Reactive arthritis
in Health ·
Nicholas Davis4 said:If you're dealing with reactive arthritis, it's actually a pretty good scenario because it can resolve completely!
http://www.arthritisresearchuk.org/a...arthritis.aspx
http://www.arthritisresearchuk.org/a...arthritis.aspx
Moving forward, to rule out RA (or something similar like other rheumatic diseases), you really need to check for antibodies. Usually, doctors run a whole panel of antibodies to rule out other autoimmune conditions like lupus or polymyositis.
CRP and sedimentation levels typically spike during acute phases of the illness—in the case of RA—so they might return to normal once those phases pass.
Regarding HLA B27, there are various forms—like seronegative arthritis where you don't test positive for rheumatoid factor... but there are also cross-reactions, so you might not have B27, but instead something like HLA B7, which is how it worked for me.
Rheumatological and autoimmune cases usually involve a series of antibody tests. If these pains persist for a long time, it might be worth scheduling an appointment with a rheumatologist.
(Like at Mayo Clinic or Johns Hopkins
http://www.mayoclinic.org/departments-centers/rheumatology/overview/mc/, I would personally see someone like Dr. Mitrovic or Dr. Chuck...
http://www.mayoclinic.org/departments-centers/rheumatology/, perhaps Dr. Mayer)
If things don't improve quickly, I'd suspect it isn't just reactive... and the longer you wait, the worse it could get. It might settle down temporarily, but it will likely just wait for another flare-up.
Salazopyrin is used for RA, but it isn't particularly effective for it; while it might help some, I haven't heard of anyone finding significant relief from it for that specific condition.
)
My mother deals with rheumatoid arthritis (RA) and used to have extremely swollen knees. Now, since I have lupus (SLE), I'm experiencing swelling in one knee, but her rheumatologist noted that an ultrasound showed nothing significant other than some fatty tissue deposits (like little 😉 pads)... you really need to get a joint ultrasound to see what's going on underneath the surface.
Regarding RY, there are different diagnostic criteria compared to reactive arthritis, but just because you don't meet every single requirement right this second doesn't mean nothing is happening. For instance, morning stiffness is a key indicator for RA, but it isn't always present immediately; sometimes it only shows up after a few years.
If I recall correctly, you mentioned feeling muscle weakness earlier. Since joint pain, muscle aches, and weakness are common threads across most autoimmune rheumatic diseases—and yours has been persisting for quite a while—it’s definitely time to see a specialist. You'll need a more comprehensive workup than what a local clinic lab typically provides. It might be worth re-checking your ESR and CRP, testing for rheumatoid factor, Waller-Rose, CK, and LDH, and perhaps looking into antibodies like ANA, ENA-profile, or anti-ds-DNA. You won't necessarily need every single test, but a good rheumatologist will likely suggest them.
Good luck, and please let me know what you find out...
( And sorry if I sounded a bit intense! )
Do you guys know anyone who actually went through it and just moved on—like, it disappeared and never came back?