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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed Second Time With Systemic Lupus, Started Plaquinel, Anti-inflammatory Medicine. Severe Neck Pain, Muscle Spams. Solution?

I have been diagnoised for the second time with systemic lupus. I just start plaquinel again for the second time along with a anti-inflamitory med. I'm experiencing EXTREME neck pain that is moving to my left arm and having muscle spasms for several days. Went to my primary care doctor who just shrugged it off saying "don't worry your not having a stroke". Complete waste of time... Mean while i have NEVER experienced so much pain. What would you recommend?
Tue, 24 Sep 2013
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General & Family Physician,  's  Response
Hi and thanks for the query,

Lupus is a chronic inflammatory disease, affecting many systems in the body, that evolves in bouts, with periods of symptoms and others when the patient is in good shape. You therefore need not bother that you had a symptom free period and again continue having other symptoms. Treatment is usually symptomatic, but when well followed by the patient there are very long symptom free periods and improved quality of life. I suggest you continue with the Plaquenil you are taking, which of course is very appropriate in this case. Control of markers of inflammation and clinical evolution are sufficient you help in adjusting the drug dosages or changing drugs. You really need not bother now , be compliant to treatment and do not fail to signal any unusual feeling to your treating doctor. Thanks and hope this helps as I wish you the best of health. Kind regards.

Bain LE, MD.
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Diagnosed Second Time With Systemic Lupus, Started Plaquinel, Anti-inflammatory Medicine. Severe Neck Pain, Muscle Spams. Solution?

Hi and thanks for the query, Lupus is a chronic inflammatory disease, affecting many systems in the body, that evolves in bouts, with periods of symptoms and others when the patient is in good shape. You therefore need not bother that you had a symptom free period and again continue having other symptoms. Treatment is usually symptomatic, but when well followed by the patient there are very long symptom free periods and improved quality of life. I suggest you continue with the Plaquenil you are taking, which of course is very appropriate in this case. Control of markers of inflammation and clinical evolution are sufficient you help in adjusting the drug dosages or changing drugs. You really need not bother now , be compliant to treatment and do not fail to signal any unusual feeling to your treating doctor. Thanks and hope this helps as I wish you the best of health. Kind regards. Bain LE, MD.