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visit to rheummy today some advice please Options
heather1
#1 Posted : Tuesday, April 13, 2010 2:52:16 PM Quote
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Hi everyone, had my visit to the rheummy today. Good news is that my blood test results are all good, she's increased my mx from 20 to 22.5 and then to 25 over a period of a couple of weeks. Im seeing her again at the end of May to see how the mx is helping and she may put me on sulphazalazine depending. Im also having an infusion on Friday and Monday if required, so feeling very positive. I told her about my back problem and she said that RA does not go into the back so its probably me over compensating which has caused this. Im not disbelieving her as shes the expert but my gp was fairly certain. Anyway, its a good thing its not there!!!

Has anyone else found that they are experiencing pain and having to take rgular pain relief and yet their bloods are normal and not showing any sign of inflammation? I was telling my husband about it and although I am really pleased, its almost as though its not real and my body is playing tricks on me or Im imagining the pain/inflamed joints? Or maybe im just going mad???!!!

Is anyone else taking this dose of mx (22.5 or 25) and does this increase usually kick in fairly soon or is it likely to take a while? Im so hoping that it does and coupled with the infusion, life will hopefully become more comfortable in the near future!!

Lots of love

Heatherxxxx
jeanb
#2 Posted : Tuesday, April 13, 2010 4:03:52 PM Quote
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Oh my goodness, Heather - what a big question this is and how confusing is it all?

First of all, regarding RA in the "back". Even the experts disagree on this one. Some say RA can and does affect the spine and others say it doesn't. However, I have RA in my cervical spine (top of the back and neck) so I would say it DOES affect the spine. I would have thought it could affect ANY bone or joints in the body but am more than happy to be corrected.

Just because you don't have anything showing up in your bloods, doesn't necessarily mean you will be pain free. Flares and associated problems weaken not only the joints but the tendons and muscles surrounding the joints, and even when there is no inflammation, the weakness is still present in the damaged areas.

I am due to go back onto MTX next week, but will be started off at 15mgs (injected) and rising depending on how I tolerate it this time round.

Take care, Heather and I am so sorry you are perplexed by all this stuff. It's a damned awful illness!

Much love
Jeanxxxxx
lyn2
#3 Posted : Tuesday, April 13, 2010 4:30:55 PM Quote
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Hi Heather

I hope your increased MTX will give you some more relief, it can take a few weeks for it to work fully. With regard to pain without inflammation, I've been suffering like this for over a year now. When I see my rheummy he puts it down to fibromyalgia or nerve pain. At the moment I'm having acupuncture for nerve pain.

It's horrible when you try to explain about your pain, but because nothing much is showing up, I sometimes feel that they think I'm making it up!

Lyn
JulieM
#4 Posted : Tuesday, April 13, 2010 4:56:52 PM Quote
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Hi Heather-yes I very often find that my bloods and how i feel just do not match at all!
YES I'VE CHANGED, PAIN DOES THAT TO PEOPLE.
heather1
#5 Posted : Tuesday, April 13, 2010 5:40:11 PM Quote
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Thanks ladies. This awful disease is so confusing. I am ever hopeful somebody somewhere has made a mistake and I havent got it at all. We can all dream!

Re the back pain, all I know is when I had it it was unlike any back pain I have ever had and was directly in the region of my spine and was "pulsing" Rheummy said it would have been a muscle spasm. Anyway, its gone now (for good hopefully)

May sound daft, but this good weather has definitely lifted my spirits and I feel more positive.

thanks for the replies, speak soon, take care all,

love Heatherxxxxx
Julia17
#6 Posted : Tuesday, April 13, 2010 6:08:49 PM Quote
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Hi Heather

When I was up the hospital the other week, I mentioned to the nurse taking my blood that I had RA and she just told me she has it in her back and is able to continue working as she has a steroid injection every six months.

