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What Causes Severe Joints Pain, Swelling And Itching In Hand And Feet?

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Posted on Tue, 9 Aug 2016
Question: Lots of pain in hand and feet joints. I have been taking methotrexate for 4 yrs or longer panel Humira for 2 yrs haven't had any trouble until now swelling and itch driving me crazy
doctor
Answered by Dr. Naval Mendiratta (3 hours later)
Brief Answer:
Arthritis flare

Detailed Answer:
good evening

thank you for writing on health care magic

Well. if you are experiencing swelling of the jointd along with itching, there is a possibility that either Humara gas stopped working and is throwing some reaction. It does happen with long use of these biological that patient develops antibodies and the efficacy of the drug goes down.

The other possibility is development of chronic pain syndrome(fibromyalgia) which is very common in patiens with long standing rheumatoid arthritis..

So firstly I would suggest you get it evaluated by rheumatologist. if the appointment is late, let your gp see the joints.. also get your inflammatory markers like esr and crp. if inflammation is seen, we need to stop Humira and switch to some other medicine.

if all is negative that is your blood test, joint swelling then we may need to treat it as Fibromyalgia

Hope the information was useful
do let me know for more queries

regards
Dr naval
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Naval Mendiratta

Rheumatologist

Practicing since :2007

Answered : 754 Questions

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What Causes Severe Joints Pain, Swelling And Itching In Hand And Feet?

Brief Answer: Arthritis flare Detailed Answer: good evening thank you for writing on health care magic Well. if you are experiencing swelling of the jointd along with itching, there is a possibility that either Humara gas stopped working and is throwing some reaction. It does happen with long use of these biological that patient develops antibodies and the efficacy of the drug goes down. The other possibility is development of chronic pain syndrome(fibromyalgia) which is very common in patiens with long standing rheumatoid arthritis.. So firstly I would suggest you get it evaluated by rheumatologist. if the appointment is late, let your gp see the joints.. also get your inflammatory markers like esr and crp. if inflammation is seen, we need to stop Humira and switch to some other medicine. if all is negative that is your blood test, joint swelling then we may need to treat it as Fibromyalgia Hope the information was useful do let me know for more queries regards Dr naval