Hi, recently had Xrays of left hand showing mild to moderate arthritic changes in the joints and bone spurs in the base joint of the thumb. Referrals were to orthopedic surgeon - is this were I should start? index fingers is staying swollen most of the time even with Aleve , Tylenol or Ibuprofen. Very difficult to been, painful if touched. What's my next step? Thanks for your help. Joan
You may need proper evaluation by a rheumatologist. It is important to confirm type of arthritis. You may need further investigations. Investigations include routine hemogram including ESR,HsCRP level,RA factor,HLA B27,anti-CCP,ANA,X-ray of L/S spine(AP/lateral view) etc. You may need specific medicines depending upon type of arthritis. Empirically you can take vitamin D and calcium supplementation. You can take NSAID's safely for pain relief.
Get well soon. Take Care Dr.Indu Bhushan
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Hello You may need proper evaluation by a rheumatologist. It is important to confirm type of arthritis. You may need further investigations. Investigations include routine hemogram including ESR,HsCRP level,RA factor,HLA B27,anti-CCP,ANA,X-ray of L/S spine(AP/lateral view) etc. You may need specific medicines depending upon type of arthritis. Empirically you can take vitamin D and calcium supplementation. You can take NSAID s safely for pain relief. Get well soon. Take Care Dr.Indu Bhushan