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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Diagnosis For Joint Swelling And Pain?

I have been suffering with sever joint swelling/pain in several fingers, both thumbs & in both feet at the 2nd toes & thebottom of feet near the little toes & in my achilles tendon & bottom of heels for over a year. This past summer it moved into both knees with the right one being the worst. I have tested positive for scleroderma & lupus since 2010 but my the 2 rheumatologist that I have seen don t think I have scleroderma because they can t see in signs on my skin. The local Rheumatologist thinks I have a connective tissue disorder just desn t know which one? So recommended I go on Plaquinel. In November my family physician tested me & told me I have Psuedo-Gout but the Predinisone and the gout medicine did not get rid of the symptoms. I did finally agree to try plaquenil & started that 2 wks ago. The prednisone does lessen the symptoms alittle,. Last Thursday she told me I have Poly Myalgia Rheumatica. I went in to see her because I am in such severe pain that I can t walk, climb the stairs in our house, use my hands for anything, can t sleep & the pain is literally driving me insane. I have shooting, searing pain in my hands & feet. On thursday she gave me a shot of solu-medrol. It worked by that very evening but within 24 hrs my symptoms were back with a vengence & now my elbows are affected too. I have suffered with severe Fibromyalgia for 30 yrs so I know what it is to live with a chronic pain illness but this is so far beyond Fibromyalgia. I am not sure my doctors really know what I have and are just using the Prednisone& Plaquenil because they hope it will help me but I don t want to use either of these drugs due to the terrible side effects. I am wondering if I should just leave Montana & go to one of the Mayo Clinics? I am the type of person who needs exact & detailed answers. So what ever information you can offer me will be greatly appreciated. I hope I have given you enough info with out dragging on too much. Thank you for your help.
Wed, 5 Feb 2014
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Orthopaedic Surgeon 's  Response
Hello.
Thanks for writing to us.
The multiple joint pains and other symptoms that you are having are likely to be related to arthritis gout or fibroyalgia. Do consult a rheuatologist for related investigations.
I hope this information has been both informative and helpful for you.
Regards,
Dr. Praveen Tayal ,
drtayal72@gmail.com
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What Is The Diagnosis For Joint Swelling And Pain?

Hello. Thanks for writing to us. The multiple joint pains and other symptoms that you are having are likely to be related to arthritis gout or fibroyalgia. Do consult a rheuatologist for related investigations. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal , drtayal72@gmail.com