Wishing you all the best,

Love Julia x
joeyvt
#7 Posted : Tuesday, April 13, 2010 7:59:06 PM Quote
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Hi Heather,

Isn't this sunshine lovely? It certainly does lift the spirits and I've been feeling much more positive for it too.

I'm on 25mg of MTX and it can take awhile to kick in but I'm sure you'll feel a fast response from the infusion. Keeping my fingers croseed x x x

Joanna
Calmwater22
#8 Posted : Tuesday, April 13, 2010 10:50:46 PM Quote
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Hi Heather
Sounds like postive appointment,shame differnece of opnion over back pain.
glad they upping medciation,ive only got as far as 20 mg and that i did not tloerate was bit to much.im off it now.
yes often my pain did not relate to my esr,crp and rheumy said cause i got fibro to which ahd been missed plus tendon pain ra realted its those that add to my pain levels.
take care enjoy sunshine.
lv melly
cuddly cats make my world seem so much more fun
amanda_lewin
#9 Posted : Tuesday, April 13, 2010 11:09:11 PM Quote
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Oh you poor love, it is exceptionally confusing but the number one rule with this quirky disease is about how you FEEL. This is because RA, in it's deceptive way is calculating, it can make one think all sorts and even mess around with the bloods, yet if you yourself are in shocling pain that shows the disease is active.

People's blood levels will fluctuate all the time- blood changes every minute literally - and also what is high for one may not be too intolerable for another.

Reagrding the back pain, I agree that if it is a joint or a bone, then you can (sadly) get RA there. If one can have RA of the skin or hair, then why not back!

Hope the increase of the MTX helps soon, although it will take a few weeks....

Much love,

Amanda
heather1
#10 Posted : Wednesday, April 14, 2010 10:22:03 AM Quote
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Thanks again, everyone your replies have helped so much. I remember being told I had this horrible thing and thinking it would be ok, surely if I took the tablets it would go away? Then after several conversations with rheummy nurses who told me the first year was always the worst whilst the medications were getting sorted, the realisation is starting to kick in. I know Im fighting it and having lots of arguments in my head with myself mainly!! The main one at the moment is that hopefully after this infusion I will feel much better but I am arguing with myself about pacing myself as although the pain will subside as Iknow it has in the past, the insidious RA is still there, just masked and needs to be respected if that is the right word!!!

Thank you for all your support ladies, especially with the back thing, when my rheummy said no way was it in my back, I really started thinking I had been imagining it all!!! Honeslty Im not a total nutcase, just very confused at the moment.

Hope you all have a great get together next weekend (is it the 23rd April?) would love to have come but my husband is away in the States all that week and only gets back that day.

Jenny, thank you for your reply and many congratulations on your lovely news, hope you are feeling well?

lots of love
Heatherxxxxx
barbara-o
#11 Posted : Wednesday, April 14, 2010 1:02:07 PM Quote
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Hi Heather,

I am glad that you are keeping positive, and feel better now that the sun is out. As for RA in the back, I think it is possible, but have been told by my rheumy it is very rare. However, I have 4 prolapsed discs and convinced that it was brought on by RA. My ESR and CRP are usually not high, however, the pain is constantly there, as my body has cannot tolerate the drugs, and I am now back to being on no meds apart from pain killers.

I hope you fill better soon and that the infusion kicks-in,

Take care,

love,

Barbara
XXXXX
bella33
#12 Posted : Wednesday, April 14, 2010 5:54:19 PM Quote
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Hi Heather
I had an appointment with my rheummy nurse last week and I asked her a couple of questions regarding, the pain I have not not reflected in my bloods. She said they will always look at the whole picture and that the bloods are not always a true reflection of what is going on with that person. I have had very severe pain and my bloods have occasionally shown low levels of inflammation.
Hope this helpsSmile
take care
Clairexx
Lylie
#13 Posted : Wednesday, April 14, 2010 8:48:26 PM Quote
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quite agree , you can be feeling PANTS but the bloods are fine, and vice versa|! And it CAN according to my expert, be in your back (mine has migrated there this week) though she did say it is unusual and not generally thought to be RA as such................whatever, it still HURTS!! Have had along discussion about bloods v symptoms today at clinic waiting room, and we all agreed (we being us patients!!) that its vital that we aren't seen just as a collection of results on a monitor, but that we are looked at as human beings!Lxx
Always be aware that what you do might hurt others........and if it could, do nothing without careful consideration of the consequences
Damned76
#14 Posted : Thursday, April 15, 2010 8:58:20 AM Quote
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Hi Heather,

