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Suggest Treatment For Pain In The Legs While Having Rheumatoid Arthritis

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Posted on Tue, 27 Sep 2016
Question: Sir, I am 63 years Male, Having problem of Rheomatoid Aurtheritis for last 3 years, My Doctor advised me follwings:

1. Inj. Methotrexate : Till now Five Injections [weekly basis]
2. Tab.Sazo 500 mg. : 3 every day
3.Tab.Folvite 5 mg.: 1 per day for 5 days a week.

along with I am take followings along with treatments:

1. Inj. Arachitol 6 lac IU: total 3 Injections [ one for every 14 days.]
2. Alfavision tab.: 1 every day
3.Shelcal HD tab: 1 every day
4. Glenpaz 40 tab.: 1 every day
5. Calcispray.


At present my condition:

1. Pain of Hands joints is mild in compare to initial stage.
2. But pain in legs are increased and difficult to walk and move.
3. I feel stiffness in my body.

all these i managed by taking Pain killer Tab. Nucoxia 90 every day.

Sir Please advise me What to do?
XXXXXXX XXXX
E .mail: YYYY@YYYY
doctor
Answered by Dr. Naval Mendiratta (46 minutes later)
Brief Answer:
Psoriatic arthritis

Detailed Answer:
good evening

thank you for writing on health care magic

Well, I have gone through your history. there are a few put falls which I would like to understand :

1. when you have pain in the legs, is it in the knees or hip or the foot? An swelling associated?

2. Do you have intolerance to injection folitrax? like if we increase the dose to 20mg will it be a problem?

3. is any rheumatologist following you up?

4. I didn't understand why you being given such high dose of vitamin d injections.. arachitol is good enough for 6 months.. that is one dose

5. other thing we need to distinguish is, if it is really psoriatic arthritis or osteoarthritis troubling you as management will change accordingly. Daily Nucoxia will do more harm than good

6. have you tried leflunomide yet

Do let me know these queries. would guide you further from here

regards
Dr navak
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
Answered by
Dr.
Dr. Naval Mendiratta

Rheumatologist

Practicing since :2007

Answered : 754 Questions

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Suggest Treatment For Pain In The Legs While Having Rheumatoid Arthritis

Brief Answer: Psoriatic arthritis Detailed Answer: good evening thank you for writing on health care magic Well, I have gone through your history. there are a few put falls which I would like to understand : 1. when you have pain in the legs, is it in the knees or hip or the foot? An swelling associated? 2. Do you have intolerance to injection folitrax? like if we increase the dose to 20mg will it be a problem? 3. is any rheumatologist following you up? 4. I didn't understand why you being given such high dose of vitamin d injections.. arachitol is good enough for 6 months.. that is one dose 5. other thing we need to distinguish is, if it is really psoriatic arthritis or osteoarthritis troubling you as management will change accordingly. Daily Nucoxia will do more harm than good 6. have you tried leflunomide yet Do let me know these queries. would guide you further from here regards Dr navak