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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Joint And Body Pain

My sister in-law aged 55 yrs wt 55 kg having severe joint/ whole body pain for last 5 yrs. Present ESR is 40. Osesto / rheomotoid arthiritus both negative. Been put on stearoids / HCQS and NSAIDS with no confirmed diagnosis after thorough investigation. Pl advise. It is better if a rheomotologist replies
Fri, 12 Sep 2014
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Orthopaedic Surgeon 's  Response
hi,
i am not a rheumatologist unfortunately, but i am an orthopaedic and know about such conditions.

let me tell you what i know, that rheumatoid arthritis is a condition in which the body's defence mechanism faultily fight against some parts of the body. that is for eg joints.
when this happens your joints pain. and to detect this is a test for RA factor .. but unfortunately this test is not perfect and you may be a case where you have rheumatoid arthritis but the test is negative ... it is an indication since ESR is high and that means inflammatory reactions are going on in the body...

the best way to confirm this diagnosis is to start treating it as suspected rheumatoid arthritis ... if the medicines work ... then you know you have the disease correct and can proceed peacefully with the treatment.

otherwise newer tests are present but they all have limitations. like anti-ccp ...

but i suggest carry on with your doc.
regards/
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Suggest Treatment For Severe Joint And Body Pain

hi, i am not a rheumatologist unfortunately, but i am an orthopaedic and know about such conditions. let me tell you what i know, that rheumatoid arthritis is a condition in which the body s defence mechanism faultily fight against some parts of the body. that is for eg joints. when this happens your joints pain. and to detect this is a test for RA factor .. but unfortunately this test is not perfect and you may be a case where you have rheumatoid arthritis but the test is negative ... it is an indication since ESR is high and that means inflammatory reactions are going on in the body... the best way to confirm this diagnosis is to start treating it as suspected rheumatoid arthritis ... if the medicines work ... then you know you have the disease correct and can proceed peacefully with the treatment. otherwise newer tests are present but they all have limitations. like anti-ccp ... but i suggest carry on with your doc. regards/