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Suggest Treatment For Mild Joints Pain When Recovering From Chikungunya Fever

Posted on Wed, 9 Nov 2016

Question: Hi Doctor,
I had mild Chikungunya(although test were negative) 2 months back and still I am suffering from Joint pains (fingers & feet). I am taking ayurvedic medicine(vedantaka vati) but not helping much. Can you please suggest what I can do for permanent recovery from Joint pains?

Answered by Dr. Divya Agarwal (43 minutes later)

Brief Answer:
chronic chikungunya arthritis

Detailed Answer:
hello,
this is well known after chikungunya fever.
arthralgias may persist and sometimes it may be XXXXXXX arthritis.
It is suggested to check for antibodies for rheumatoid arthritis- rheumatoid factor and Anti CCP.
also markers for inflammation like ESR and CRP should be checked.
the options are to take a short course of glucocorticoids or take disease modifying anti rheumatic drugs.
However this can be best gauged by a rheumatologist.
So it would be best to consult a rheumatologist, who after examining the joints can advise you proper medication.
regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Divya Agarwal (1 hour later)

Thanks a lot Doctor,

Can you name some test to measure "antibodies for rheumatoid arthritis- rheumatoid factor and Anti CCP" & "markers for inflammation like ESR and CRP should be checked"? I can upload my reports here.

Also, can I start "short course of glucocorticoids or take disease modifying anti rheumatic drugs" without above test mentioned by you? If yes, please let me know the name of Drugs or brief about "short course of glucocorticoids ".

With Best Regards,
XXXX

Answered by Dr. Divya Agarwal (46 minutes later)

Brief Answer:
Chronic chikungunya arthritis

Detailed Answer:
hi
the tests are available by the same names.
It is not possible to prescribe drugs on this forum.
It will be better to consult a physician or a rheumatologist.
thanks

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Divya Agarwal (20 hours later)

Hi Mam,

I already consulted a physician and he gave me vitamin and painkiller tablets. It didn't helped much. Could you please suggest a good rheumatologist in Indirapuram, XXXXXXX area so that I can go for consultation today? I am very much depressed with my situation now as it is causing inefficiency in my work and also I am in fear that it can lead to permanent arthritis if not treated on time.

With Best Regards,
XXXX

Answered by Dr. Divya Agarwal (1 hour later)

Brief Answer:
dr PD Rath

Detailed Answer:
dr PD Rath
in XXXXXXX

Clinic- 1477, Sector-37, Near Lal Market ECHS Polyclinic, XXXXXXX

Mobile- 0000

Email- YYYY@YYYY

Above answer was peer-reviewed by : Dr. REMY KOSHY

Follow up: Dr. Divya Agarwal (25 hours later)

Hello Mam,

I got my reports for tests mentioned by you, Here are the details :

1) ESR : 13 (ref. value 0-15)
2) ANTI-CCP : 1.50 (ref value <5.00)
3) CRP : 13.90 ( ref value < 5.00) ====> This is abnormal value
4) RHEUMATOID FACTOR : <10.00 ( ref value <14.00)

Please suggest next action point before consulting Rheumatologist. What possible approach can be considered now?

With Best Regards,
XXXX

Answered by Dr. Divya Agarwal (12 hours later)

Brief Answer:
Treatment with DMARDs

Detailed Answer:
Welcome back,

The treatment remains short course steroids and hydroxy chloroquine after proper prescription by your treating doctor.
CRP is slightly high, probably due to arthritis.
This is the standard treatment.

Take Care

Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee