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November 21, 2009
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Patient Discussions: Rheumatoid Arthritis - Early Symptoms

Rheumatoid Arthritis - Early Symptoms

Dr. Shiel Asks:

The symptoms of rheumatoid arthritis (RA) can vary greatly from patient to patient. What were your symptoms at the onset of your disease?

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Related Article: Rheumatoid Arthritis

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I was seeing a chiropractor for back, neck, and shoulder pain. He's the one who suggested that I might have arthritis. Sure enough, after two rheumatologists and lab results of a positive RA titer and a strong positive anti-CCP result, I found out I had RA. I had a very demanding and stressful job at the time, and I barely made it out of the bed. I was so stiff; with pain in my hips, knees, hands. I had to quit that job. I'm currently taking methotrexate, Humira, folic acid, and the occasional solumedrol injection. I'm 35 now and am currently dealing with extreme fatigue and pain while trying to work, attend college, and take care of my family. Published: June 23 ::

I was an active, healthy male. I was diagnosed with RA at age 44 (9 months after a minor motorcycle accident that injured my left wrist). My symptoms began with a general feeling of fatigue and malaise. Then a few months later, morning numbness in the fronts of both feet that lasted for a few hours. I saw a podiatrist and was mis-diagnosed with "Morton's Neuroma". As my symptoms progressed, I had sharp shoulder, wrist and elbow pains during the night. Then, a gradual stiffening of my right, pinky finger; followed by stiff, sore and swollen fore and index fingers predominately on my right hand, but also on the left. I was diagnosed with RA and Hypo-thyroid initially. After taking "Thyroxin" for about 4 weeks, I began taking "Hydroxychloroquine" and "Naproxen". My thyroid corrected and I stopped taking Thyroxin. My RA symptoms persisted with primarily sore, stiff hands in the mornings (3-4 hrs), sore ankles, a swollen elbow and muscle fatigue. After about 4 months, we added "Methotrexate" for 3 months with some success (no more swollen elbow or sharp shoulder pains and less sore hands), however, my liver enzyme count became elevated too high. I've now (5 months) been taking "Sulfasalazine" (3 grams/day) with "Hydroxychloroquine" (400 mg/day) and am having much less swelling in my hands and ankles now. Some days are better than others. I have much less energy than I used to. I stopped working (6 months after my diagnosis) because the medicine didn't eliminate the pain, fatigue and swelling; and I could no longer move heavy objects without possibly causing permanent damage to my joints. I was approved for Social Security Disability benefits immediately (after initial 6 month waiting period). I'm hopeful that my symptoms will go away one day or at least be controlled with medication. Published: June 02 ::

I had been sick from Bronchitis. I complained about feeling "stiff" in my shoulders. They told me it was from coughing. I started having problems walking, my hips hurt. I thought it was because I stopped going to the gym due to the bronchitis. Within a week, I couldn't lift my shoulders off the bed in the morning then to not being able to even pull the blankets up to cover up because my hands hurt so bad. Within two weeks my hands, wrists, hips and feet were in so much pain. Currently I am being managed with Plaquenil and Methotrexate and Prednisone. I have full mobility but tinges of pain every now and then. Published: May 19 ::

The first sign was my jaw that bothered me for 2 months. Then my neck was stiff for 2 months. My hands and wrist started stiff and sore. Continues with painful right shoulder and fatigue. I went to a Rheumatologist and he stated that I will be treated with an I.V. Published: June 25 ::

I am just over halfway thru my 60th year and was just diagnosed with Rheumatoid Arthritis. In January I was experiencing stiffness in my hands and random muscle spasms moving between my arms and shoulders and then I suffered a major attack of Hives. At that time my doctor gave me a prescription for prednisone, which stopped the hives and really fixed everything. I felt 20 years younger in a matter of days. Within a month after that the hands started getting stiff again, and soon were keeping me awake at night with unexpected pains and spasms. On my doctor's advice I went to a rheumatologist, and discovered that I have RA. It was really quick to take over. If I had symptoms before this year, they were minor... Published: June 20 ::

A tired feeling for 6months or so then pain started in neck and right shoulder and arm. Now I have fluid entering around my left lung. Published: June 19 ::

My wrists were really swollen and sore and my right shoulder a little bit. I was also pretty tired. My toes seemed somewhat swollen also, but not hurting. Published: June 19 ::

My symptoms began after I had my second child. My first symptoms were fatigue and joint swelling and pain. I thought these symptoms were a result of having been pregnant and having a new baby at home while taking care of a 1 1/2 year old toddler. However, as the next few months went on I started to notice I was having difficulty managing the snaps and buttons on the baby's clothes, I was having a difficult time pushing my older son in the stroller and in a swing due to pain in my hands and wrists. When my son was about 3 1/2 months old I finally went in to see my primary care MD because I had no idea what was wrong with me. After she examined me and ran some tests, she told me she believed I had RA and that I needed to see a rheumatologist. I went to see 2 different MD's and the diagnosis was confirmed. The first MD I saw was very nice but did not seem to truly understand how this was affecting my life and the lives of my husband and children. She started me on Celebrex and told me to follow up with her in a few months. I did not do well on Celebrex and was switched to Bextra 2 weeks later. Luckily I had scheduled an appointment with another rheumatologist who my primary care MD had recommended. After seeing him I was immediately started on methotrexate, Plaquenil, prednisone, folic acid, and Motrin. I have been on multiple treatments in the four years since then and am thankful my MD is as attentive to me and as aggressive as he is. Today I have 3 beautiful children and have an active and happy life. Published: June 19 ::


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