Hi Barbara
I tend to get trochanteric bursitis and it is down to the RA, as Doreen explained. In the past I have had physio to strengthen the muscles but ultimately it required a steroid jab into the bursa to bring any relief. I have had a couple done by the GP that didn't work but then one done by ultrasound that went straight to the area of inflammation and was very successful. It can cover quite a large area, apparently, and ultrasound seems the best way of getting a longer lasting result.
The SIJ in the lumbar spine refers to the Sacroiliac Joints at the base of the spine. There are two and their function is to connect the lower spine to the bones of the pelvis. They can stiffen with age (degenerative) but generally they provide a self locking mechanism when we walk; the joints lock on one side as weight is transferred from one leg to the other.
Consequently pain from trochanteric bursitis affects the way we walk and may therefore also affect the lower spine and other areas as they become misaligned.
Basal crackles are often associated with inflammation or infection of the small bronchi, bronchioles, and alveoli. They are caused by the "popping open" of small airways and might suggest a minor infection.
At last things seem to be moving forward for you and with a DAS of 5.2 it's about time! Hope they can get you onto anti-tnf quickly and it will bring you some much needed relief.
Take care Barbara,
Lyn x
