Q: What is inflammatory osteoarthritis? Is this different from "regular" osteoarthritis?
A: For most people familiar with osteoarthritis (OA), the term “inflammatory osteoarthritis” sounds like an oxymoron. That’s because we typically think of arthritis as being either inflammatory (such as rheumatoid arthritis [RA]) or non-inflammatory (such as OA).
However, there is a form of OA that is clearly inflammatory. It typically comes on suddenly in middle-aged women, affecting the last (closest to the fingernail) and middle joints of the fingers. For someone unfamiliar with inflammatory osteoarthritis, it can easily be confused with other forms of inflammatory arthritis that affect the fingers, such as RA or psoriatic arthritis.
If you have sudden pain and swelling of the joints in your fingers, it’s important to get a proper diagnosis, because treatment for this inflammatory form of OA is different from treatment for RA or typical OA. Inflammatory osteoarthritis is generally treated with nonsteroidal anti-inflammatory drugs and, very rarely, corticosteroid injections directly into the affected joints. The disease-modifying antirheumatic drugs, such as methotrexate and leflunomide (Arava) prescribed for RA are not appropriate for this type of arthritis.
A physician who is familiar with your clinical, laboratory and X-ray findings will be able to provide the proper diagnosis and therapy for this condition.
Paul Howard, MD, Rheumatologist
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is there an organization or pharmaceutical company who wants me as a lab rat. sign me up now please. seriouly, I have nothing to lose.
For the past seven weeks my knees and feet have swelled, the bones screaming at night while I cry. My leg swelled to twice their size and blood surface to the skin between the knees and ankles. I have bounced out and back between my internal medicine doctor, rheumatologist four times. My pain management doctor, who was prescribing lor tabs for lower back pain, was busy during the holidays and refused to see me or call either of my doctors. He said things could remain "status quo" without even talking to me. That medicine does not touch the pain. Three times I have packed for the hospital but did not go.
I did not participate in Christmas because I cannot stand to sit more than four hours without going to bed due to pain. I have ended a three – year relationship because I cannot participate in any activities and cannot stand for him to see me cry constantly. Seven weeks.
Neither of my doctors has used the word inflammatory along with osteoarthritis. Rheumatologist did lots of blood work and said there was no inflammation thus ruling out rheumatoid arthritis and lupus, then said the swelling I had must've been due to poor circulation… He never looked at my legs. The "poor circulation" resolved with steroids given to me by my internal medicine doctor. Amazing.
I cannot walk more than two or 3 min. due to the pain in my feet and in my knees. I cannot stand more than 2 to 3 min. even sitting in one position more than 10 min. gives me serious pain, and the nights are a nightmare.
Someone here said, I can't live like this. I get it. I don't know what to do. I am not depressed I am in pain. What are we all supposed to?
I was diagnosed with osteoarthritis at age 37.By 40 yrs.old I was in so much pain in my hips and muscles and I was weak and very miserable.I also have a mental illness so I convinced myself it was all in my head and I think the medical people thought so too.lolBut I persevered and did my own research and came up with osteoarthritis and fibromyalgia.Now I am on proper medication and I exercise.It is painful to stretch and move my joits but over time it has actually helped the pain and fatigue.Please don't dispare.I am back to being positive even though some days are very hard.I actually found the exercise recommendations on this site for both conditions.
Thank You!!
Osteoarthritis sufferer to go for months and months
with debilitating arthritis in their feet. I have it
In most other joints but this pain is unrelenting.
I have tried everything the medicos and rheumatologist
have offered to no avail.
Initially it wasn't anything like cancer(which I've already
had)but now I'm not so sure. I've been literally couch
bound due to unrelenting pain in my feet. I have the o.a. mostly everywhere but hands knees and feet are
the worst. I have never experienced pain like the pain in
my feet it is agonizing. I have been on strong codeine
Painkillers, anti inflammatory meds, presnisolone,and
natural remedies all to no avail.
Where do we go from here, has anyone had "bone on
bone foot pain" from this insidious disease? I feel for
all of you.
Reading everyone's experiences here helps me to know I'm not alone. Is there a support group somewhere??? I don't want to live like this. I can't live like this. My body is falling apart and in constant pain and I can't make it stop. I pray for all of us. This is a debilitating disease and it seems it's not entirely understood in the medical field. All I know is I feel like my life is being shortened and I have to constantly 'act' like I feel great even when it hurts. My kids don't need to see me like this. They don't understand and it only causes them to worry. Sometimes it's hard to hide sick. :(
My left little finger has Sawtooth and Gullwing appearance. My right middle finer is currently causing much problems.
