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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Prolonged Pain Due To Septic And Rheumatoid Arthritis

Please note in May of 2013 I was diagnosed with septic arthritis of my right knee. Due to delay in treatment and different opinions I was only put on antibiotics after about 5 weeks into infection. I seem ok now. Notice a bit of stiffness at times in general. But overall seem very good. The difference in opinions were one Rheumatoid Doctor said I had rheumatoid Arthritis and other said it was a severe septic infection. I only went in the right direction after being put on antibiotics. Was just getting worse and worse before that. Is it safe for me to presume I don t have rheumatoid arthritis at all. Just wonder at times what really happened. The pain was so severe at the time and went on for weeks. Was unbearable at times. Thanking you kindly.
Thu, 28 May 2020
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General Surgeon,  's  Response
Hello,

As per my clinical experience, the septic arthritis is usual sequence of acute dissemination of bacteria from neighbouring structures or systemic spread. The pain on long term basis is not related to rheumatoid arthritis condition and it is secondary to damage to joint structure, articular cartilage and adjacent tissue architecture via sclerosis, fibrosis or others. My guidelines at present:
- Periodic evaluation with ultrasound or MRI knee joint
- Control of blood sugar
- Assisted physiotherapy
- Continue antibiotics and antiinflammatory medications as per the guidance of your doctor
- Avoid sudden or jerky movements of the concerned knee.
Do feel free for any further discussion.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Treatment For Prolonged Pain Due To Septic And Rheumatoid Arthritis

Hello, As per my clinical experience, the septic arthritis is usual sequence of acute dissemination of bacteria from neighbouring structures or systemic spread. The pain on long term basis is not related to rheumatoid arthritis condition and it is secondary to damage to joint structure, articular cartilage and adjacent tissue architecture via sclerosis, fibrosis or others. My guidelines at present: - Periodic evaluation with ultrasound or MRI knee joint - Control of blood sugar - Assisted physiotherapy - Continue antibiotics and antiinflammatory medications as per the guidance of your doctor - Avoid sudden or jerky movements of the concerned knee. Do feel free for any further discussion. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon