ADVERTISEMENT

Q. Can x-ray differentiate rheumatoid arthritis and osteoarthritis?

Answered by
Dr. Divya Agarwal
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jan 21, 2017 and last reviewed on: Mar 24, 2021

Hi doctor,

I have been having joint pain in my left foot on the first joint of big toe for two weeks. It came on upon waking. The pain was inconvenient, but bearable for the first 36 hours. Then, it was extremely painful on the second day ( a worse pain I have ever had). Then, it has got slightly better, especially when raising the foot, although walking is painful and difficult and it is painful at night. I had high uric acid before the episode, and it is normal now. So, I suspected gout. I went to the doctor today for x-ray result and was told that I have arthritis in some of my joints. I asked if I should see rheumatologist and doctor said it is not worthwhile as they would only be interested in RA. From that, I guess that mine is osteoarthritis. The doctor said it is also likely I have gout. This leaves me a little confused. Can the x-ray distinguish between rheumatoid arthritis and osteoarthritis? I am a 42 year old male. What would the prognosis be if it is osteoarthritis or gout?

#

Hi,

Welcome to icliniq.com.

  • There is a strong possibility that this is gout. Considering that it occurred relatively acute, it is possible that it is gout.
  • The diagnosis of gout is by crystal examination in joint fluid and on clinical examination of joints.
  • Of course, osteoarthritis is one of the leading causes of arthritis after 40, and the big toe is a common joint. However, since the treatment is very different for both it is worthwhile visiting a rheumatologist.
  • X-rays can show that you have OA, but then there may be concomitant gout as well. Rheumatoid arthritis generally does not present like this.

For further information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Osteoarthritis of Knee

Osteoarthritis can affect any joint in the body ... Osteoarthritis of The Knee Joint Produces: Bone wear leading to asymmetric shape...   Read full

How do I manage my rheumatoid arthritis until I wait for my specialist?

A high ESR and CRP, as well as a high number of swollen and tender joints, are the other indicators ... You can do gentle exercises for your joints ... Symptomatic measures like hot fomentation and pain gels can help ...   Read full

My joint pain is affecting my academics. Please suggest a permanent cure.

If the above features are not present, then check for vitamin D level and thyroid function ... You can take Vitamin D supplements as we...   Read full

ADVERTISEMENT

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Nipah Virus: Stay Safe from This Deadly Disease
The recent speculation about the spread of the Nipah virus in a Southern State in India has surely brought jittery feeli...  Read more»
What to Do When Someone Turns COVID-Positive At Home?
COVID-19 pandemic has affected so many people, and many of them are advised for home care. This article explains the pre...  Read more»
Guidelines for Management of COVID-19 In Children
Amidst the concerns that children will be the target in the third wave of COVID-19, they have come up with certain guide...  Read more»

Ask your health query to a doctor online?

Ask a Rheumatologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.