Guest guest Posted November 4, 2008 Report Share Posted November 4, 2008 Group; I made an appointment to see the doctor tomorrow at 1:30 pm. My question is how can you tell your swelling foot is not from RA or from retaining fluid? I think with RA both feet would be swollen. hugs Clora From: <Rheumatoid.Arthritis.Support@...> Subject: [ ] RESEARCH - Prevalence and course of forefoot impairments and walking disability in the first eight years of RA " " < > Date: Tuesday, November 4, 2008, 12:50 PM Arthritis Rheum. 2008 Oct 30;59(11):1596- 1602. Prevalence and course of forefoot impairments and walking disability in the first eight years of rheumatoid arthritis. Leeden MV, Steultjens MP, Ursum J, Dahmen R, Roorda LD, Schaardenburg DV, Dekker J. Jan van Breemen Institute, Amsterdam, The Netherlands. OBJECTIVE: To evaluate the prevalence and 8-year course of forefoot impairments and walking disability in patients with rheumatoid arthritis (RA). METHODS: A total of 848 patients with recent-onset RA from 1995 through the present were included. The patients were assessed annually. Pain and swelling of the metatarsophalangeal (MTP) joints, erosions and joint space narrowing of the MTP joints and first interphalangeal joints, and the Health Assessment Questionnaire walking subscale were analyzed using descriptive and correlational techniques. RESULTS: Pain and swelling of >/=1 MTP joint was present in 70% of patients at baseline, decreasing to approximately 40-50% after 2 years. The forefoot erosion score was >/=1 in 19% of the patients at baseline, and the prevalence of forefoot erosion increased to approximately 60% after 8 years, during which the mean forefoot erosion score increased from 1.3 to 7.9. At least mild walking disability was present in 57% of patients at baseline, stabilizing at approximately 40% after 1 year. CONCLUSION: The prevalence rates for pain and swelling of the MTP joints and walking disability are initially high and then stabilize, but the prevalence and severity of forefoot joint damage increase during an 8-year course of RA. The findings of this study quantitatively emphasize the importance of forefoot involvement in patients with RA. PMID: 18975350 http://www.ncbi. nlm.nih.gov/ pubmed/18975350 Not an MD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2008 Report Share Posted November 4, 2008 hmmm well im not so sure. I have psoriatic ra and my right foot is the only one swelled most of the time, although i have crps also. They do xrays i imagine clora which mine did and mris Jolene In a message dated 11/4/2008 2:29:03 P.M. Eastern Standard Time, clora4jesus@... writes: Group; I made an appointment to see the doctor tomorrow at 1:30 pm. My question is how can you tell your swelling foot is not from RA or from retaining fluid? I think with RA both feet would be swollen. hugs Clora From: <_Rheumatoid.ArthritiRheumatoidRheumatoi_ (mailto:Rheumatoid.Arthritis.Support@...) > Subject: [ ] RESEARCH - Prevalence and course of forefoot impairments and walking disability in the first eight years of RA " " <_ @groRA-SUPP_ (mailto: ) > Date: Tuesday, November 4, 2008, 12:50 PM Arthritis Rheum. 2008 Oct 30;59(11):1596- 1602. Prevalence and course of forefoot impairments and walking disability in the first eight years of rheumatoid arthritis. Leeden MV, Steultjens MP, Ursum J, Dahmen R, Roorda LD, Schaardenburg DV, Dekker J. Jan van Breemen Institute, Amsterdam, The Netherlands. OBJECTIVE: To evaluate the prevalence and 8-year course of forefoot impairments and walking disability in patients with rheumatoid arthritis (RA). METHODS: A total of 848 patients with recent-onset RA from 1995 through the present were included. The patients were assessed annually. Pain and swelling of the metatarsophalangeal (MTP) joints, erosions and joint space narrowing of the MTP joints and first interphalangeal joints, and the Health Assessment Questionnaire walking subscale were analyzed using descriptive and correlational techniques. RESULTS: Pain and swelling of >/=1 MTP joint was present in 70% of patients at baseline, decreasing to approximately 40-50% after 2 years. The forefoot erosion score was >/=1 in 19% of the patients at baseline, and the prevalence of forefoot erosion increased to approximately 60% after 8 years, during which the mean forefoot erosion score increased from 1.3 to 7.9. At least mild walking disability was present in 57% of patients at baseline, stabilizing at approximately 40% after 1 year. CONCLUSION: The prevalence rates for pain and swelling of the MTP joints and walking disability are initially high and then stabilize, but the prevalence and severity of forefoot joint damage increase during an 8-year course of RA. The findings of this study quantitatively