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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Mild Periarticular Osteoporosis Of The Right Wrist?

hello doctor i am 23 years old female, 5 1 in height and weight is 54.. since a year i have been having this problem in my right hand wrist joint. the joint would get swollen, n i realized there was a click sound it made whenever i would turn my hand. the swelling is gone long back, it was temporary but this click sound still persists. i had got X ray done. the X-ray report said there is mild periarticular osteoporosis, joint spaces are slightly reduced with mild subarticular sclerosis, no abnormal soft tissue is seen i was advised to get following tests done: RHEUMATOID FACTOR , ASLO TITER, CRP and ESR. my R Factor is negative, ASLO TITER is 200 ( Negative), CRP is also negative though my ESR at that time was 62mm 1st hr. Could this high ESR value be a reason and are these symptoms of any kind of arthritis? thank u for ur time and i really appreciate it.
Wed, 1 Jul 2020
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Orthopaedic Surgeon,  's  Response
Hi,

ESR is a marker of the inflammation and not the cause for the same. RA factor is raised in 80% of the cases of arthritis,so a negative value doesn't rules out an arthritis. Your X-ray findings are consistent with arthritis, more so in favour of rheumatoid arthritis. You need to get an anti-CCP blood test done, which is the most specific test for rheumatoid arthritis. Also, you need to get get your serum uric acid checked as well. Once the diagnosis is confirmed only then the specific medication will be started.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Rohan Shanker Tiwari, Orthopedic Surgeon
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How To Treat Mild Periarticular Osteoporosis Of The Right Wrist?

Hi, ESR is a marker of the inflammation and not the cause for the same. RA factor is raised in 80% of the cases of arthritis,so a negative value doesn t rules out an arthritis. Your X-ray findings are consistent with arthritis, more so in favour of rheumatoid arthritis. You need to get an anti-CCP blood test done, which is the most specific test for rheumatoid arthritis. Also, you need to get get your serum uric acid checked as well. Once the diagnosis is confirmed only then the specific medication will be started. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon