Yes. Manyfold. Reasons include pain related inactivity. Many meds can potentiate bone loss, most commonly steroids and some with mtx. Finally, patients frequently get a reduced appetite and do not get adequate calcium or vit d. And if the inflammation is not controlled, the body remains "catabolic, " or in a tissue breakdown mode. See you rheumatologist for the best ways to prevent this. Rx is there.
Weight Loss. Significant weight loss should be evaluated by a physician as that is not part of ra.
The medecation used. About 20% of patients using Methotrexate could have side effects. They include nausea and vomiting, rash, mild hair loss, headache, mouth sores, and muscle aches.
Rare now. With the medications that have come in the last 15 years, this is fortunately not occurring at the high rate that is once did.
Can rheumatoid arthritis be diagnosed through MRI. I have bilateral knee effusion and loss of cartilage in 3TMRI. Rest is normal. What arthritis is it?
Autoimmune. Rheumatoid arthritis is an autoimmune disease which causes bone erosion that does not affect the cartilage it is an actual bone demise not connective tissue demise. A plain film of the bones will usually suffice as well as lab tests that indicate elevated said rate and rheumatoid factor positivity in addition to other markers to make the diagnosis. It is not normally diagnosed on MRI.
Can loss of normal cervical lordosis be caused by rheumatoid arthritis? If so, would there be signs of RA on the x-ray or MRI of cervical spine?
It can be seen in- -many conditions spasm, positioning on an X ray tsbl, can be seen in advanced RA, ankylosing spondylitis. It in of itself is not diagnostic. Exam & labs are needed 2 Dx RA.
Yes. Rheumatoid Arthritis commonly affects the cervical spine and can change the. Normal London's due to pain and involvement of the facet joints. A good radiologist could see changes due to RA if advanced enough, but often hard to tell early on. Involvement of the upper vertebrae can be serious. It is uncommon for RA to involve the thoracic and lumbar spine.
Spasm. Loss of the lordosis is usually due to muscle spasm especially in people under age 40. Rheumatoid arthritis can affect the cervical spine but there are usually signs of RA in other joints. The X-ray and the MRI can show if RA is affecting the cervical spine but these tests are not always necessary, especially if the person does not show signs and symptoms of RA. Blood test for neck pain - useless.
It could and yes. Although people with rheumatoid arthritis can have loss of normal lordosis we usually would also see x-ray changes. Or the loss of Lumbar lordosis is due to another intercurrent problem. RA causes pain in the upper spine initially but usually is more important in peripheral joints in general.
Many Things. I'm sorry that you are so uncomfortable. The pain is usually a sign of increased disease activity. The best way to treat the pain is to get the disease under better control. A rheumatologist is experienced to help you with this. There are many old and newer medications that can help. They will also make sure the pain is not coming from osteoarthritis or fibromyalgia which can coexist with RA.
What is the cause? The best thing you can do is discuss the situation with a rheumatologist. You need to determine if the pain is due to joint damage or uncontrolled inflammation. That makes a huge difference.