear of side effects to my liver etc. However, WILL DELAYING MEDICAL TREATMENT AND TRYING ALTERNATIVE THERAPIES (ACCCUPUNCTURE, DIET, MASSAGE) ULTIMATELY MAKE MY CONDITION WORSE? IS THERE A WINDOW WHERE TREATMENT IS MOST EFFECTIVE MEDICALLY? AM I PERMANENTLY DAMAGING MYSELF BY WAITING?
DMARDs for Arthritis Q & A
Approximately six months ago I was diagnosed with RA. In March I had my first appointment with a Rheumatologist who has done an excellent job of explaining RA to me and her treatment plan. At that time my wrists were extremely painful, and several nodules were present. I was running a low grade fever and was exhausted all the time. I also had some pain in my shoulders, and pain and stiffness in my hips made walking a chore. I am currently taking two 750mg Relafen tabs a day, 5mg Prednisone a day, five 2.5mg Methotrexate once a week, and one 1 mg Folic Acid a day. Initially I was taking only four Methotrexate tabs but my Rheumatologist tweaked it upwards to the current five tabs. So far I am tolerating the Methotrexate very well. My hips and shoulders have improved considerably, but the wrists remain very painful, particularly when I first get up in the morning, and for several hours thereafter. For a while, the nodules disappeared, but now another nodule has appeared in my right wrist. It is as if my wrists are stuck in neutral. Am I expecting too much too soon for improvement in my wrists, or is it common to have to tweak the Methotrexate from time to time to obtain optimal results?
I have had As for 6 years and recently have been in terrible pain after a car accident jerked my neck and back which has aggravated condition further. I have asked about anti- tnf medication after reading reports of remarkable results in AS. My rheumatologist has only ever given me nsaids because he said other drugs do not work on the spine. Anti-tnf seems to work on spine! However I have now been offered pamidronate infusions do you have any feedback from anyone who has tried this medication, and if it was effective! They have told me it is run into vein for one hour but the info I have says it should be given slowly over 4-6 hours. I would appreciate any advice you can give as I have first infusion wed 23rd june. From my research anti- tnf sound more effective – but I am prepared to give this a try as long as it is appropriate!
Will methotrexate and Prednisone cure Rheumatoid Arthritis?
I started taking Plaquenil 4 weeks ago for non specific autoimmune disease as indicated by ANA. Symptoms were low grade temperature (off and on for a year), joint pain and fatigue. I have already felt some relief. Some nauseau at first but less problem with fever and joint pain. But, now I have started having stomach cramps and diarrhea. I understand these may go away. Is there anything I can do to reduce these symptoms? I always take the Plaquenil with a meal.
I have RA which, until recently has been well controlled with sulphasalzine, Bextra and prednisone when needed. Most recent x-rays show significant erosion in my hands. My Rhumatologist would like me to go on methotrexate at this time. I understand that the use of this drug may cause liver and lung damage. I am debating the pros and cons of going on this drug. Will the use of this drug help slow up the progression of RA significantly enough to take the risk of the possible side effects. Also at this time I do smoke and occassionaly will have a cocktail, what effect do these risk factors have while taking methotrexate?
For three years I took Embrel with much sucess, but it is too expensive for me to pay. My doctor put me on remicade and my insurance will pay the whole price. I have been on it for ten months and I feel terrible. Two weeks ago they upped the dose and I have more pain and swelling than ever. I can not get through the day without taking pain killers. Two days after I got the remicade I had such swelling and pain that they gave me a steroid shot. Two more days they put me on prednisone and I had no relief. I refuse to take remicade again, what would you suggest I do?
I have had RA for 8 years, I continue to try to “get through the pain” as I don’t like to take alot of medications. Is this hurting me more than going on some of the more high risk medications? Iam currenly on sulfphasalzine, Bextra, just recently been put on that and prednisone as needed. Is it a bad thing to not go on the medications?
If someone has endometriosis, is it safe to take enbrel – given the infection side effect of enbrel?
I have RA and was recented diagnosed with endometriosis. The medications used for both seem to conflict. Is it safe to take methotrexate and lupron together. What risks can Lupron cause to RA?