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I have that snapping in my knees its strange isnt it.

Jolene

In a message dated 4/6/2008 9:13:52 P.M. Eastern Daylight Time,

jacyone@... writes:

It's now been four full weeks since the beginning of this flareup. I don't

have an official RA diagnosis yet, though that's what my primary care

physician thinks I have. The rheumatologist said it could be RA, or it could be

the

virus that " triggered " the flare mimicking RA. But all of my labs have been

normal/negative except my blood sugar is low and I'm a bit anemic.

Anyway... My hands and wrists have been the worst source of pain and

stiffness. For over two weeks now, I've been experiencing this pain on the

outside

edge of both wrists, near/alongside that bony bit that sticks up. It is

literally intense enough to take my breath away and make my knees weak for a

few

seconds every time it happens. For the past week, it's been accompanied by a

distinct snapping sensation and sound. It happens almost constantly now when I

twist/turn/pivot my wrists. Which is something that one does much more than

one realizes until it becomes a source of excruciating pain, lol.

Has anybody else experienced something like this? Any idea what exactly it

is? And is it typical of RA or is it possibly a symptom of something else all

together? And finally, what, if anything can you recommend to prevent or

alleviate it?!

Thanks so much!

Judy

[Non-text portions of this message have been removed]

**************Planning your summer road trip? Check out AOL Travel Guides.

(http://travel.aol.com/travel-guide/united-states?ncid=aoltrv00030000000016)

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I have it most commonly in my knees, yet it happens

frequently in my neck and hips and sometimes wrists

and fingers.

--- Jolenefive@... wrote:

> I have that snapping in my knees its strange isnt

> it.

>

> Jolene

>

>

> In a message dated 4/6/2008 9:13:52 P.M. Eastern

> Daylight Time,

> jacyone@... writes:

>

>

>

>

> It's now been four full weeks since the beginning of

> this flareup. I don't

> have an official RA diagnosis yet, though that's

> what my primary care

> physician thinks I have. The rheumatologist said it

> could be RA, or it could be the

> virus that " triggered " the flare mimicking RA. But

> all of my labs have been

> normal/negative except my blood sugar is low and I'm

> a bit anemic.

>

> Anyway... My hands and wrists have been the worst

> source of pain and

> stiffness. For over two weeks now, I've been

> experiencing this pain on the outside

> edge of both wrists, near/alongside that bony bit

> that sticks up. It is

> literally intense enough to take my breath away and

> make my knees weak for a few

> seconds every time it happens. For the past week,

> it's been accompanied by a

> distinct snapping sensation and sound. It happens

> almost constantly now when I

> twist/turn/pivot my wrists. Which is something that

> one does much more than

> one realizes until it becomes a source of

> excruciating pain, lol.

>

> Has anybody else experienced something like this?

> Any idea what exactly it

> is? And is it typical of RA or is it possibly a

> symptom of something else all

> together? And finally, what, if anything can you

> recommend to prevent or

> alleviate it?!

>

> Thanks so much!

>

> Judy

>

> [Non-text portions of this message have been

> removed]

>

>

>

>

>

>

>

> **************Planning your summer road trip? Check

> out AOL Travel Guides.

>

>

(http://travel.aol.com/travel-guide/united-states?ncid=aoltrv00030000000016)

>

>

> [Non-text portions of this message have been

> removed]

>

>

________________________________________________________________________________\

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Hi Judy-

I was first diagnosed thanks to my snapping wrists. That was 17 years ago, but

I had tremendous pain in the bony parts of my wrist, and endless snapping and

popping that was very painful. I still have the popping by the way, I've just

learned to live with it. I was officially diagnosed with RA, but I ended up

with a separate and dual diagnosis for my wrists- Kienbock's Syndrome. This is

vascular necrosis (the slow death of nerve endings) in particular bones in the

wrist. It is painful, a form of arthritis all on its own, and has no cure of

course. You can read up about it online. If you think that might be it, ask

your rheumy. The only way to diagnose Kienbock's is by getting a clear x-ray of

your lunar bones.

I'd like to suggest cold packs for your wrists. That may seem counter

intuitive- most people think " arthritis " and immediately apply heat. But RA

works differently, and most pain is caused by some underlying inflammation.

