“Systemic” means that the inflammation affects the connective tissue throughout the body. I have had RA for 20+ years and the problems caused outside the joint has been significant. The job of the rheumatologist should be to treat the systemic disease, NOT just focus on the joint symptoms. New research is needed on the presentation of an RA patient. For me, I had large joint symptoms before small joint symptoms. I have had problems throughout my spine, including my low back and sacroilitis. Thank you for hearing my rant out.
Dunno if anyone gives a damn but if you guys are stoned like me during the covid times you can watch all the new movies and series on InstaFlixxer. Been streaming with my girlfriend for the last days =)
jaclyn camacho sending love Hun I’m 40 but only had it five years, changed my world and fully crippled me within four months of diagnosis. Wouldn’t wish it on anyone x
I have RA for 13 years now, I am 65. I tried medications, methotrexate, humira, simponi and a few others. Nothing worked well for me. I started taking Xelhanz 4 years ago, and haven't even had one swollen anything after taking this drug for the first week. Xeljanz is the bomb! Have not even felt like I have RA for 4 years now! Please try it! Hope is works for you.
Chiropractic tx and acupuncture works. Aligning bones reduces some imbalances that cause overcompensation of muscle groups and results in pain as we move through life. Acupuncture relaxes muscle spasms that cause pain. As an acupuncturist myself and an nurse practitioner and soon to be an MD, I still recommend these modalities because it treats some conditions better than NSAIDS or surgery.
Chiropractors work. I see my dad getting better with mobility after getting treatment with a chiropractor. Of coz a Rheumatic pt shouldn't see one. But in general, chiropractors are amazing too.
Paul sir! thank you so much for the lecture, it is really helping us to enhance our knowledges :) :) Sir we med students would be highly great full for you if you do include some case questions in the lecture. Do you mind sir ? Thank you so much Sir!
Not having pain in DIPs is true but, it not effecting the lower back is complete bullshit. I know many RA patients that have it in their back including myself. You don't always have to have visible swelling, and doesn't have to be symmetrical either. I started out with juvenile rheumatoid arthritis it's well known for being asymmetrical. Methotrexate doesn't always work either and isn't the first thing they put you on. Usually they start with NSAIDs and then start with steroids and biologics. Also I'd be far worse off if it weren't for chiropractic care. It releases pressure which feels wonderful. It may not work for everyone but I wouldn't rule it out completely. Life experience is sometimes more powerful than book observed knowledge.
This site is intended for exam purposes only. Chubby, you are on the wrong site. In an exam, perfect and uniform conditions are anticipated. The disclaimer clearly says not for medical conditions. Please watch your language.
ChubbyBunny142011 true it’s present in my lower spine, my rheumatologist won’t accept that though, but I know my body, it visibly swells, my lower back never swelled up before RA but then my lungs never swelled up till RA either. Sending love x
