Recently Answered Questions
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Why do I have pain in my hands and wrists?
Query: Hi doctor, I am having pain in my hands and wrist and it started a few months ago. It is typically in the morning. I visited a doctor and she did blood tests. The result flagged in my blood tests was anti-Sm/RNP 2.8 and she has referred me to a rheumatologist, who cannot see me for the next two mon... Read Full »
Answer: Hi, Welcome to icliniq.com. Well, the antibody as such does not match your symptoms. It is an antibody for autoimmune disease more like SLE (systemic lupus erythematosus). Since it is positive, I would like to know if your ANA (antinuclear antibody) was positive as well, or if only this came posi... Read Full »
Is Arava taken for inflammatory arthritis likely to cause headache?
Query: Hello doctor,I have low-grade inflammatory arthritis. I have awful joint pain but minimal swelling and occasional slight inflammation in blood tests. The RA test is negative. Systemic steroid injection gives massive improvement. My consultant started me on Arava recently. At the same time, I have be... Read Full »
Answer: Hello, Welcome to icliniq.com. The headache is likely to have been caused by a combination of the Arava (Leflunomide) and your raised blood pressure. Although we cannot know how much each of these contributed? Anyway, if your blood pressure rose a lot on Arava it is probably best not to have this ... Read Full »
Why is my wife experiencing joint pain, swelling, and immobility?
Query: Hello doctor.My 46-year-old wife has had pain, stiffness, swelling, and limited hand mobility during the past few weeks. She has no additional health conditions and is not taking any medications. I am inquisitive about knowing more about effective treatments and techniques for relieving pain and man... Read Full »
Answer: Hello, Welcome to icliniq.com. It is important to rule out inflammatory causes of pain, swelling, and restricted mobility in the hand. The pain usually settles down on its own, but if it lasts more than six weeks and the morning symptoms last more than half an hour, it is most likely due to an infla... Read Full »
How dangerous is staphylococcus infection?
Query: Hi doctor,I had unprotected sex two months back and developed a Streptococcal infection within a day. I took Amoxicillin to get rid of it. Within five days developed a yeast infection and got treatment for that. Now, I have reactive arthritis. I got two painless red bumps on the back of my hand and ... Read Full »
Answer: Hi, Welcome to icliniq.com Could you give me the exact duration of the disease? Which are the joints involved in your case? For reactive arthritis (a painful form of inflammatory arthritis), you do not need much treatment. It normally subsides by itself. NSAIDs (nonsteroidal anti-inflammatory ... Read Full »
What could be the reason for my constant backache and stiffness?
Query: Hello doctor, I am a 20-year-old female. I have been experiencing constant backaches since I was 10-12 years old. My back and spine would often go super stiff, so I tend to crack it by twisting my body back and forth, easing the pain. Usually, a cold temperature would trigger a painful stiff, makin... Read Full »
Answer: Hello, Welcome to icliniq.com. I must say the X-rays are not very clear (attachment removed to protect patient identity), and I will leave to assume that the angle mentioned is true. The pain in the back of a young person with only 8 degrees of the curve is unlikely, and we must explore other poss... Read Full »
What is the cause of my finger numbness and swollen joints?
Query: Hello doctor, I have been waiting for over a year to meet with a rheumatologist in my area. I am 39 years old, and a year and a half ago I was in the best shape of my life, having 10 % body fat, working out 4 to 5 days a week. I own my company and work on a computer daily, and my hobbies include ti... Read Full »
Answer: Hi, Welcome to icliniq.com. Yes, the possibility of inflammatory arthritis is definitely there, however that can be confirmed only when a rheumatologist examines you. The other symptoms are prolonged stiffness in your hands lasting more than half an hour, swollen knuckles and tenderness. The pain wh... Read Full »
What can cause pain in and around the ankles after waking up in the morning?
Query: Hi doctor,My wife has pain in and around the ankle on both feet after waking up in the morning. She gets some relief after having a walk for a few steps within half an hour. She has a small lump-like swelling on the anterior side of the ankle. It got started a year back with mild symptoms. But at pr... Read Full »
Answer: Hi, Welcome to icliniq.com. Your wife has symptoms of inflammatory arthritis. Ankle arthritis is seen in different conditions like rheumatoid arthritis, spondyloarthropathy, sarcoidosis, and Poncet's disease. Please mention whether she has other symptoms such as pain in the small joints of the... Read Full »
I am suffering from severe joint pain in my knees, ankles, and shoulders. Please help.
Query: Hello doctor, I had a fever for three to four days and after that, I developed severe joint pain. The pain is not in one part, sometimes, I feel pain in the knees, ankles, shoulders and so on. What tablet can I take? However, there was no fever after that. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. It seems that you have inflammatory arthritis like rheumatoid arthritis, ankylosing spondylitis, or other types of arthritis. To confirm this, I suggest you do certain blood tests like CBC (complete blood count... Read Full »
What causes bilateral metatarsalgia?
Query: Hello doctor, I have hypertension and bilateral metatarsalgia. I am seeking a second opinion on my medical reports. I have attached them for your reference. Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post and investigations (attachment removed to protect patient identity). There are a few things which will need to be addressed. Your ESR (erythrocyte sedimentation rate) is 45 which is high and simultaneously you are complaining of arthralgias... Read Full »
How to treat inflammatory arthritis with multiple joints involvement?
Query: Hello doctor, I have recurrent inflammatory arthritis with significant pain, tenderness, and restricted ROM on my right shoulder. The ortho gave steroid injections with minimal response. MRI of R shoulder shows AC inflammatory joint arthritis. I also have a TMJ problem with severe headaches. Occipi... Read Full »
Answer: Hello, Welcome to icliniq.com. Based on the information and history provided, you have inflammatory arthritis of multiple joints with neural involvement. I could see that you have the involvement of cartilages as well. Investigations suggest you have positive RF (rheumatic factor). There are a fe... Read Full »