emphasize the importance of forefoot involvement in patients with RA. PMID: 18975350 _http://www.ncbi._ (http://www.ncbi./) nlm.nih.gov/ pubmed/18975350 Not an MD [Non-text portions of this message have been removed] **************Plan your next getaway with AOL Travel. Check out Today's Hot 5 Travel Deals! (http://pr.atwola.com/promoclk/100000075x1212416248x1200771803/aol?redir=http://\ travel.aol.com/discount-travel?ncid=emlcntustrav00000001) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2008 Report Share Posted November 5, 2008 Group; LOL It turned out my ankles (both now) are swollen from a reaction from Azor. Doctor prescribed a new med for my blood pressure. Two of the same kind of meds from before, but both meds at a lower dose. He took me off the other thinking they are causeing the migraines in my head. gentle hugs Clora ********************************************************* > hmmm well im not so sure. I have psoriatic ra and my right foot is the only > one swelled most of the time, > although i have crps also. > They do xrays i imagine clora which mine did and mris > Jolene > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2008 Report Share Posted November 5, 2008 I have psoriatic arthritis. It started with a stress fracture, then they though gout, etc etc, turned into nerve damage. I never had psoriasis till age 43 either. Took a long time to get the proper diagnosis that's for sure and even then the only thing that showed was the high crp and the psoriasis all over me. Gout there is a test for so they can see that. I would be thrilled if he does have psoriatic that they caught it so early as psoriatic is evil and can destroy very quickly. I have bone loss in my left foot that's how fast it can go. I take the methotrexate. Jolene In a message dated 11/5/2008 9:57:57 P.M. Eastern Standard Time, clora4jesus@... writes: Sue and group; Oh wow gout I heard was so bad that you can't even touch it lay anything on it. Isn't that something how pain can disappear the next day. I don't know if gout and PRA have same type of painl. If it does, than it is out of this world painful. My cousin had gout and he would cry if anyone even touched his toe. I have RA but not that kind of RA. I am so sorry that your son is in so much pain. I hope he gets better soon. God bless and take care. gentle hugs Clora ******************************************************* > > This weekend we went to see my son, who lives in South Carolina. Over > the last few years, he has had attacks of what had been diagnosed as > gout. Recently he had an attack during which he was in agony and could > hardly walk. His wife got him an appointment with a doctor that he had > not seen before, but she could see him right away. > > She told him that he might have psoriatic arthritis, although she > didn't do any blood work. She prescribed a steroid dose pack, and by > the next day his pain was gone. > > So do gout and psoriatic arthritis have symptoms that are the same? > > Sue > > On Tuesday, November 4, 2008, at 10:12 PM, Jolenefive@. On Tuesd > > > hmmm well im not so sure. I have psoriatic ra and my right foot is > > the only > > one swelled most of the time, > > although i have crps also. > **************AOL Search: Your one stop for directions, recipes and all other Holiday needs. Search Now. (http://pr.atwola.com/promoclk/100000075x1212792382x1200798498/aol?redir=http://\ searchblog.aol.com/2008/11/04/happy-holidays-from -aol-search/?ncid=emlcntussear00000001) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2008 Report Share Posted November 5, 2008 This weekend we went to see my son, who lives in South Carolina. Over the last few years, he has had attacks of what had been diagnosed as gout. Recently he had an attack during which he was in agony and could hardly walk. His wife got him an appointment with a doctor that he had not seen before, but she could see him right away. She told him that he might have psoriatic arthritis, although she didn't do any blood work. She prescribed a steroid dose pack, and by the next day his pain was gone. So do gout and psoriatic arthritis have symptoms that are the same? Sue On Tuesday, November 4, 2008, at 10:12 PM, Jolenefive@... wrote: > hmmm well im not so sure. I have psoriatic ra and my right foot is > the only > one swelled most of the time, > although i have crps also. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2008 Report Share Posted November 5, 2008 Sue, Does your son have psoriasis? When he has an attack, is it localized to one area? How did the previous physicians diagnose gout? Not an MD On Wed, Nov 5, 2008 at 6:30 PM, Sue <marysue@...