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Joint Damage Options
jeanb
#21 Posted : Tuesday, June 29, 2010 11:34:01 AM Quote
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Location: Timperley
Thanks for taking the time to post the info Paula.

I'm surprised you have managed to take so much of it in, given that you are in a bad place just now.

Take huge care of yourself, lovely Paula.

Much love
Janxxxxxx
barbara-o
#22 Posted : Tuesday, June 29, 2010 1:56:33 PM Quote
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Hi Paula, really sorry to hear you're having such a bad time with the RA, and so so sorry for not being around, I've been having a rough time with RA and other things going on with my health, and family too.

Just read through all the posts and as usual people have given fantastic advice and info, and your post I have found very interesting. Do make sure that they give you a proper pain management plan, as it is something that can be managed with the right medication. When the pain is really bad I now take Oramorph, not suitable for everyone, but seems to do work in the short term.

Take care,

much love,

Barbara
XXXXX
amanda_lewin
#23 Posted : Tuesday, June 29, 2010 3:39:13 PM Quote
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Posts: 1,582
Location: Oxfordshire
Dear Paula,

Oh so sorry to hear of the erosion now. RA does usually erode joints but the rate and the amount will vary so much between each individual it is too hard to compare.

My hip eroded in a matter of months although the rheumy said it may have been going on for years but I never felt it!

I will e/mail you off list.

Much love to you....

Amanda
Paula-C
#24 Posted : Wednesday, June 30, 2010 12:05:52 AM Quote
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Location: Nottinghamshire
I hope I haven't given the impression that I am in loads of pain at the moment I am coping with it, I have even been helping with some decorating today. Doing a bit and then having a rest. I've been thinking of how I am now compared with a few months ago and there is improvement. I've been taking MTX for 6 weeks now, the doctor did say that she thought I needed something else added to the sulpa........ and this is proving to be right. So please don't worry about me I am doing fine.

Mari you asked about the xrays of my hands, I have been told that there was no damage showing up then (last July), it was the specialist nurse that told me when I showed them her about 7 weeks ago. They had changed over the last few months and I was hoping it was only swelling and they would go back down. The tendernitis thankfully seems to have calmed down now and I hoping it doesnt come back but like you said it is related to RA, if I remember right the nurse said that the lump on my hand is inflammation to a tendon that runs from the finger I had the tendernitis in, so it's not fully gone away yet.

You mentioned about the OT looking after a range of disabilities, I must be lucky because my hospital have OT's and Physio who specalises in RA, it's just a small team but they are there just for people with RA. Interesting what you said about your feet about walking on growths or sore swollen pads. I read alot of people sayng that it's like walking on pebbles, I described it like walking with half a hard tennis ball stuck on the ball of my foot.

I had an appointment with the podiatrist last week and I never knew that my feet could be so interesting. I saw someone different last year, he didn't examine my feet like this one did, just said the RA had made me flat footed, I was then walking putting pressure on the wrong part of my foot and this was making my skin hard and this was giving me pain. He measured me for some inner soles which I found to be useless. The one I saw last week really examined my feet well and then told me I had two problems with my feet. One being the RA and the other was just how my feet are, the structure of my feet are not normal. You normally walk and put most of the pressure on your big toe, I don't, I put mine on the toe next to it. He asked if I had ever noticed that my feet were different from other people's. Well I've never really compared them, mine are broader that most and my feet are floppy. (That was nice to know). He asked if I ever turned over on my ankle or lose my balance. I told him that sometimes I fall off my feet, stupid thing to say, but I do. He just said loudly with a big smile on his face..'Thats just what I wanted to hear'.

He said that I need a small heel, I have always said that I can't wear flat shoes, so now it is official and if I had any of the ballet type shoes I have to throw them away. A wedge sole really is the best for my foot, one that tapers down from the heel to support my feet all the way to the toe. He measured me up for some inserts, this time not by drawing around my foot but I had to put each foot into a box and a proper mould was made. I don't have to wear them all the time I am allowed to wear other shoes and he's pointed me in the direction of sketchers or fly flops/flots? The signs of damage on the xrays is from the RA but because I walk different that's not helping either. So my feet have to deal with a double whammy.

Well from having the damage to my fingers and the podiatrist saying I've got early signs of damage to my feet because of the RA any dream/hope that I had that they've got my diagnosis wrong is now well and truly shattered.

