HomeAnswersRheumatologyrheumatoid arthritisI developed RA during pregnancy and getting pain post delivery. Please help.

How to get rid of pain due to rheumatoid arthritis that developed after surgery?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At July 17, 2020
Reviewed AtJuly 18, 2023

Patient's Query

Hi doctor,

I have a 2-month-old baby now. I had rheumatoid arthritis while I am pregnant. I had no pain so I was not on medication. After delivery, I am getting pain in my hand and elbows. I wanted to get rid of this. Please help.

Hi,

Welcome to icliniq.com.

Rheumatoid arthritis flare (increase in disease activity) usually occurs after delivery. It is pretty common to have joint pain and swelling after delivery. Since you have two months old baby, the first-line medication of RA that is Folitrax (Methotrexate) is contraindicated. Please do one marker of inflammation, ESR (erythrocyte sedimentation rate), and CRP (C-reactive protein). You can restart HCQS (Hydroxychloroquine sulfate) 200 mg one tablet daily at night along with low-dose steroid (Prednisolone 5 to 7.5 mg) one tablet daily in the morning after breakfast. Continue calcium and vitamin D supplements.For further management and discussion, you can review with CBC (complete blood count), LFT (liver function test), KFT (kidney function test), ESR, and CRP blood tests.

I hope this helps.

The Probable causes

Flare of RA.

Investigations to be done

CBC. LFT, KFT, ESR, and CRP.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Rajiv Ranjan Kumar
Dr. Rajiv Ranjan Kumar

Rheumatology

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