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> Hi, I am 54 years old and have been suffering with something for a

> long time, I have all kinds of diagnosis, from gout to

> osteomyelitis. The bottom line is I am in severe pain and totally

> exhausted most of the time. I was sent to a specialist at Stanford

> University, and he thinks it may be PA my Dr. thinks it is RA. I

am

> just struggling with all of this, trying to cope with what is going

> on, etc. I am afraid. I asked if I should be on disability, and

the

> Dr. say if I am, I will freeze up and not be able to move??? I

guess

> I just need someone to ask questions, etc. (the dumb questions),

> C

C,

It really doesn't matter too much whether it is PA or RA since the

treatment is pretty much the same. A good anti-inflammatory along

with a pill to protect the stomach and also a DMARD to fight the

arthritis. Plenty of rest and plenty of water to flush the body to

let the meds work.

It takes awhile for the meds to work and if you can hold out you will

be better able to judge if you need to go out on disability. The doc

is right when he/she says to keep moving. PA might try to lock up the

tendons and when they start pulling they hurt like the dickens. I

originally thought of arthitits as messing up the bones but so far my

bones are great but it is the soft tissue and tendons causing the

most problems. Being afraid and being angry and being depressed and

etc are part of coping and fighting this arthritis.

Take care,

PatB

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--- gramacarola <Dandcmayer@...> wrote:

> Hi, I am 54 years old and have been suffering with

> something for a

> long time, I have all kinds of diagnosis, from gout

> to

> osteomyelitis. The bottom line is I am in severe

> pain and totally

> exhausted most of the time. I was sent to a

> specialist at Stanford

> University, and he thinks it may be PA my Dr. thinks

> it is RA. I am

> just struggling with all of this, trying to cope

> with what is going

> on, etc. I am afraid. I asked if I should be on

> disability, and the

> Dr. say if I am, I will freeze up and not be able to

> move??? I guess

> I just need someone to ask questions, etc. (the dumb

> questions),

> C

>

>C,

Go on and ask your dumb questions and I just may have

a dumb answer. As for the dr. saying you will " freeze

up " , I don't think so. I have had PA for several

years and have been on disability. I am not frozen,

although I understand the fatigue of which you speak.

I don't believe I could hold a job because of that and

the only jobs I ever had were clerical and I have

hand, wrist, elbow, and finger involvment. It is not

a fun thing to have but it is treatable. I say go

with a rheumatologist, not a general dr. Too many

hand out meds too freely and don't monitor as they

should. My sister-in-law was given Celebrex for

menstral cramps and was not even asked if she was

allergic to sulpha compounds. Any more questions you

have, I'd be glad to see. Don't be afraid--you are not

alone.

Eva

>

__________________________________________________

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  • 10 months later...
Guest guest

> Hi My name is Janine. I am 32 and newly diagnosed with Psoriatic

> arthritis. I really dont know what to expect and am afriad of what

> the future will bring.

>

> [Editor's Note:

>

> Welcome, Janine. As you note, having been newly diagnosed is

a time of

> considerable anxiety and fear about the future. One thought from my

own experience: I was first struck with, and hospitalized by,

psoriatic arthritis almost 40 years ago. At that time, even in the

hospital setting, the docs were clueless (I had no psoriasis at the

time), and went through 2 or 3 different diagnoses (and treatments).

It wasn't until a year later that I encountered a really bright and

intuitive doc who got it right. Of course, getting the right

diagnosis was of relatively little use, clinically; there were very

few drugs that were of any use prophylactically, and none that

addressed PsA directly, such as the new DMARDs (Disease modifying

anti-rheumatic drugs).

> Today, there is considerably better awareness of PsA amongst

medical professionals, and a wide armamentarium of meds for

treatment. While there is stil no cure, the outlook--prognosis--for

PsA patients generally is considerably brighter than it was in 1963.

> Psoriatic arthritis is still not as well-understood as many

other diseases, and some of the drugs we have available come with

their own set of challenges. Nevertheless, I think you will find, if

you spend some time at this site, reading past postings that interest

you, asking questions of the members (many of whom have considerable

knowledge and experience with PsA), and reviewing the database, et

cetera, you will find that your fears and anxiety are considerably

lessened. And of course, you have the rest of us to talk to.

> Take care.

>

> D.]

Thank you for the encouraging words. It took many years of

complaining of bad pains in my legs and back being pretty much

ignored and then finally when my finger swelled up (and perminently

disformed) and they couldnt find the gout they swore it was, for

someone to finally figure out that I had PsA. Im so glad I found a

place where I could be understood and people dont think Im just

exaggerating the pain Im sometimes in. Where my fears are

understood and can be faced with the help of caring people. Thank

you.