When I finally got a diagnosis, I was told that when my pain got very bad, ice

not heat. When my wrists get really bad, I do ice packs. It really helps. I

also use splints and/or wrist braces when my flares are bad, which seem to apply

enough pressure to keep my wrists (and ankles and neck) stable and decreases the

popping and cracking. With my Kienbock's, ice has made a lot of difference.

If you have ice packs, give it a try. If you go out and buy some, I suggest

getting ones filled with gel instead of actual ice. They conform to your joints

better, they're soft to the touch, and you can use them over and over with no

sweating, dripping, that kind of thing. I have two sets at home and one set at

work. Ibuprofen as well, if you're not on a pain killer at all. Aspirin and

Tylenol don't do the same thing biochemically as IB and other " profens, " so if

you haven't tried that for the pain I'd give it a try.

With RA, bloodwork is never as clear as we wish it would be. I can certainly

understand your frustration about blood numbers being something less than

definitive. That happens to me frequently, and I'm sure most of the others

could tell a similar story. For me, it became a question of who I trusted and

who I felt was telling me the truth. If you don't trust your rheumy, or you

think rheumy is not being proactive, or if you think your rheumy isn't

listening, find another one. I went through a couple before I finally landed on

the right one. Anemia is a sign of RA, if you don't have any sources of

bleeding (that includes menstruation), but it can also be caused by medication,

lack of iron in the diet, even too much soda can drop your iron levels. I have

Anemia of Chronic Illness (thanks RA!), so I've learned a ton about iron over

the years. If you trust this rheumy, then a clear diagnosis will take some

time- they'll want bloodwork over time to follow the numbers, imaging of joints,

and so on.

Best way to get your iron levels up is through the diet. Strangely enough,

there are three kinds of food that can get it up very fast. The key is to

combine iron rich foods with Vitamin C. Iron travels through the bloodstream

more quickly in a Vit C carrier. So, I suggest there things. Eat beef with

green peppers (they have as much Vit C as an orange), eat canned green beans

(canned green beans have more iron than fresh), and eat spinach salads with

mandarin oranges and cranberries in them. If you like dessert, try to get

something with molasses in it.

I hope all of this helps. Hang in there- I know that you must be so frustrated,

but it will get better.

Amber (aka amayfaire)

@...: jacyone@...: Sun, 6 Apr 2008

21:00:49 -0400Subject: [ ] " Snapping " Wrists?

It's now been four full weeks since the beginning of this flareup. I don't have

an official RA diagnosis yet, though that's what my primary care physician

thinks I have. The rheumatologist said it could be RA, or it could be the virus

that " triggered " the flare mimicking RA. But all of my labs have been

normal/negative except my blood sugar is low and I'm a bit anemic.Anyway... My

hands and wrists have been the worst source of pain and stiffness. For over two

weeks now, I've been experiencing this pain on the outside edge of both wrists,

near/alongside that bony bit that sticks up. It is literally intense enough to

take my breath away and make my knees weak for a few seconds every time it

happens. For the past week, it's been accompanied by a distinct snapping

sensation and sound. It happens almost constantly now when I twist/turn/pivot my

wrists. Which is something that one does much more than one realizes until it

becomes a source of excruciating pain, lol.Has anybody else experienced

something like this? Any idea what exactly it is? And is it typical of RA or is

it possibly a symptom of something else all together? And finally, what, if

anything can you recommend to prevent or alleviate it?!Thanks so

much!Judy

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My AS son also has this " snapping " in his ankles, feet, toes, knees

and fingers which is where he also has the most arthritis pain.

Coincidence?? Sorry, but we don't know of any way to stop it yet...

>

> I have that snapping in my knees its strange isnt it.

>

> Jolene

>

>

> In a message dated 4/6/2008 9:13:52 P.M. Eastern Daylight Time,

> jacyone@... writes:

>

>

>

>

> It's now been four full weeks since the beginning of this flareup.

I don't

> have an official RA diagnosis yet, though that's what my primary

care

> physician thinks I have. The rheumatologist said it could be RA, or

it could be the

> virus that " triggered " the flare mimicking RA. But all of my labs

have been

> normal/negative except my blood sugar is low and I'm a bit anemic.

