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Rank: Advanced Member  Groups: Registered
Joined: 4/20/2010 Posts: 1,749 Location: Somerset
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Hello John and All,
Similar cases as above. But because I had pain in the nerves in my back and also felt soo low - I was started on amitrip . I have taken that now for 2 years.
Rose
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Rank: Member
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Joined: 6/14/2010 Posts: 23
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Thanks all. Since the pred has gone up to 30mgs, I've been feeling better. Have had a good couple of days. I think also, the R has really started to give me the care I need and that too has helped. I asked to come off the Salfasa but she said keep it going until we get the anti-TNF through. Hopefully I wont be on it much longer.
Julie - why did you go for Humira?
J x
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Rank: Advanced Member  Groups: Registered
Joined: 12/4/2009 Posts: 1,524 Location: W. Yorkshire
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Hi John, I KNOW I've replied to you before but I can't say to find it anywhere in this thread? Must be one of those days. Anyway i just wanted you to know that I am still thinking of you and watching your progress with interest, so pleased to read your last post. When you say 'Julie' do you mean me or another julie? YES I'VE CHANGED, PAIN DOES THAT TO PEOPLE.
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Rank: Member
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Joined: 6/14/2010 Posts: 23
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UPDATE: Julie - I was referring to the other Julie (Damned76) - she is about to go onto Humira. Wonder how this is going...? I'm feeling better than I was. Is this due to increase to 30mg of Pred per day? or that I've realised I have to accept this and am now looking to get support? eg counselling, physiotherapy or changes I've made to my diet - avoiding anti-inflammatory foods and eating a 'mediterranean' and high fruit and veg diet or because I was allowed in free to a private gym for a week to use their pool, jacuzzi and steam room - Hydrotherapy! Does anyone know if I can get help with private gym membership (council places do not have this fine combination) either through GP or local council? I have to say, on days when I can get out to do this it seems to be the only thing that really works! I felt so much better physically and mentally for the rest of the day. Is it because I'm taking high strength Omega 3 fish oils and seeing a cranial osteo (he's a friend of a friend and is doing it for £10 for 4 sessions & since I've not been working much over the past few months - we're almost out of money) Yesterday, I found out that according to NICE, people 'usually' have to be on methatrexate for six months prior to going on Anti-TNFs. So, I'll have to wait another 6 weeks before I qualify..... I tell you though, I'm really becoming more convinced that this can be kept at bay without these highly toxic & one drug begets another antidote! In looking into alternatives, have a look at these videos (ok, they are for cancer, but they also have benefits for RA suffers too) http://www.ted.com/talks/lang/eng/william_li.html
http://www.bobbyshealthyshop.co.uk/ - click on the youtube link, the guy talks about what he did to save his son. It has set me on a mission. Because of all the water I've been drinking recently, I'm also looking to get a water filtering system in. I've found these: http://www.bobbyshealthy...uk/Water-Distillers.php along with Pi-Mag Optimiser or http://www.freshlysqueez....org.uk/purchasenow.php
If anyone knows of others, please let me know.... Also, if anyone knows where it is best for me to share this info - I'm new to the site and it doesn't seem particularly clear where to post this stuff, then let me know. It seems as though the forum is good but there's a lot to sift through to get to the really good advice (or is this just me..?) Thanks J x
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Rank: Advanced Member  Groups: Registered
Joined: 3/8/2010 Posts: 914
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Hi John, So glad to read your post that you are feeling much better. The steroid tablets are probably making a big difference to your pain and your positive outlook will also make a big difference. Things do get easier and settle down given time. Surely you will be entitled to help financially if you are unable to work due to ill health. Thinking about you and your family. Lorna
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 1,081
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Hi John, Glad to hear you are feeling better at the moment. There was a cock up at the hospital and although I've now had the Humira delivered, I have to wait until 23 August for 'teaching session' and first jab. I chose Humira because I have heard of good results on this forum and on another drug website (I can't remember which one it was but it was just from a Google search on the drug name - I Googled them all). This may sound like a really naive way to make such a decision, but the fact that it contains human, rather than animal enzymes also swayed my decision. I know that if I do not work, I also start to feel better and cope with the RA. I agree that some exercise (although with caution) can make the world of difference. I do know though that if I didn't work and had to rely on benefits, I wouldn't be able to provide the lifestyle I want for my me, my child and my partner and would be utterly miserable. I can't comment on alternative therapies as although I have made some lifestyle changes (ie, the hours I work, trying to pace myself, Omega 3 oils) I haven't tried any. As you will have probably realised, everybody takes their own journey with this disease. For me, my child is at the most formative part of his life (8 yrs old) and I want to participate fully - I realised that I could search the internet until I was blue in the face and read until my eyes hurt, but the only thing that helped the pain was the NICE recommended drug therapy. Each DMARD has has some benefit, despite some side effects, hence my willingness to try the next step. Although people on the forum are very 'chatty' - if you have a specific question to ask, just go to the RA discussion thread and ask eg - post a new topic eg, "What althernative therapies have your tried" - or if you know someome has posted some useful information or is on a particular drug you want to ask about - just start a post saying "FAO Julie". That way, your questions won't get lost in one thread. (Sorry if I sound patronising but you did ask  ) Julie
