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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Severe Pain In The Hands And Hips Indicate?

I am in severe pain in my hands and left hip for weeks now. When I get up in the morning I can barely move my hands/fingers. The pain never really goes away. I had some blood work: ANA: was 3.89, Parvovirus B19 6.95 RA was negative, CRP 3.8. My doctor states I have the Parvovirus, but it s getting worse and she didn t give me anything for pain. I am living on Advil. This has been going on for over 4 weeks now. Should I see a Rhuematologist?
Tue, 17 Jul 2018
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

I suggest you to meet a rheumatologist. A detailed evaluation has to be done. You have features of rheumatoid arthritis or sero negative arthritis. Seronegative RA is the least common of the two types of RA and does not have the same markers that usually characterize the condition. Although blood tests can determine the presence of rheumatoid factor in a patient's blood, seronegative RA is difficult to diagnose. Non-steroidal anti-inflammatory drugs (NSAIDs) may be used to treat symptoms of seronegative RA during flare-ups, but they do not affect the course of the disease. Disease-modifying antirheumatic drugs (DMARDs), such as methotrexate, are often prescribed to begin with. Doctors often prescribe steroids as well to get the inflammation under control. DMARDs restrict the immune system and help to preserve joints by blocking the inflammation that can slowly destroy the joint tissue in people with RA. Before prescribing DMARDs, the doctor will take an X-ray and blood tests so that they can monitor both the severity of the patient's condition and any side effects over time. It usually takes a couple of months for the effects of DMARDs to become noticeable. The doctor may prescribe NSAIDs or corticosteroids in the meantime to help with pain and inflammation. If the DMARDs do not work for a person, a doctor may prescribe medications that work on the immune system in different ways. Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr Sanjay Kini
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What Does Severe Pain In The Hands And Hips Indicate?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I suggest you to meet a rheumatologist. A detailed evaluation has to be done. You have features of rheumatoid arthritis or sero negative arthritis. Seronegative RA is the least common of the two types of RA and does not have the same markers that usually characterize the condition. Although blood tests can determine the presence of rheumatoid factor in a patient s blood, seronegative RA is difficult to diagnose. Non-steroidal anti-inflammatory drugs (NSAIDs) may be used to treat symptoms of seronegative RA during flare-ups, but they do not affect the course of the disease. Disease-modifying antirheumatic drugs (DMARDs), such as methotrexate, are often prescribed to begin with. Doctors often prescribe steroids as well to get the inflammation under control. DMARDs restrict the immune system and help to preserve joints by blocking the inflammation that can slowly destroy the joint tissue in people with RA. Before prescribing DMARDs, the doctor will take an X-ray and blood tests so that they can monitor both the severity of the patient s condition and any side effects over time. It usually takes a couple of months for the effects of DMARDs to become noticeable. The doctor may prescribe NSAIDs or corticosteroids in the meantime to help with pain and inflammation. If the DMARDs do not work for a person, a doctor may prescribe medications that work on the immune system in different ways. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Sanjay Kini