Paula
MrsWoman
#25 Posted : Wednesday, June 30, 2010 8:19:20 AM Quote
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Location: South London
HI Paula

Good to hear that you are coping and managing to do some diy. Its great that you your supporting team are specialists in RA - it all helps as it can be so hit and miss with appointments. The fact that the podetrist is able to give you some practical help too is great. I too am flat footed and stuck to wearing inserts in my trainers and have given up on buying shoes. Which does restrict the clothes you can wear so interested in teh wedgies at least they are fashionable and they are in the shops. I will have a look for these sketchers and fly flops.

Interesting that we were diagnosed roughly around the same time. I havent been working and am feeling well enough to go about it but with having a massive gap on my cv, I am unsure how to handle it. Have you managed to stay in work?

Mari
dorat
#26 Posted : Wednesday, June 30, 2010 10:57:09 AM Quote
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I like Fly flot shoes Paula, they have some really nice shoes.
The insoles have arch support and I find them much better than the insoles I had made for me by the podiatrist,

Doreen xx
lyn2
#27 Posted : Thursday, July 01, 2010 4:13:14 PM Quote
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Location: Notts
Hi Paula

I'm glad you got some satisfaction from the podiatrist, and hope your new insoles work. I've got some, but I'm not sure they're doing much good. I was interested when you said you turn your ankles and lean over, that's exactly what happens to me all the time! The times I've nearly fallen over! I also trip a lot, but fortunately manage to save myself most times. I slipped in the bath the other day, and got a huge bruise on my thigh and my knee and legs.

Sometimes it seems dificult to stay upright!

Lyn
Paula-C
#28 Posted : Thursday, July 01, 2010 5:02:22 PM Quote
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Location: Nottinghamshire
Mari

I'm lucky I don't go to work, my husband was a roofing contractor, I did the office work for him at home. I say was because he recently decided he can't do it anymore, 40 years of running up and down ladders and kneeling have taken it's toll on his knees and he just can't do it anymore. At the moment we are 'planning our future' and living on our savings. I know though that when I first started with RA if I was going to work I just couldn't of gone. I don't know if I could now, I always have said I'm very lucky in the fact that I don't have to go to work. I plod about in the morning doing things when I want to. I really do feel for you all that have to go to work because your wage is needed and all of you that have children to look after. If I don't get things done when I should it really doesn't matter.

I am now the owner of a nice pair of Fly Flots. I'm not sure if the podiatrist will consider them to be right, but they are Fly Flots. When I get my inserts I haven't got to wear them all the time, I can wear other shoes he said. These Fly Flots are toe post sandal ones. They are the ones with a jel soles with memory insoles and they are very nice too. Just hope he agrees.

I've just been looking on another forum and someones enquired about VAT relief on things that we have to buy. By conicidence someone had posted that they had just bought a pair of shoes, told the sales assistant why they wanted them and was given a form to fill in and didn't have to pay the VAT. Could I of done that?

Like my mum use to say 'Look after the pennies and the pounds will take care of themselves'

Paula
Alice_S
#29 Posted : Saturday, July 03, 2010 8:21:33 PM Quote
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Joined: 6/30/2010
Posts: 61
It's me again, Paula. I chanced upon your posting just after the other one with your interesting reference to the vagus nerve research for RA. Have you read the revised new NICE guidelines on the treatment of RA? You can get them through the Department of health website.

The scientific evidence is that the earlier you are treated with anti-TNF drugs, the better your outcome. My understanding is that anti-TNF drugs cannot reverse joint erosion but they are definitely the gold standard in the treatment of RA. I reckon you need to ask about the role of anti-TNF drugs in your treatment and the earlier the better.

I would always ask for a second opinion if I was not satisfied with the treatment options I was being offered. In the past, I was offered a laparotomy to explore an ovarian cyst: a second opinion meant I had a much less invasive laparoscopic operation which showed it was a physiological cyst anyway. I was told by one doctor that my cholesterol was increased but the specialist I insisted on seeing worked out the proper cholesterol ratio and showed me it was so good it went off the scales; so I didn't need any statins. My husband was told he needed an operation for a broken shoulder bone but the second opinion doctor treated it conservatively and he escaped without an operation. Unfortunately, even being a member of the profession I know that different doctors give different opinions.

So, go for it, Paula. Get an appointment next Monday and ask your GP for a second opinion from a consultant on your treatment.
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