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Rank: Advanced Member
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Joined: 12/4/2009 Posts: 2,127 Location: Thornton Cleveleys
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Hi John Pleased to hear things are improving for you. My prednisolone was increased last week, after 4 weeks without Enbrel due to surgery, to control a really bad flare and things are once again almost okay. Few more weeks until Enbrel can be restarted though. Steroids are a terrific drug short term and like anything treated with respect do the job they are required to do, dampen the inflammatory response. Hence the improvement. Over 22 years I have tried so many alternative therapies, in the early days spending quite probably hundreds and hundreds of pounds on different products. Money I could ill afford to spend having been forced into early retirement by the RA. Surprisingly, none of those supposedly proven therapies worked. Omega 3 is the only one that has been thoroughly tested and shown to be beneficial to RA patients. Others I later found were useful for those with Osteoarthritis (a disability not an illness!), a very different kettle of fish entirely! Anything that supports the immune system might be beneficial but there again ... We have RA because there is an error in our immune system; something has kicked in which has initiated a slight change and the rest we all know about. At the moment the only sure fire way to live a relatively pain free life is through correct chemical treatment that reorganises the responses to the fault. Sometimes that can be done with mild medication, in more severe cases stronger drugs are needed. Rheumatoid Arthritis has been described by an eminent rheumatologist (name escapes me!!) as "cancer of the immune system". I think everyone goes through all these self help measures in the hope they are going to find something that will make them well. Very understandable. Unfortunately it is an unscrupulous market for profiteering at the expense of those with a long term illness. Save your money John, NRAS will let us know if toilet cleaner suddenly becomes our overnight saviour!! Money is best spent is on physio and water exercise/jacuzzi. This will really benefit you if provided under instruction from an RA aware practitioner. Please don't be tempted to use unqualified non-medical staff at a gym for advice. My reply might seem a little harsh John, but please don't take it that way. You are doing exactly what every other member will have done at some time to some extent since diagnosis. Allow the steroids to work and continue swimming! Hope things continue to improve for you. Lyn x Edt : P.S. There is a section for complementary therapies - might be worth posting ideas there for others to see!
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Joined: 6/14/2010 Posts: 23
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Hi Lyn, Julie, Lorna No, I don't take any offence at all nor is it patronising. It's a discussion and a discovery. How else do we get there, unless we share our ideas and experiences? The good news is, I've hardly spent anything on all this. Most info is available on the internet. And, I'm no fool when it comes to scams/false hopes/dodgy sources..! I check, seek advice and re-check. I've always been this thorough....(drives me nuts sometimes! - it's why i'm such a rubbish shopper!) I get physio & counselling on the NHS and no, I would never ask some spotty teenager at the gym to help me with an exercise regime. There's no need to go to Hydrotherapy for me - I know that the swim, floating in the jacuzzi and stretching in the steam room - all combined, releases the endorphins, tension and buy me a day of relative pain free RA! This should be available on the NHS. Is it? I'm looking into 'exercise on prescription scheme..' So, I've forked out £10 for a cranial osteo - and it's a friend of a friend and he is really decent so...nowt to lose! He's the 1st to say, if it's not working, don't bother... It's important to keep an open mind about 'alternatives' and never follow anything blindly. I've been sifting through some of the other posts though and found that there are still people struggling to find out about Omega 3 and Vit D3. (On this, I found this yesterday: http://www.ft.com/cms/s/...-b4ab-00144feab49a.html)what do you use to protect your bones whilst on pred? I am worried that the Calcichew D3's I'm on have too much calcium carbonate (600mgs per day each) I'm on 2. RDA is 800mgs of calcium and there's tonnes of it in my new diet. Too much can cause other problems - kidney stones/heart trouble. There's also quite a lot in unfiltered tap water in London. I will post what I've found on 'alternative therapies'... thanks J x
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Joined: 6/14/2010 Posts: 23
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Oops, I mean 'complementary therapies'... J
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 872
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Hi John, My rheumy gave me a copy of Arthritis Research UK's "Complementary and alternative medicines for the treatment of rheumatoid arthritis, osteoarthritis and fibromyalgia" report. This shows evidence from randomised controlled trials and clearly sets out effectiveness and safety information. I found it quite helpful as I like to know the facts about things, http://www.arthritisrese...ines_11012010154331.pdf
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 714
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Hi John
I was very interested to read your posts and everyones replies. I am glad to read that the steroids have helped you and that you are in less pain.