I have had exactly same problems - told RA v rarely affects the back and even when I have been stuggling to walk, have been told that bloods are showing only little inflammation. It made me feel like I was going mad too. You don't live in Sheffield do you - lol. I even got to a point where I actually said to the consultant that if this is the case - do I really have RA then? He just said that the x-rays showed that it was RA and it was 'nibbling away at my joints'. Never actually gave any explanation as to why I was in so much pain but had low inflammatory markers. I dread seeing my consultant - he literally just looks at my blood test book and doesn't listen to anything I say - he just looks at me as a disease with 'scores'. The nurses have been so much more helpful in explaining stuff to me. Things have changed for me since then but when I finally got on to a decent dose of methotrexate in the first year, I really did see a vast improvement for over a year. I'm in the process of juggling different meds again at the moment but listen to people on hear and don't give up hope. I hope you can find the right drugs and keep posting to let us know how you get on.

Julie
heather1
#15 Posted : Thursday, April 15, 2010 3:32:57 PM Quote
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Again ladies thank you so much, I dont know what I would do without your support, I honestly feel Im going mad sometimes! My rheummy although very nice, its obvious that Im on a strict appointment time and you can tell when she's coming to the end of it as the answers get shorter and shorter! The rheummy nurses do have a lot more time and also, the facility that NRAS supply of a mentor ringing you at home to have a one to one chat is great!

So looking forward to the infusion tomorrow, and also my first increase of mx to 22.5 tonight, how sad am i??

Love to you all, take good care

Heatherxxxxxx
Damned76
#16 Posted : Thursday, April 15, 2010 8:56:11 PM Quote
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Good luck Heather - let us know how you get on.

Julie
heather1
#17 Posted : Saturday, April 17, 2010 11:05:40 AM Quote
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Hi all, well took my increased dose of mx Thursday night and went to the hospital Friday am for a methprednisolone pulse. rheummy nurses are so nice there and to be honest I get so much more information out of them they are so much more approachable than my specialist, who is ok but a but austere!!

Came home and later on that afternoon had to go to bed as I was really tired and had lost all colour in my face. All due Im sure to the increase of mx. Anyway, didnt sleep too well as when the nausea from the mx subsided the steroids kicked in and from about 3am I was wide awake and raring to go!!!! Managed eventually to drop off!! Anyway back there Monday for another one.

Im having a telephone interview from our healthcare team on Monday morning to give them an update and have to say feel a bit nervous about it, no idea why as I have nothing to hide etc. the good news with work is that our top manager has exempted the time I had off recently with my back, so things are hopefully looking up. I am so so hopeful that this increase in mx will eventually supress the inflammation, as Im sure you all know too well, life is almost on hold waiting for it all to improve.

Anyway, hope you are all well and enjoying the sunshine if you have it and have not been affected by Iceland cloud? Kev was due to fly to Americal today but its been cancelled, so we're quite pleased really!

take care all and speak soon,

Heatherxxxx
amanda_lewin
#18 Posted : Sunday, April 18, 2010 5:12:48 PM Quote
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Well done! I hope all goes well with the healthcare team tomorrow!

The volcanic ash is very worrying, my parents are stuck in Spain and getting the shuttle home now on Tuesday as they cannot fly..

Good news about your hubby, I would be pleased too if Mark had his work trips cancelled!

Love,

Amanda
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