>

> Anyway... My hands and wrists have been the worst source of pain

and

> stiffness. For over two weeks now, I've been experiencing this

pain on the outside

> edge of both wrists, near/alongside that bony bit that sticks up.

It is

> literally intense enough to take my breath away and make my knees

weak for a few

> seconds every time it happens. For the past week, it's been

accompanied by a

> distinct snapping sensation and sound. It happens almost

constantly now when I

> twist/turn/pivot my wrists. Which is something that one does much

more than

> one realizes until it becomes a source of excruciating pain, lol.

>

> Has anybody else experienced something like this? Any idea what

exactly it

> is? And is it typical of RA or is it possibly a symptom of

something else all

> together? And finally, what, if anything can you recommend to

prevent or

> alleviate it?!

>

> Thanks so much!

>

> Judy

>

> [Non-text portions of this message have been removed]

>

>

>

>

>

>

>

> **************Planning your summer road trip? Check out AOL Travel

Guides.

> (http://travel.aol.com/travel-guide/united-states?

ncid=aoltrv00030000000016)

>

>

>

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I have asked this question to my doctor in the past. It is common to have

cracking and popping sounds in the joints due to the changes in cartilage from

the arthritis. Here is a good article on some other things that might happen

http://www.orthop.washington.edu/uw/arthritis/tabID__3376/ItemID__179/Articles/D\

efault.aspx

Myndi Fitzgerald <the7fitzs@...> wrote: My AS

son also has this " snapping " in his ankles, feet, toes, knees

and fingers which is where he also has the most arthritis pain.

Coincidence?? Sorry, but we don't know of any way to stop it yet...

>

> I have that snapping in my knees its strange isnt it.

>

> Jolene

>

>

> In a message dated 4/6/2008 9:13:52 P.M. Eastern Daylight Time,

> jacyone@... writes:

>

>

>

>

> It's now been four full weeks since the beginning of this flareup.

I don't

> have an official RA diagnosis yet, though that's what my primary

care

> physician thinks I have. The rheumatologist said it could be RA, or

it could be the

> virus that " triggered " the flare mimicking RA. But all of my labs

have been

> normal/negative except my blood sugar is low and I'm a bit anemic.

>

> Anyway... My hands and wrists have been the worst source of pain

and

> stiffness. For over two weeks now, I've been experiencing this

pain on the outside

> edge of both wrists, near/alongside that bony bit that sticks up.

It is

> literally intense enough to take my breath away and make my knees

weak for a few

> seconds every time it happens. For the past week, it's been

accompanied by a

> distinct snapping sensation and sound. It happens almost

constantly now when I

> twist/turn/pivot my wrists. Which is something that one does much

more than

> one realizes until it becomes a source of excruciating pain, lol.

>

> Has anybody else experienced something like this? Any idea what

exactly it

> is? And is it typical of RA or is it possibly a symptom of

something else all

> together? And finally, what, if anything can you recommend to

prevent or

> alleviate it?!

>

> Thanks so much!

>

> Judy

>

> [Non-text portions of this message have been removed]

>

>

>

>

>

>

>

> **************Planning your summer road trip? Check out AOL Travel

Guides.

> (http://travel.aol.com/travel-guide/united-states?

ncid=aoltrv00030000000016)

>

>

>

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Thanks to all that have responded. I think I may not have been clear in

describing what I'm experiencing. This isn't the usual (usual for our group

anyway!) joint cracking and popping that and others describe. This

is way different. It's not actually in my wrist joint, it's along-side it. And

it feels like a rubber band is being snapped in there, if that makes any sense??

Also, something else that's started occurring in the the past couple of weeks

and is progressively getting worse is that when I wake in the morning, my

fingers are " locked " in the curled up/fist position and I have to forcefully

unfold them to get them straight. And it hurts, of course! It began with just

one finger but now it's the ring and middle finger on both hands just about

every morning. Is this typical of RA?

Once again, I appreciate any information or advice those with more experience

can share!

Judy

Re: [ ] Re: " Snapping " Wrists?