Can erosive OA be controlled/ stopped/ in its progression?
I need prayers and med. help
I have Osteoarthritis mainly in my thumbs and have been on Anti-inflamatories for years only now to be told i have Barretts disease so due to acid and other problems i cannot take them anymore .G.P wants me to have injections which did not work in past .Please anyone know of other treatments .Some days its so painful .
Thanks for any help .
Your concerns are so valid. The core of all degenerative diseases, silent yet progressive inflamation is not being dealt with by doctors. There are many who think Dr.Barry Sears should recieve a noble prize for his articulated understanding put forth in his Zone diet books. His last book :Toxic Fat with procedure has made a difference in my joints and overall wellbeing
In addition to that, I also have orthostatic tremors, which is classified as a rare, debilitating disease that causes fine tremors of the legs, which have now affected my whole body. Having these two conditions together is rendering me basically non functional. I am 60 yrs. old
I have combined these with accupuncture and am nowable to go for short walks(15 mins. Go talk to a Homeopathic doctor and an accupuncturist. what have you got to lose?
I am now 72 years old and the drs. are telling me - what do you expect? It's one of the symptoms of the body ageing. So what was wrong when I was 33?
Why don't the drs. even listen. At the very least they could just say "I don't know". Instead of contradicting each other and me.
Bless You All,
Betsy
Your recent life experiences sounds almost idenical to mine, I was diognosed today with inflammatory OA, 6/29/10, that's why I'm at this web site. I real do feel your pain,just please don't give up. You are not alone on those sleepless nights, because I'll be there to and I'm sure many other as well.
Thanks to everyone for sharing, I don't feel so alone how.
Bless You all, Betsy
After reading all the comments about OA I can't help but wonder why only RA and not OA is considered a disability. I,ve got OA in both the basal joints of my thumb and am currenly recovering from replacement surgery of the right one. I'm sure I will need the left one done as well.and even when I've recovered I doubt I'll have the strength or dexterity in my hands to perform my job. I also have arthritis in the other fingers of my right hand which causes alot of swelling.
All the jobs I've ever worked relied on my physical abilities. Well, time for retraining! Anyway, thanks for letting me vent.
My dear husband is a true blessing,
Bea
I have osteoarthritis in both hands and have a hard time doing much with them, although I slog on as best as I can to take care of my family.
I also have been diagnosed with type 2 diabetes within the past several years. I am able to have excellent control through diet and exercise.
I am very worried that I will end up in a wheelchair because of my feet. My rheumatologist says that I have osteoarthritis. The radiologist who read my CT scan said that the bones are full of holes (cysts) and that it is consistent with a systemic type of arthritis. The surgeon agreed. My rheumatologist disagrees. My primary physician would like me to get a 2nd opinion from a rheumatologist. Does anyone know of an excellent one in the greater Boston area, possibly in Maryland?
My former Rheumatologist has me on Plaquinil. Is anyone else taking that for arthritis? He said what I have is erosive (inflammatory) osteoarthritis. I am worried that SSDI might not see that as a disability. Rheumatoid is disabling but Osteo is not. My finger tips are very red and painful during a flare up, or when I lift something that weighs more than 5 pounds. My newer Rheumy just reffered to it as Osteo and I corrected her that it is Inflammatory erosive osteo. I also have immune system problems. The Endocrinologist told me that. The newer Rheumy was surprised to hear that. I wish I knew what I had. I did recently get a bunch of tests done for arthritis but they probably won't show anything.
After I read this post, I checked out erosive/inflammatory osteo on other sites and discovered it also occurs in the feet exactly where I have had intractable pain for years. The orthopedic specialist couldn't help me. I can't have surgery because of my fibromyalgia.
Since I can't take anti-inflammatory medicines because of bleeding (even from fish oils), I'm going to try an anti-inflammatory diet. I'm also trying to find every tip I can for protecting these joints.
Any info would be greatly appreciated!
I see a doctor of oriental medicine about once a week. He always uses acupuncture but sometimes also other treatments. I find the acupuncture helps. It does not make all the pain disappear but it does make a difference. Also the attitude of my doc is so compassionate that is probably half the benefit I see...he does not just "blow-off" my pain and stress. I feel like he really does care about ME. I hope you will be able to find someone just as good near you.
a hip replacement 23 years ago and that is
still holding up,however my knees are giving
me much pain. Received a speriod injection
in one knee last week and find that the knee
is in more pain than before - has anyone had
such a problem? Thank you for any suggestions.
Any suggestions would be appreciated.
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