NRAS Logo
Logged in as: pedro-pmc Search | Moderate | Active Topics | My Profile | Members | Logout

New Topic Post Reply
Any Ideas for a Swollen Leg Please Options
Sheila-R
#1 Posted : Sunday, February 27, 2011 10:39:50 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 1/29/2010
Posts: 264
I've had a flare coming on gradually over the past two weeks that has given very uncomfortable knees which have been getting tighter and tighter. I thought at first it was do do with the muscles so pushed on through and tried to walk it off thinking the stretching motion would do some good.
However it hasn't and although the knees aren't hot and red, the backs of them are hurting. It doesn't help that I have poplipteal? (bakers) cysts at the back of both knees and can't straighten or bend them far. But on Friday one leg started to swell both above the back of the knee and down into the calf, and now the whole leg is swollen from mid thigh to ankle and hurts like hell to stand on. I don't think the cyst has burst as I've had that before and that left a lump in the calf rather than a swelling and was confirmed by an mri scan, but then my whole leg didn't swell.
I've spent most of today with legs up on the sofa but the swelling is still there. I've taken the maximum dose of diclofenac and paracetamol and upped the prednisolone from 7.5 to 9.5 but it hasn't helped.
Has anyone got another other suggestions? Or should I just rest it or should I try to walk on it.
Many thanks
Sheila
LynW
#2 Posted : Monday, February 28, 2011 8:25:46 AM Quote
Rank: Advanced Member

Groups: Registered

Joined: 12/4/2009
Posts: 2,127
Location: Thornton Cleveleys
Hi Sheila

I have knee problems and in particular the swellings caused by fluid filled sacs within the knee joints. I have to admit my knee joints have pretty much had it after the years of swelling, thickened synovium etc. so it is now a case of minimising the problem until such time as the joints are replaced.

What happens, in layman's terms is this, the synovial fluid in the joint becomes irritated by the RA and starts to swell. If the excess fluid is not drained it starts to thicken. This makes knee mobility such as rotation, stretching and bending very difficult. Over a period of time the pressure from the thickening synovium and the increased fluid then puts pressure on the cartilages, ligaments, tendons etc. As only so much excess fluid can be retained within the knee joint it starts to seep out into the surrounding tissues causing further problems both up and down the leg. I had an op. last year to debride and repair both cartilages in my left knee due to problems caused by the RA. Since then I have had ongoing problems and to be honest it is doing my head in!! I'm back with orthopaedics this afternoon Blink !!

How do I know? Been there, got the T-shirt, watched the video! You get the gist?!

It sounds like you need to contact the rheumatology nurse and arrange an urgent appointment with the rheumatologist. The knee(s) sound like they need aspirating to remove the pressure and injecting with steroid to calm the inflammation. Whilst pain killers may help in the short term the prednisolone is unlikely to have a direct affect on the leg.

I wish you luck Sheila and hope you get some relief soon. Let us know how you go on Smile

Lyn x
My son, Ian, completed the BUPA Great North Run on 15th September running for the National Rheumatoid Arthritis Society (NRAS). You can read his story at http://www.justgiving.com/ianlukewilson

dorat
#3 Posted : Monday, February 28, 2011 10:44:03 AM Quote
Rank: Advanced Member


Groups: Registered

Joined: 12/3/2009
Posts: 3,157
Location: Huddersfield
Hi Sheila,

How is your leg today?
If you can't get through to your rheumy nurse I think you should see your GP as soon as possible.
I have bakers cysts too and they can be very painful, but can also be misleading as they tend to be blamed for anything going wrong with the knee, when it could be something else.
Hope you can get it sorted soon.

Love, Doreen xx
Sheila-R
#4 Posted : Monday, February 28, 2011 3:29:23 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 1/29/2010
Posts: 264
Hi Lynn and Doreen, thank you so much for your replies. Lynn your explanation of what happens in the knee was brilliant much better than the goboldy gook they write in the letters to the GP. Doreen I will ring GP in the morning if nothing is better. I rang the rhuemy nurse this morning and she's just rung back to ask for more details and is going to speak to the consultant and then ring me again with hopefully what can be done.
I'm due to see the consultant in a couple a weeks anyway as it doesn't look like the Rituximab has worked for me, well it certainly not working at the moment.
But thanks again both of you it just makes me feel better knowing I'm not the only one.
Lynn hope your appointment goes well this afternoon and you get some relief for your knees.
Love
Sheila
dorat
#5 Posted : Monday, February 28, 2011 3:41:58 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 12/3/2009
Posts: 3,157
Location: Huddersfield
Hi Sheila,

Glad you were able to get in touch with the rheumy nurse, and hope she gets back to you soon.
It's a shame the rituximab hasn't worked for you, hope the next one you try works well!

Doreen xx
Users browsing this topic
New Topic Post Reply
Forum Jump  
You can post new topics in this forum.
You can reply to topics in this forum.
You cannot delete your posts in this forum.
You can edit your posts in this forum.
You cannot create polls in this forum.
You cannot vote in polls in this forum.

SoClean Theme By Jaben Cargman (Tiny Gecko)
Powered by YAF 1.9.3 | YAF © 2003-2009, Yet Another Forum.NET
This page was generated in 0.101 seconds.