I have asked this question to my doctor in the past. It is common to have

cracking and popping sounds in the joints due to the changes in cartilage from

the arthritis. Here is a good article on some other things that might happen

http://www.orthop.washington.edu/uw/arthritis/tabID__3376/ItemID__179/Articles/D\

efault.aspx

Myndi Fitzgerald <the7fitzs@...> wrote: My AS son also has this

" snapping " in his ankles, feet, toes, knees

and fingers which is where he also has the most arthritis pain.

Coincidence?? Sorry, but we don't know of any way to stop it yet...

>

> I have that snapping in my knees its strange isnt it.

>

> Jolene

>

>

> In a message dated 4/6/2008 9:13:52 P.M. Eastern Daylight Time,

> jacyone@... writes:

>

>

>

>

> It's now been four full weeks since the beginning of this flareup.

I don't

> have an official RA diagnosis yet, though that's what my primary

care

> physician thinks I have. The rheumatologist said it could be RA, or

it could be the

> virus that " triggered " the flare mimicking RA. But all of my labs

have been

> normal/negative except my blood sugar is low and I'm a bit anemic.

>

> Anyway... My hands and wrists have been the worst source of pain

and

> stiffness. For over two weeks now, I've been experiencing this

pain on the outside

> edge of both wrists, near/alongside that bony bit that sticks up.

It is

> literally intense enough to take my breath away and make my knees

weak for a few

> seconds every time it happens. For the past week, it's been

accompanied by a

> distinct snapping sensation and sound. It happens almost

constantly now when I

> twist/turn/pivot my wrists. Which is something that one does much

more than

> one realizes until it becomes a source of excruciating pain, lol.

>

> Has anybody else experienced something like this? Any idea what

exactly it

> is? And is it typical of RA or is it possibly a symptom of

something else all

> together? And finally, what, if anything can you recommend to

prevent or

> alleviate it?!

>

> Thanks so much!

>

> Judy

>

>

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Hi Judy-

I wake up every day with my fingers curled, and usually sleep on my hands to

keep them flat while I sleep. Otherwise, i wake up in pain with curled fists.

It often happens when I've had long periods of rest as well- I noticed last week

after I sat in a two-hour lecture that my fingers were curling into my palm.

I've had times where I had to ask my partner to straighten my fingers for me. I

don't know if its typical or not, but I've never had a rheumy even blink at

that.

The rubber band feeling might be a muscle or tendon tear. If it feels like a

snapping rubber band, that sounds like muscle and tendon, not so much joint.

But if you're having muscular atrophy in the wrists and hands, then muscle

tearing or tendon stress wouldn't be out of the question. I don't know if that

is standard either- I've never dealt with that in particular.

Have they done any ct scans or MRI? If you have a muscle or tendon damage, they

can't always find that on the x-ray.

Hope this helps some.

Amber (amayfaire)

@...: jacyone@...: Wed, 9 Apr 2008

14:41:27 -0400Subject: Re: [ ] Re: " Snapping " Wrists?

Thanks to all that have responded. I think I may not have been clear in

describing what I'm experiencing. This isn't the usual (usual for our group

anyway!) joint cracking and popping that and others describe. This is

way different. It's not actually in my wrist joint, it's along-side it. And it

feels like a rubber band is being snapped in there, if that makes any

sense??Also, something else that's started occurring in the the past couple of

weeks and is progressively getting worse is that when I wake in the morning, my

fingers are " locked " in the curled up/fist position and I have to forcefully

unfold them to get them straight. And it hurts, of course! It began with just

one finger but now it's the ring and middle finger on both hands just about

every morning. Is this typical of RA?Once again, I appreciate any information or

advice those with more experience can share!Judy Re: [ ] Re: " Snapping " Wrists?I have asked this

question to my doctor in the past. It is common to have cracking and popping

sounds in the joints due to the changes in cartilage from the arthritis. Here is

a good article on some other things that might

happenhttp://www.orthop.washington.edu/uw/arthritis/tabID__3376/ItemID__179/Arti\

cles/Default.aspxMyndi Fitzgerald <the7fitzs@...> wrote: My AS son also

has this " snapping " in his ankles, feet, toes, knees and fingers which is where

he also has the most arthritis pain. Coincidence?? Sorry, but we don't know of

any way to stop it yet...--- In , Jolenefive@...