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Guest guest

Hi Janine,

I got diagnosed last year when I was 32 also. I've learned more here than

from most doctors. I think you will see that everyone's experience is

different, but my advice is to read as much as you can about this...you have

to be your own advocate with this kind of disease...feel free to email me

directly if you ever need to just chat.

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Guest guest

Hi Janine,

I was diagnosed with PA 10 years ago, having suffered with it for 5

years up until then. I like to point out that people have different

experiences with PA. For some, it can be very debilitating, for

other not. For example, I am physically active and participate in

sports. My ability to do so has increased over the last ten years,

as improved medications became available and I learned what

treatments, exercises, etc. worked best for me. I take 2 pills twice

per day and do some daily stretching and strengthening exercises. I

have symptoms, but nothing that stops me from doing what I want.

Good luck.

Fred

> Hi My name is Janine. I am 32 and newly diagnosed with Psoriatic

> arthritis. I really dont know what to expect and am afriad of what

> the future will bring.

>

> [Editor's Note:

>

> Welcome, Janine. As you note, having been newly diagnosed is

a time of

> considerable anxiety and fear about the future. One thought from my

own experience: I was first struck with, and hospitalized by,

psoriatic arthritis almost 40 years ago. At that time, even in the

hospital setting, the docs were clueless (I had no psoriasis at the

time), and went through 2 or 3 different diagnoses (and treatments).

It wasn't until a year later that I encountered a really bright and

intuitive doc who got it right. Of course, getting the right

diagnosis was of relatively little use, clinically; there were very

few drugs that were of any use prophylactically, and none that

addressed PsA directly, such as the new DMARDs (Disease modifying

anti-rheumatic drugs).

> Today, there is considerably better awareness of PsA amongst

medical professionals, and a wide armamentarium of meds for

treatment. While there is stil no cure, the outlook--prognosis--for

PsA patients generally is considerably brighter than it was in 1963.

> Psoriatic arthritis is still not as well-understood as many

other diseases, and some of the drugs we have available come with

their own set of challenges. Nevertheless, I think you will find, if

you spend some time at this site, reading past postings that interest

you, asking questions of the members (many of whom have considerable

knowledge and experience with PsA), and reviewing the database, et

cetera, you will find that your fears and anxiety are considerably

lessened. And of course, you have the rest of us to talk to.

> Take care.

>

> D.]

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  • 9 months later...

Hi Dawn,

Get the boy on Enbrel and do it as quickly as the Dr. will do it. I don't know

what the rules are for the fire department. But I do know what the Enbrel will

do for the symptoms. I have had P since I was 18 and PA for probably the last 10

years (I am now 51). PA is not always easy to diagnose. The Enbrel has been a

wonder drug for me and hopefully you can get your son on it. My P has cleared up

entirely and the PA is something that is manageable. I shudder to think what I

might feel like without it. My thoughts and prayers are with you and yours as

you try to live with the negative that God has given us. For everything, there

is a reason. Hang in there and know that all of us on this site are with you!!

Terri B.

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Dawn, Welcome to the group and to your son also! What is his name? I had P

in high school and now have P and PA. It is hard to deal with at his age with

peers always wondering what is " wrong " ....I hope he does get help from his

new Rheumy and I am sure he will get something to help him. You might want to

(with your son, too if he will) look through the previous posts just to get an

idea of what is available for him prior to going to the doctor. If you can

get to him participate in thise site I think he will find that many here can

relate to his concerns. Good Luck! (Va.)

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Hi Dawn,

My name is and I am 23. I am new to this group

although I have had Psoriasis and PA since I was 17.

Admittedly, I have only had PA in my hands (on and off

over the years) but recently had my first huge flare

in my feet which was complicated by tendonitis in my

knees, hips, and shoulder joints. For months I could

barely get out of bed and when I did I usually sat

around because I was in so much pain. I know many

people with PA take anti-depressants to handle the

psychological battle of this condition, however in

your sons case I would rather recommend that he remain

as active as he can. When we exercise our body

produces endorphins which make us feel better and also

relieve pain. I know what you're thinking...how can he

exercise with bad feet? Well, what has worked for me

is swimming and pool exercises. When you are in the

water there is virtually no pressure on your joints

and I feel like I don't even have PA at all. So maybe

try taking him down to the local pools (if you have

some nearby).

I know this probably wont work for everyone but it has

helped me by lifting my spirits (not so depressed

about my condition) and the exercise makes me less

stiff in the mornings. It would definitely be good for

your son if he wants to pursue a more active career.

