Hello doctor,
I am a 38 year old male, suffering from RA from the last two years and recently started the treatment with an orthopedic doctor for AVN of the hip. I have been told by my orthopedician at icliniq to consult a rheumatologist for my ankle and calf muscle pain, and for my RA medication and cholesterol levels. The X-ray of the left leg had the problem of soft tissue noted. Please find the X-ray of the ankle and that of the hip and knee attached. I have been on RA medicines such as Imutrex 20 mg weekly, Folvite 5 mg daily, Bio D3 strong daily, Uprise D3 60K monthly once, Pirox 20 mg at night, and Osteofos 70 weekly for hip AVN as suggested by my orthopedic. I was on biologics one year back - Etanercept 50 mg weekly for three months. Please suggest RA medications and a medicine for my ankle soft tissue which causes me pain and difficulty in walking too. I have started Gabapentin 300 mg from today for five days as prescribed by the orthopedic. I am taking Combigan and Dorzox-T eyedrops for glaucoma in the left eye. The X-ray of the hip states that the bilateral femoral heads appear sclerosed with diminished joint spaces and irregular surfaces of femoral head. However, the shape of the bilateral acetabular cavities is maintained. The X-ray of both the knee states that joint spaces are reduced. Osteophytes are noted at the patellar and tibial surface. The patella-femoral space is diminished. The X-ray of the left leg with ankle states no significant abnormality detected. I have pain in the calf muscle and ankle tissue along with tingling (pins and needles) in both the feet. Please suggest proper medication for RA, ankle pain, calf muscle pain and for cholesterol.
Hello,
Welcome to icliniq.com.
Hope I have been of some help. Take care.
For more information consult a rheumatologist online --> https://icliniq.com./ask-a-doctor-online/rheumatologist
Thank you doctor,
I am not facing problems in small joints. The RA test is performed. Please find it attached. I have morning stiffness. There is no stiffness in the lower back. There is no improvement with exercises. CBC, SGPT, and ALP tests are performed. HLA-B27 was not done. HIV test, HBsAg, and HCV are done. My weight is 63 to 65 kg. I have started the medications as per your suggestion. I have also stopped Gabapentin and Pirox 20 as suggested by you. There is tingling (pins and needles) in both the feet. The left leg pain still persists with ankle and calf muscles. I wear an ankle binder as prescribed by my orthopedic. Please suggest if anything needs to be added or changed.
Hello,
Welcome back to icliniq.com.
I have seen your reports (attachment removed to protect patient identity).
For more information consult a rheumatologist online --> https://icliniq.com./ask-a-doctor-online/rheumatologist
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