Hi,I am Dr. Shanthi.E (General & Family Physician). I will be looking into your question and guiding you through the process. Please write your question below.
I have had joint pain for about a year but I have no swelling or stiffness in my joints. I am not ra positive but there was something else indicative of ra in my blood test that I am forgetting the name of. methotrexate is not working but my dr seems unwilling to try a biologic. I am an otherwise health 52 year 110 lb woman. I exercise regularly. any thoughts? I am really so tired of the constant pain. also I feel better in the morning than night? penal
Joint pains may have many causes. We first should confirm if this is RA. The pain of RA typically occurs in the morning and is associated with swelling and stiffness in the joints. So first we should confirm if it is RA.
However, if it is RA, the use of a biologic is not needed here. In fact, biological agents have it's its own major side effect and are only needed if two drugs cannot control your disease. This will be decided by your rheumatologist but I don't think you need it. We may add other drugs if your pain is not controlled with methotrexate only.
I would also advise taking some vitamin D and calcium with it.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Muhammad Zahir Shah,
Internal Medicine Specialist
I find this answer helpful
You found this answer helpful
Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
We use cookies in order to offer you most relevant experience and using this website you acknowledge that you have already read and understood our
Privacy Policy
What Causes Pain In The Joints?
Hi, Joint pains may have many causes. We first should confirm if this is RA. The pain of RA typically occurs in the morning and is associated with swelling and stiffness in the joints. So first we should confirm if it is RA. However, if it is RA, the use of a biologic is not needed here. In fact, biological agents have it s its own major side effect and are only needed if two drugs cannot control your disease. This will be decided by your rheumatologist but I don t think you need it. We may add other drugs if your pain is not controlled with methotrexate only. I would also advise taking some vitamin D and calcium with it. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Muhammad Zahir Shah, Internal Medicine Specialist