As I said I am new to the group but I have found that

reading others peoples stories and recommendations

have made me feel less alone when emotionally dealing

with this condition. I think talking can help a lot in

some cases, so if your son or yourself ever needs an

ear from someone in a similar position just e-mail me

and I will be glad to help.

Good luck to you both!

******

--- dmstanfa3 <dmstanfa3@...> wrote: > Hi my

name is Dawn and I have a 17 year old son that

> was just

> diagnosed with psoriatic arthritis. He is covered

> in the sores, and

> his nails are crumbling and falling off. (very

> difficult for a

> senior in high school.) He was referred to a

> podiatrist for foot

> pain that has lasted 5 months. He took his shoes

> off and stood for

> the doctor and he immediately knew because of the

> sausage toe. His

> opposite ankle is turned in and he is flat footed.

> He is making him

> shoe inserts. His next step is to see a arthritis

> specialist. He

> did also give him an anti-inflammatory. He is very

> depressed! He

> has planned to go to college to become a

> fireman/paramedic. Can

> anyone out there tell me if this is still possible?

> Does pa ever

> get under control? (pain free) If any one can help,

> I would

> appreciate hearing from you. I am very sad for him

> and want to help.

> thank you so much, Dawn

>

>

>

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e is very depressed! He

> has planned to go to college to become a fireman/paramedic. Can

> anyone out there tell me if this is still possible? Does pa ever

> get under control? (pain free) If any one can help, I would

> appreciate hearing from you. I am very sad for him and want to

help.

> thank you so much, Dawn

Hi Dawn,

I am so sorry about your son's diagnosis. And I agree, crumbling

nails in high school is very difficult. the good news is there are

now more options for treating the PA than ever before. Psoriasis.org

has good information on the different medicines. also, it is thought

that the earlier the disase is treated the better the outcome for the

patient. You caught your son's problem early so that is in his

favor. Other than that-one thing we learn on the board is how

different each person is. I sure could never have been a firewoman

but I think of Fred who goes skiing and plays ball so it may be a

possibility. Some people do have pain-free periods in there life. It

varies again. Sure wish I could be absolutely more positive for

you...but there is hope.

Regards,

Marti

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Dawn, Ask the arthritis specialist, because the severity of the

disease could be lessened enough that such a career might be

possible, at least for enough years to make the training valuable.

Also, Dawn, stay in touch with this group. There are so many

wonderful people here and more join weekly. There is plenty of

comfort and support both for the PA patient and the family and

caretakers. You will need our support as you work through this with

your son. I'm sure he sees himself as an altruist hero in the making.

If the doctor discovers that his planned future is not going to pan

out that way, you will need a lot of comfort from somewhere - and we

know what he is going through with - some to greater extent than

others, but all have had dreams shattered.

And see if you can get him to join. I'm not sure how many teens we

have but there are plenty of people in the early and mid twenties

here that can be support system for him and a source of new, caring

friends.

Wishing you good news from the specialist, JudiRose

> Hi my name is Dawn and I have a 17 year old son that was just

> diagnosed with psoriatic arthritis. He is covered in the sores,

and

> his nails are crumbling and falling off. (very difficult for a

> senior in high school.) He was referred to a podiatrist for foot

> pain that has lasted 5 months. He took his shoes off and stood for

> the doctor and he immediately knew because of the sausage toe. His

> opposite ankle is turned in and he is flat footed. He is making

him

> shoe inserts. His next step is to see a arthritis specialist. He

> did also give him an anti-inflammatory. He is very depressed! He

> has planned to go to college to become a fireman/paramedic. Can

> anyone out there tell me if this is still possible? Does pa ever

> get under control? (pain free) If any one can help, I would

> appreciate hearing from you. I am very sad for him and want to

help.

> thank you so much, Dawn

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Yes, he can still become a fireman/paramedic. Get him to a

rheumatologist ASAP so he can be started on medcications. This is

especially important before any permanent joint damage occurs. Ask

the rheumatologist if he has any patients around the same age that

your son could talk to so he knows what to expect. I found this very

helpful when I was first diagnosed so I knew my life was not going to

end. Contact your local Arthritis Foundation so you can obtain

literature or maybe they have a list of people he can talk to. You

could also get him active with this group so he can become more

knowledgable of the disease. My PA has affected my nails also (both

toes and fingernails). Methotrexate and Enbrel are a wonderful

combination for this. I am sorry I rattledd on but please make an

appointment with a Rheumatologist tomorrow.

ALison

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Dawn,

Another thing to consider is to have a good occupational therapist evaluate him.

