Is It Required To Have A Whole Body Checked Up Once A While ?
Question: Already a patient of rheumatoid arthritis from last 30 years. Continuing on the medicines listed in current medication. It was good since last 8 months but it started paining suddenly at below places :
Unable to lift the shoulder
There is pain and swelling on the fingers and wrist
Knee pain
Pain in the back occasionally
Note : No tests recently done. Is it required to have a whole body checked up once ? Your advice will be really helpful
Unable to lift the shoulder
There is pain and swelling on the fingers and wrist
Knee pain
Pain in the back occasionally
Note : No tests recently done. Is it required to have a whole body checked up once ? Your advice will be really helpful
Hi Team,
Could you please respond to the above query. Request expert suggestion on this condition from a Rhumatologis
Could you please respond to the above query. Request expert suggestion on this condition from a Rhumatologis
Brief Answer:
Overall could be acute exacerbation of rheumatoid disease.
Detailed Answer:
Hi Bhavik, I am Dr Gopal Goel , Orthopedic Surgeon.
I have read the details you mentioned in your complaints.
I would like to answer as follows
1. Shoulder- This is likely to be a frozen shoulder. Treatment is pain killers , physiotherapy and local injection , if required.
2. Finger and Wrists_ Swelling in fingers and wrists means increase in Rheumatoid activity. Get R A Factor and Anti- CCP antibodies . It may require addition of more and newer anti rheumatic drugs like Iguratimod.
3. Knee Pain - Again could be due to increased rheumatoid activity or Severe arthritis . Go for Local Injection.
4. - Back Pain : may be due to muscle weakness or Osteoporosis . Go For Vit D3, Se Calcium, And Bone Densitometry , X Ray L S Spine.
Thanks for the question. I hope to have answered all your questions. Please feel free to ask any other question.
Overall could be acute exacerbation of rheumatoid disease.
Detailed Answer:
Hi Bhavik, I am Dr Gopal Goel , Orthopedic Surgeon.
I have read the details you mentioned in your complaints.
I would like to answer as follows
1. Shoulder- This is likely to be a frozen shoulder. Treatment is pain killers , physiotherapy and local injection , if required.
2. Finger and Wrists_ Swelling in fingers and wrists means increase in Rheumatoid activity. Get R A Factor and Anti- CCP antibodies . It may require addition of more and newer anti rheumatic drugs like Iguratimod.
3. Knee Pain - Again could be due to increased rheumatoid activity or Severe arthritis . Go for Local Injection.
4. - Back Pain : may be due to muscle weakness or Osteoporosis . Go For Vit D3, Se Calcium, And Bone Densitometry , X Ray L S Spine.
Thanks for the question. I hope to have answered all your questions. Please feel free to ask any other question.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Hi sir,
Thanks for the response. I was planning to go for the whole body test along with RA factor and anti ccp antibodies tests as mentioned by you.
Could you please help to prescribe this so i can go ahead with these tests. Prescription could be on your letter pad and kindly help to send on my email YYYY@YYYY
Thanks for your advice and diagnosis.
Thanks for the response. I was planning to go for the whole body test along with RA factor and anti ccp antibodies tests as mentioned by you.
Could you please help to prescribe this so i can go ahead with these tests. Prescription could be on your letter pad and kindly help to send on my email YYYY@YYYY
Thanks for your advice and diagnosis.
Brief Answer:
Not allowed legally
Detailed Answer:
Hi Bhavik , I am Dr Gopal Goel < Orthopedic Surgeon.
Your request for a prescription on my letterhead is not possible due to Medico Legal reasons. Supreme court of XXXXXXX has put a ban on online consultations.
Thanks
Not allowed legally
Detailed Answer:
Hi Bhavik , I am Dr Gopal Goel < Orthopedic Surgeon.
Your request for a prescription on my letterhead is not possible due to Medico Legal reasons. Supreme court of XXXXXXX has put a ban on online consultations.
Thanks
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Above answer was peer-reviewed by :
Dr. LAKSHMI