With regards to anti-tnf's. I started on Enbrel after trying methotrexate, sulphasalazine and leflumonide over a 12 months period. Unfortunately I had a bad reaction to Enbrel. After injection I had plate size rashes on my legs which kept on re-enacting every time I injected (weekly). As I failed on the Enbrel within the first three months I was allowed to move onto Humira. I started Humira six weeks ago and have just had my third injection last Saturday (fortnightly injections.). I have found the Humira a lot better. Not only are the injection pens a lot easier to administer, I have had no side effects and best of all I actually had three whole pain free days of over the weekend. My fatigue also seems marginally better. I am now hoping that Humira is going to be my salvation.
My GP recommended that I take Omega 3 and Vitamin D. My Rheumy Consultant said do not waste your time. He also said eating a mediterranean diet will also be of no benefit to the RA. It may however, benefit your overall health. Who to believe?
I was diagnosed with RA in January 2009 and I still feel a novice at all this.
Take care
Jackie
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Joined: 6/14/2010 Posts: 23
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Hi Jackie
Thanks for that. Humira is the drug I've decided on - so glad it gets your endorsement.
I think the steroids are making me lose control of myself though - I'm having terrible mood swings and can feel my body reacting to the medication - it's weird - I'll be sitting there and it's like there's a battle going on in my blood stream/under my skin. Also, eating more! This is such a vicious circle.
6 more weeks I have to wait to get on Humira! Yet in the 'Biologics: the story so far': it says this:
A recent study has suggested that the month between assessments before starting anti-TNF is an unnecessary delay, because patients who fulfilled the criteria one month before commencing treatment had a 97.2% chance of doing the same at the first assessment.5 The overwhelming majority of patients therefore have an unnecessary wait with very active disease.6
5 Smith, N. et al, ‘Is pre-assessment for anti-TNF therapy in RA necessary in the UK? Analysis of DAS28 in six centres’, Rheumatology 2007; 46: 1557–1559
6 Deighton, C. et al., ‘BSR & BHPR Rheumatoid Arthritis Guidelines on Eligibility Criteria for the First Biological Therapy’, Rheumatology (in press).
So, I'm waiting......Some Rheumys think it doesn't make sense. It doesn't make sense to me! Sooo frustrating!
Just one question: you said 'My Rheumy Consultant said do not waste your time.' On what exactly - complimentary therapies? Glad to hear though that diet, Omega 3 and Vit D also help.
With regards to feeling a novice: although this is an individual condition, I think there are definitely recurring themes and areas that we can all share with regards what has worked for us/how we've coped..
Does anyone know what a 'hot joint is'? My right wrist has been swollen for 4 months now and I'm worried it will be a permanent disfigurement and painful. Will this ever go away?
I had a hellish night last night. Feel as though there's no support for fairly well off people in this country, who have worked hard, made investments, prepared for their & their children's future and yet have no immediate money because of RA and the effect on me has been to not pursue work opportunities like I used to - there doesn't seem to be any respite help, whilst I try and get this condition under control and the future looks so uncertain. I thought we'd be able to get help from social services, but it is clear they are ignorant of this condition. Completely unaware was the person I had on the phone! It was like she thought it was a back problem.
I assume the campaign to raise public awareness of this condition is going well...?
Very best John
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Rank: Advanced Member  Groups: Registered
Joined: 12/4/2009 Posts: 1,524 Location: W. Yorkshire
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Hi John, I can totally sympathise with your bewilderment. Sometimes it seems like such a vicious circle. I truly believe that Omega3 fish oil HAS to help-but I'm no medical expert. Take it and see, I do (and so does my dog and you should see what a good effect it has had on him and he doesn't know he's taking it so there must be something in it!) Re hot joint-they sometimes literally feel hot but I have never had any swelling at all! I'm glad you're chosen Humira as I think and hope that that will get your RA under control for you - I didn't appreciate how much it had helped me until I told my consultant it wasn't helping at all and he said that if I stopped it I wouldn't be able to get out of bed in a morning! Try and hold on until the Humira gets started- things won't necessarily always be like they are now for you. My hubby takes steroids and yes they do give him a sort of 'buzz' they also put weight on him but that has gone now as he has been able to reduce the dose. So don't despair. YES I'VE CHANGED, PAIN DOES THAT TO PEOPLE.