They

do not treat symptoms but they can show him how to maintain joint flexiblity

during

flareups. It is critical to exersize an inflamed joint as it will freeze up and

loose

mobility if you let it run its course. It hurts like hell but the saying is true

with regard

to PA. Use it or loose it. If you let an inflamed joint run its course you will

loose it.

Tom

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Thank you so much. I'm feeling quite helpless at the moment.

Hearing from people is great. He is so frustrated. He says he

looks ugly from all the sores and the pain is terrible. He is on an

anti-inflamatory from the podiatrist. He will be seeing

rheumotologist (bad spelling) soon. Thanks for the encouragement.

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thanks alison for the words of encouragement. It is very

frustrating as a parent to see your child go through this. Anyone

out there that has an active job, please let me know. Thank you

everyone!!! Dawn

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Hi Dawn,

I am still kind of a lurker here, although I read all posts everyday.

I am 45 and was diagnosed 2 months ago, although I am sure the Pa was

there before that. I have ps since I was 12. My feet,toes, hands and

wrists and knees are all affected by this. At present, I work full

time as an aide in a special education classroom and go to school

full time for my psych/ teaching degree.I am also a wife to a very

supportive husband and have two children ages 12, 13. My son has ps

and it scares me to think that he could end up with PA.

I am on MTX and celebrex and folic acid. I will be starting enbrel in

about a month. Life is sometimes very hard, its hurts so bad but I

just can't give up my dream of teaching. It is getting harder and

harder to get out to work each day. I have had 3 lung infections in

the past two months which take all my strength away. Sometimes I

don't know whether I am fighting off infections or the disease.

Working in an elementary school with developmenatlly challenged

children is tough when it comes to colds and infections.

I don't know whether I will ever be able to attain my dream of

teaching but I won't give up as long as my body gives me a chance. If

I get to the point when I can't do this anymore at least I know I

gave it my best shot and will not be too disappointed. The Pa is

progressing quickly and I just hope the enbrel works when I get it.

I hope your son is able to follow his dreams. With the wonderful new

meds out there, there is hope. This is a wonderful site. The people

are so caring and sincere, that they feel like friends to me, even

though I don't post often.

Sorry this post was soooo long. I don't post often, but when I do, I

can't stop. Thanks for listening

Pat

> thanks alison for the words of encouragement. It is very

> frustrating as a parent to see your child go through this. Anyone

> out there that has an active job, please let me know. Thank you

> everyone!!! Dawn

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Dawn:

I work full-time 40+ hours and am raising two kids, a 5 1/2 year-old

and a 3 1/2 year-old with my hubby. Yesterday and today was the first

time I didn't work due to my arthritis in about 2 years. Thank

goodness for some of the meds I take or I wouldn't be allowed to

work. When you have a chance go to the Enbrel website-

http://www.enbrel.com

You will see stories of people that thanks to enbrel are back doing

what they love, rock climbing, running marathons, being a normal kid

or parent.

Alison

> thanks alison for the words of encouragement. It is very

> frustrating as a parent to see your child go through this. Anyone

> out there that has an active job, please let me know. Thank you

> everyone!!! Dawn

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  • 7 months later...

Hi slsgoins and welcome,

Sorry that I can't help you with your queries but no doubt someone will. I

share your worry over the children. My son also has allergies too and he has

enough to contend with without adding this to it.

Good luck,

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  • 1 year later...
Guest guest

In a message dated 08/05/2006 11:08:08 GMT Daylight Time, momslpjoy@...

writes:

I was diagnosed with PA 2 weeks or so ago when my knee and leg swelled

up. I have some stubborn patches of psoriasis on my joints. I was put

on sulfalazine and broke out in horrible, itchy hives and am

consequently back on prednisone. I HATE Taking these medications!

What do they usually do next? All those other medications sound so

scary. Luckily for me, my husband works for the arthritis clinic in

our town so I was able to get in with a rheumatlogist immediately.

I look forward to learning much more about everyone and also this

pesky disease.

Hi Ally,

Welcome to the group. Yes, I know you have been here since the beginning of

May but you will get used to me answering posts with a lengthy delay! lol

I think I have managed to get myself so far behind this time that I won't be

able to catch up.

I'm glad you found us but sorry about your diagnosis. Having said that it is

good to get the diagnosis so they can start to do something about it. I hope

you have managed to get over your fears about the drugs by now and have started

your counterattack on this disease.

Under the circumstances your husband has a very good job. lol

Reading on to later posts from you, I see Kathy answered your questions about

the next line of drugs and exercise. I used to do something called 'Deep

water jogging' where you would do an exaggerated running movement in the pool.