wrote:>> I have that snapping in my knees its strange isnt it.> > Jolene> > > In

a message dated 4/6/2008 9:13:52 P.M. Eastern Daylight Time, > jacyone@...

writes:> > > > > It's now been four full weeks since the beginning of this

flareup. I don't > have an official RA diagnosis yet, though that's what my

primary care > physician thinks I have. The rheumatologist said it could be RA,

or it could be the > virus that " triggered " the flare mimicking RA. But all of

my labs have been > normal/negative except my blood sugar is low and I'm a bit

anemic.> > Anyway... My hands and wrists have been the worst source of pain and

> stiffness. For over two weeks now, I've been experiencing this pain on the

outside > edge of both wrists, near/alongside that bony bit that sticks up. It

is > literally intense enough to take my breath away and make my knees weak for

a few > seconds every time it happens. For the past week, it's been accompanied

by a > distinct snapping sensation and sound. It happens almost constantly now

when I > twist/turn/pivot my wrists. Which is something that one does much more

than > one realizes until it becomes a source of excruciating pain, lol.> > Has

anybody else experienced something like this? Any idea what exactly it > is? And

is it typical of RA or is it possibly a symptom of something else all >

together? And finally, what, if anything can you recommend to prevent or >

alleviate it?!> > Thanks so much!> > Judy> > [Non-text portions of this message

have been removed]> > > > > > > > **************Planning your summer road trip?

Check out AOL Travel Guides. >

(http://travel.aol.com/travel-guide/united-states?ncid=aoltrv00030000000016)> >

> [Non-text portions of this message have been

removed]>__________________________________________________

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What you are describing with your fingers is called Trigger Finger.

I've gotten this as part of my RA. It's tendonitis, tendon shealth

inflammation, and you should call your Rheumy and let him know this is

happening. I went to an Occupational Therapist for finger splints and

exercises to get my fingers straighten out. One finger finally had to

have a cortisone shot to help with the pain and get it to straighten.

The popping in the wrist, could also be problems with your tendons

along the ulna bone. Yes, it's a RA thing. No, it's not just like

cracking your knuckles. Yes, you do want your doctor to know. This

can get extremely painful. At least that was my experience.

>

> Thanks to all that have responded. I think I may not have been

clear in describing what I'm experiencing. This isn't the usual

(usual for our group anyway!) joint cracking and popping that

and others describe. This is way different. It's not

actually in my wrist joint, it's along-side it. And it feels like a

rubber band is being snapped in there, if that makes any sense??

>

> Also, something else that's started occurring in the the past couple

of weeks and is progressively getting worse is that when I wake in the

morning, my fingers are " locked " in the curled up/fist position and I

have to forcefully unfold them to get them straight. And it hurts, of

course! It began with just one finger but now it's the ring and

middle finger on both hands just about every morning. Is this typical

of RA?

>

> Once again, I appreciate any information or advice those with more

experience can share!

>

> Judy

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Judy,

As mentioned, what you're describing about your fingers sounds a lot

like triggering. I would mention it to your physician ASAP.

Your wrist symptoms also sound like inflammation affecting the tendons. Do

ask about that, too.

There is such a thing as " trigger wrist, " but it's uncommon.

Not an MD

> Re: [ ] Re: " Snapping " Wrists?

>

> Thanks to all that have responded. I think I may not have been clear in

describing

> what I'm experiencing. This isn't the usual (usual for our group anyway!)

joint

> cracking and popping that and others describe. This is way

different. It's

> not actually in my wrist joint, it's along-side it. And it feels like a

rubber band is being

> snapped in there, if that makes any sense??

>

> Also, something else that's started occurring in the the past couple of

weeks and is

> progressively getting worse is that when I wake in the morning, my fingers

are

> " locked " in the curled up/fist position and I have to forcefully unfold

them to get them

> straight. And it hurts, of course! It began with just one finger but now

it's the ring

> and middle finger on both hands just about every morning. Is this typical

of RA?

>

> Once again, I appreciate any information or advice those with more

experience can

> share!

>

> Judy

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