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Suggest Treatment For Pain, Swelling And Pins And Needles In Arms, Hands And Wrists

Posted on Mon, 30 Mar 2015

Question: My GP has diagnosed pain,swelling, and pins and needles in my arms, hands, and wrists as rhumatoid arthritis. After five weeks the sympyoms have not subsided. I have been taking Arcoxia 120mg daily, plus paracetamol plus I rub flexiSEQ twice a day into my hands . I also wear Therma Gloves. Can you advise me where I should go to get relief. Thank you! XXXX.

Answered by Dr. Dr. Naveen Kumar Sharma (29 minutes later)

Brief Answer:
I think you need to take Disease modifying drugs also

Detailed Answer:
Hello,
I have studied your case and I think your doctor has prescribed you only pain killers but no drugs acting on Rheumatoid. So your symptoms are still not relieved. Before I advised you any thing I would like to know few detail about your illness.
1. Did your doctor ordered any blood test like Ra factor, ESR, CRP?
2.What joints of body are most painful?
3.Do you have any stiffness in morning, If yes , how long it lasts?
Please send me answers of these questions.I will try my best to help you.
Thanks

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

Follow up: Dr. Dr. Naveen Kumar Sharma (15 minutes later)

No There were no blood tests ordered. I did have rt. hand X-Rayed. The most painful joints are fingers wrists, elbow and shoulders. I don't have stiffniss but I have coninuous pins and needles in both arms and hands.

No there were no blood tests ordered only an X-r-Ray of my right hand. The most painful joints are my fingers, wrists, elbows, and shoulders. I do not have stiffness but I do have continuous pins and needles in both arms and hands

Dr. XXXXXXX are we still connected? Have you received my last answer to your last three questions?

Answered by Dr. Dr. Naveen Kumar Sharma (9 hours later)

Brief Answer:
We need these investigations

Detailed Answer:
Hello,
Thanks for replying. I do not think you can be diagnosed as Rheumatoid patients without blood investigation.I would suggest you to follow these tests.
1.CRP
2. Ra factor
3. ESR
After these test if you are having positive Ra factor or raised ESR than apart from pain killer you need to take disease modifying medicines. It includes HCQ, SAAZ, Methotrexate.
Without these medications, Your pain might increase.
So I would recommend you to discuss these points with your doctor and get blood investigations.
thanks

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