(You don't want your feet to be able to touch the bottom of the pool) Some

people

wear a float belt while doing it but I didn't use that. You have to work

pretty hard but it was very beneficial. I really need to get back to the pool

myself. I'm getting lazy. lol

I hope you have managed to find a drug that is working for you by now. If you

have any questions, just ask. There is always someone who can answer although

if it is me, it might be sometime next year! lol

Take care,

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  • 2 years later...

Arava has been a godsend to me for the past five years that I have been taking

it. I am now going to start Enbrel but I will continue to take Arava. It has

kept the swelling in my ankles and hands down. I think it will help you.

Don't be afraid. It is a taxing disease, but you will have good spells too. Good

Luck and God Bless

Walt

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  • 3 weeks later...

What kind of doctor diagnosed this? A rheumatologist?

" Lukoff " <lukoff@...>

On Mon, Sep 22, 2008 at 11:16 AM, dakotalicsw <dakotalicsw@...> \

<<Hi, this is all new to me. I am 31 years old and was diagnosed with PA

three weeks ago after jumping through doctors and medical hoops. The PA is in my

ankles and when diagnosis my doctor looked at me and said prepare>>

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Dakota, I'm 44 and have had arthritis since 8 and P since age 16.  I have

arthritis in many joints and have had a total hip replacement and both knees

this year.  My feet and ankles are also in bad shape, especially my L ankle

which I broke 2.5 years ago.  I'm told that I'm ready to have a foot fusion and

an ankle replacement, when I'm ready.  AND, my doctor has never told me that I

would be in a wheel chair and I'm not planning on it until I'm really, really

old.  I'm not sure what kind of treatment your Dr. is prescribing but today,

many medications can control the disease.  Please, this is not time to resign

yourself to giving into the disease.  Being newly diagnosed means there are

many, many different treatments to be tried to find the one that works best for

you.  As for selling your home, you'll have to judge if you're ready for that. 

I'm all for adjusting the things around me to make my life easier.  I was

convinced to sell my house

after that ankle fracture where I fell in my terrible driveway.  Yes, it was a

struggle to have a flight of stairs when I went through all those surgeries;

however, I'm not ready to sell.  However, when I do sell, my next home will be

single-story and won't have a steep driveway.    You'll know when it's time.  In

the meantime, don't let that doctor with the stinky bedside manner not give you

hope!  Take control of what you can. 

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Dakota:  I - for one - would be very disenchanted with a doctor who told me that

I was going to end up in a wheel chair at this point in your disease.  He

can't predict the way it will progress or your response to meds.  He may

be ultimately be right but I'd see what happens when you start on meds before

selling my house if that's the only reason you're selling.  The market - as we

all know - isn't great right now and if the proper meds are prescribed, you may

be feeling better in no time.   When my disease first was diagnosed a year ago,

I could barely make it up the stairs either.  There were some nights when I

literally had to crawl up in order to get to my bedroom.  I am so much better

now, I can do stairs with no problem at all.  Try not to rush into anything.  We

may all end up in a wheelchair at some point, PA or no PA!!!!! 

For what it's worth, I talked to an acquaintance today at the facility where I

work out who literally crushed his ankle when he was 11 and has been walking

with pain and a severe limp since then.  He's now 75 and less than a year ago

had a complete ankle replacement.  His surgeon says he's the poster child for

ankle replacements because this is the worst one he's ever seen.  So even if the

entire ankle goes, there are alterantives.  This guy feels great - no pain, and

he's walking better than he ever has.

 Joanna Hoelscher

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Wow my doctor never ever told me that and wouldn't he is so positive.. Not

only do I have psoriatic arthritis I have complex regional pain syndrome of

which people told me I would be on a pain pump, in a wheelchair. I'm not

saying this lightly as I got very depressed from negative things like this.

I ended up having a breakdown. Since I started methotrexate not only is my

psoriasis almost gone, but I can walk!!! And I have it in my ankle. Mind you

I cannot run a marathon, but I have five kids and have three at home. My

life has changed but I have made adjustments. Please get around some

encouraging people like on this group.

Jolene

-

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Hi, if you're in the U.S. the first thing you might think about is

getting a new rheumatologist! There is no reason you should end up

in a wheelchair!!!

There are now drugs available that will stop the progression of PA,

preventing the kind of crippling joint destruction that he is talking

about. He should be working to get you on those meds as soon as

possible.

Don't be premature about selling your place. I was diagnosed June

2006. I can manage my daughter's 3-story townhome fine now that I am

on Humira. best regards, sherry z

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