> wrote: > This weekend we went to see my son, who lives in South Carolina. Over > the last few years, he has had attacks of what had been diagnosed as > gout. Recently he had an attack during which he was in agony and could > hardly walk. His wife got him an appointment with a doctor that he had > not seen before, but she could see him right away. > > She told him that he might have psoriatic arthritis, although she > didn't do any blood work. She prescribed a steroid dose pack, and by > the next day his pain was gone. > > So do gout and psoriatic arthritis have symptoms that are the same? > > Sue Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2008 Report Share Posted November 5, 2008 Sue and group; Oh wow gout I heard was so bad that you can't even touch it lay anything on it. Isn't that something how pain can disappear the next day. I don't know if gout and PRA have same type of painl. If it does, than it is out of this world painful. My cousin had gout and he would cry if anyone even touched his toe. I have RA but not that kind of RA. I am so sorry that your son is in so much pain. I hope he gets better soon. God bless and take care. gentle hugs Clora ******************************************************* > > This weekend we went to see my son, who lives in South Carolina. Over > the last few years, he has had attacks of what had been diagnosed as > gout. Recently he had an attack during which he was in agony and could > hardly walk. His wife got him an appointment with a doctor that he had > not seen before, but she could see him right away. > > She told him that he might have psoriatic arthritis, although she > didn't do any blood work. She prescribed a steroid dose pack, and by > the next day his pain was gone. > > So do gout and psoriatic arthritis have symptoms that are the same? > > Sue > > On Tuesday, November 4, 2008, at 10:12 PM, Jolenefive@... wrote: > > > hmmm well im not so sure. I have psoriatic ra and my right foot is > > the only > > one swelled most of the time, > > although i have crps also. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2008 Report Share Posted November 5, 2008 , I'm afraid that I don't know how the previous physicians diagnosed gout. I don't know if they did blood work or what. If they did, of course my son would not have gotten a copy of the results. When he has an attack, it is usually in one foot, I think. As far as I know, he does not have psoriasis. I don't know what the doctor saw that made her think about psoriatic arthritis. When I did some research, I found articles saying that steroids were being used for gout in some instances. I'm hoping that it's just gout, which is bad enough. Sue On Wednesday, November 5, 2008, at 07:42 PM, wrote: > Sue, > > Does your son have psoriasis? When he has an attack, is it localized > to one area? How did the previous physicians diagnose gout? > > > > Not an MD > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2008 Report Share Posted November 6, 2008 Sue, Next time he has an attack, he could request to have the synovial fluid of the affected joint analyzed for crystals. If monosodium urate monohydrate crystals are present, he has gout (100% specificity). If the crystals are not present, it doesn't mean he doesn't have gout. Not an MD On Wed, Nov 5, 2008 at 10:06 PM, Sue <marysue@...> wrote: > , > > I'm afraid that I don't know how the previous physicians diagnosed > gout. I don't know if they did blood work or what. If they did, of > course my son would not have gotten a copy of the results. > > When he has an attack, it is usually in one foot, I think. > > As far as I know, he does not have psoriasis. I don't know what the > doctor saw that made her think about psoriatic arthritis. > > When I did some research, I found articles saying that steroids were > being used for gout in some instances. > > I'm hoping that it's just gout, which is bad enough. > > Sue Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 2008 Report Share Posted November 7, 2008 I have psor.A. and my doc told me that it affects feet and ankles quite a bit, that I should pretty much expect increased pain and swelling with it, but I've had it for several years. I wear tuli heel orthotics, new balance tennies, and prop my feet up at work and at home when the swelling gets too bad. I walk with a cane if it's for any distance at all. I sure miss my prednisone, I've been off it for a year and feel like I have gotten a lot worse, mobility and pain- wise. blessings to you and your boy. hope they find what's going on and give him some relief. > > > hmmm well im not so sure. I have psoriatic ra and my right foot is > > the only > > one swelled most of the time, > > although i have crps also. > Quote Link to comment Share on other sites More sharing options...
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