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Do you have to have a high CRP to show you are having a flare? Options
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flw93
#1 Posted : Monday, November 04, 2013 10:33:16 PM Quote
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Joined: 9/27/2010
Posts: 136
Location: Stockton on Tees, Cleveland
Hi everyone

Had a really poor appointment with my consultant last Thursday. He didnt even look in my file. He checked the computer screen and said my pain was due to osteo arthritis and not RA. My fingers are really swollen and my knees, hips and feet are terrible. My CRP is low though. Does this mean that I am not having a flare?

Very fed up

Louise
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gogs
#2 Posted : Tuesday, November 05, 2013 9:58:22 AM Quote
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Joined: 10/20/2012
Posts: 304
Location: Cheshire
So sorry to here that Louise.
I too over the past six months have had similar treatment from my consultant, I even had a US scan and was told my RA
was only mildly active - yet I had the same complaints that you are talking about!!

I have since changed consultant, and after a thorough check had it confirmed that my RA is very active (still is) It meant changing hospital but I wasn't bothered
I needed a life and I didn't have one. My new consultant was genuinely concerned at the care I had received. I now have permanent joint damage and feel angry over that, but I do feel that I
am getting looked after.

Regarding CRP (and ESR for that matter) - they do not have to be raised for you to be having a flare. The protein which is released from the liver
(which is what they measure in CRP) in many cases does not occur in RA, and they have no understanding of why this happens.

Go back to see your doctor, enlist his help and if necessary ask for a second opinion.

Keep us posted and good luck
Gogs
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Paul Barrett
#3 Posted : Tuesday, November 05, 2013 10:23:33 AM Quote
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Joined: 4/24/2013
Posts: 703
Location: Hexham
The trouble is that those of us with RA are likely to have some OA too, I believe. I am in a similar position in that my last appointment was with someone new (registrar) who, after cursory glance of the file, said essentially the same thing - that my current pain is osteo based. I don't think that lessens the RA diagnosis because as I understand it, RA is something for which there is no cure and if, like me, you have had a series of consultants all agree that it is RA then it surely is?

I have an appointment with my GP Thursday to discuss this
Paul Barrett

Hexham - Northumberland - Loads of spectacular walks - all I need now are the joints to go with them! :)

Enthesitis (2012)
Ulcerative Colitis (1990)
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