Doctor insights on:
Alleviating Sx?: Alleviating sx? Not the goal. Alleviating inflammation is the goal. Symptom relief is secondary in importance! the drugs used are similar for adults, except the doses are much lower and size-based. Jra no longer exist. It is juvenile idiopathic arthritis. Virtually all children should be remitted with currently available medication. ...Read moreSee 1 more doctor answer
Consider Birmingham: I don't know any of the pediatric rheumatologists in person who practice in Memphis or other places in Tennessee so I can't recommend them myself.It's quite a long drive to Birmingham, Alabama to Children's of Alabama (3hrs 47min) so it may not be possible for you to travel that far.However, I can guarantee your child will receive the best treatment anywhere in the U.S. if you see any of us 6 docs ...Read moreSee 1 more doctor answer
Hashimotos. Ana + anti-ssa/ro. Stiff, painful, swollen joints + raynauds. Doc says it's "lupoid arthritis". Is this lupus? He gave me plaquenil (hydroxychloroquine) 200mg
Sounds consistent: The joint complaints and positive lab markers are consistent with lupus. The fact that raynaud's is present and you have an autoimmune thyroid condition help cinch the diagnosis of an autoimmune arthritis. In addition to standard treatments like Plaquenil (hydroxychloroquine) there are other interventions like diet and supplements to help decrease the dose of rx meds. A practitioner of integrative medicine can help. ...Read moreSee 2 more doctor answers
What is tkr: A tkr is a only replacement which would come as a part of active rheumatoid arthritis. The total knee replacement is a surgical procedure which is the knee that is severely damaged and cannot recover. When the joint is very damaged a total knee replacement can help. We would prefer to stop the damage with treatment before surgery is necessary. ...Read more
Exercise, medication: The therapy included physical exercise and medications. Once diagnosed we begin intensive therapy with medications such as Methotrexate alone or in combination with other dmards which are disease modifying anti-rheumatic drugs or we add biological medications to the Methotrexate such as enbrel, humira, remicade, cimzia, simponi (golimumab) - anti-tnf or other biologics-rituxan, abetacept, actemra. ...Read moreSee 2 more doctor answers
Osteoarthritis-: Can develop from many factors, including systemic inflammatory arthritis. My patients with RA or AS frequently need hip replacement because cartilage loss do to inflammatory damage to their cartilage! The discussion is not between either or or! ...Read moreSee 2 more doctor answers
Many ways!: First, it is no longer called juvenile rheumatoid arthritis, but juvenile idiopathic arthritis, because it is not rheumatoid arthritis in children! there are so many treatments available, using several meds in tandem as therapy. It is almost always remittable. See a rheumatology specialist! ...Read moreSee 1 more doctor answer
Know pain and stiffness pos ANA elevated ESR fatigue family history of RA but dr says it's osteoarthritis does this sound right? Go to rheumo anyways?
It can be : There are many possible causes of pericarditis. Autoimmune diseases such as rheumatoid arthritis and systemic lupus erythematosus are known to cause inflammation of internal organs or tissues. Inflammation of the linng of the heart, the pericardium, is called pericarditis. ...Read moreSee 1 more doctor answer
Whats the difference between rheumatoid arthritis and juvenile rheumatoid arthritis?does rheumatoid arthritis cause CKD?
24.Undiagnosed w jra.Havin horrible flare.Xray shows arthritis spread thru knee cap.Ortho gave naproxen/told to deal. See new ortho or rhuematologist?
Rheumatologist: It may be that you are in an unsolvable situation but i think a second opinion is appropriate. ...Read more
Blood test negative : For ra. Seronegative rheumatoid arthritis is the rheumatoid arthritis in which the blood doesn’t contain rheumatoid factor (rf or rhf). While diagnosing ra, doctors get a range of laboratory tests done and also evaluate the physical symptoms. ...Read moreSee 1 more doctor answer