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 3,157 Location: Huddersfield
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Hi John,
I too can appreciate how hard this is for you, it's frustrating to know there are drugs out there but no-one knows what will work for each one of us and we have to go through the process of trial and error. I am on humira, I admit it hasn't been as effective as I would like it to be but it's certainly the only drug that has helped me so far ( and believe me, I have tried so many , on their own and in combination). I hope you can get on the humira soon and can start to get your life back in order.
Love, Doreen xx
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 714
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John
I am glad you have decided on the Humira - roll on six weeks time. My Rheumy Nurse told me that she has seen some patients have an immediate improvement, whereas others can take time. I hope you are in the first bracket. As for steriods, unfortunately they are a necessary evil and yes my weight has suffered quite considerably over the last 12 months but you have to weigh this up (pardon the pun) against the effects it can have on the pain.
My Rheumy Consultant said do not bother with a special diet. His words were "if there was any proof in it, all Consultants would be putting their patients on "the diet"". However, I do think that it is entirely up to each of us as individuals to do what we think might be beneficial to ourselves. We have very little control on this disease, so I think being able to make a choice in what we eat can be mentally positive for us if nothing else.
I am sorry you are stuggling with your work situation. I am the only wage earner in my family as my Husband has had to retire through ill health. I am worried sick about what will happen if I become too ill to work asI can see that it is going to be harder to get financial help even if you are genuinely ill. I do believe that the NRAS and Citizens Advice Bureau can be very helpful in advising how you can get financial help during this difficult time.
I think there is so much ignorance about rheumatoid arthritis and the devastating effect it can have on your health. I am sure that the DWP and even doctors who assess people with RA have no idea how hard this can be to cope with. I am glad to see that it is starting to come to the forefront more in the news with articles about reseach into how alcohol can help and more recently a study on how weight training can help, particularly in women. I still think there is a long way to go and this is where the NRAS are working hard to get recognition for this awful disease.
Kind regards
Jackie
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Rank: Advanced Member
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Joined: 12/7/2009 Posts: 176
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Hi John!
Last year, I had a swollen right wrist, and yet the joints on that hand were not a real trouble. It was around for quite a time, limiting the movement, and requiring me to wear a wrist stap at night. Then, with no change in medication, it just went away! I know some people keep a diary of these things, which they find helpful - I certainly should have noted down when it had gone. It was quite a few weeks later that I noticed the knuckles and movement of the same hand were getting more painful and restricted.
I admire your desire to find out more and more, and look into ALL ideas that are around.
Hoping that your todays are better than your yesterdays!
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Rank: Advanced Member  Groups: Registered
Joined: 12/8/2009 Posts: 230 Location: Leicester
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Hi John
Apologies for the late response but wanted to welcome you to the forum.
I'm Helly, 35yrs old and was born with juvenile idopathic arthritis (diagnosed when 2).... It went into remission when I was 13 and then reared its ugly head again last September. Luckily I got back on DMARDs pretty quick and it looks like its heading back into remission
I can truly understand your frustration at what services and provisions are available, very much a postcode lottery.
Definitely recommend the GP referral system.. I asked my GP for this a few months back as with my arthritis being active and having 2 hip replacements, my mobility and fitness had gone out the window.
I started off seeing Simon at my local leisure centre, he was the GP referral coordinator and also a fitness instructor. Your condition is very much taken into consideration and not only did I feel better for getting some exercise as well as meeting other like-minded people. The good thing about GP referral is you go when the gym is quiet and with others who are also on the scheme...
From this referral I was able to get a discounted leisure centre membership which includes everything. Now I go swimming twice a week and gym once. Non-weight bearing is definitely the preferred exercise for RA as it doesn't impact on the joints..
Its not just GPs that refer, organisations like MIND can also refer as exercise can also benefit mental health.
Welcome again and look forward to seeing more of your postsHelly x Celebrating 10yrs of National Rheumatoid Arthritis Society Doing a Tandem Skydive - May 2011 - All Sponsorship Welcome - www.justgiving.com/helencopeland Read my blog - Helly Copeland
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