
Suggest Treatment For Pain In The Legs While Having Rheumatoid Arthritis

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
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

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