Suggest Treatment For Pain And Swelling On The Hand Joints

Posted on Mon, 27 Jul 2015

Question: For 3 months, I have been experiencing pain and swelling of my hand joints. Also pain in my neck, shoulders, clavicle area, upper arms and left hip. I recently saw a rheumatologist, who ordered several labs/X-rays testing for inflammation, RA, and Lupus. All tests have come back negative except my ESR level is elevated (39) and a very slight elevation in my granulocytes. All other routine lab values are normal. What could this mean? I have been on prednisone 5mg for 3 months and that is the only medication that alleviates my pain. I'm a 35 y/o female, no health issues, hx of TLH with BSO.

Answered by Dr. Dr. Sudhir Kumar (5 hours later)

Brief Answer:
Possibilities of seronegetive rheumatoid arthritis or reactive arthritis.

Detailed Answer:

Hi
Thanks for your query

I'm Dr Sudhir Kumar

I have gone through your query and understand your concern. There can be possiblity of seronegetive rheumatoid arthritis and reactive arthritis. You are likely to get benefitted by steroids( prednisolon, triamcilone injection) and disease modifying agents used in treatment of rheumatoid arthritis such as methotrexate. You are advised to be under treatment of rheumatologist. You can discuss with your doctor about it.
What is meaning of hx of HTL with BSO ?

Hope your query get answered. If you have any clarification then I will be happy to help you.

Wishing you a good health.
Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Sudhir Kumar (7 hours later)

Total laparoscopic hysterectomy with bilateral salpingo-oophorectomy....I didn't know if my history of this would play any role as I am on hormone replacement therapy.

Answered by Dr. Dr. Sudhir Kumar (9 minutes later)

Brief Answer:
You are prone to osteoporosis and needs regularly hormone replacement .

Detailed Answer:
Hi
Welcome back
Yes due to this you are prone to decrease in bone mineral density ( osteoporosis). You need harmone replacement therapy, calcium and vitamin D regularly. There can be some contribution of pain due to this.
Everything else already discussed.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.

In future if you wish to contact me directly, you can use the below mentioned link:
https://www.bit.ly/askdrsudhirortho

Wishing you good health
Take care

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar