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.
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.
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.
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 20
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...
Patient Discussions are not a substitute for professional medical advice, diagnosis, or treatment. Never delay or disregard seeking professional medical advice from your physician or other qualified health provider because of something you have read on MedicineNet. The opinions expressed in the comments section are of the author and the author alone. MedicineNet does not endorse any specific product, service or treatment.
If you think you have a medical emergency, call your doctor or 911 immediately.
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
Suggested Reading on Rheumatoid Arthritis by Our Doctors
Gout is a condition that results from crystals of uric acid depositing in tissues of the body. Gout is a condition that can lead to abnormally elevated levels of uric acid in the
blood, recurring attacks of joint inflammation (arthritis), deposits of
hard lumps of uric acid in and around the joints, and decreased kidney
function and kidney stones.
The knee joint is composed of three compartments and ligaments which stabilize the joint. Causes of knee pain may include injury, degeneration, infrequently infection and rarely bone tumors. Although routine x-rays do not revel meniscus tears, they can be used to exclude other problems of the bones and tissues. The knee joint is the most commonly involved joint in rheumatic disease, as well as immune diseases that affect various tissues of the body.
Lymph nodes help the body's immune system fight infections. Causes of swollen lymph nodes (glands) may include infection (viral, bacterial, fungal, parasites). Symptoms of swollen lymph nodes vary greatly. They can sometimes be tender, painful or disfiguring. The treatment of swollen lymph nodes depends upon the cause.
Sjögren's syndrome is an autoimmune disease involving the abnormal production of extra antibodies that attack the glands and connective tissue. Sjögren's syndrome with gland inflammation (resulting dry eyes and mouth, etc.) that is not associated with another connective tissue disease is referred to as primary Sjögren's syndrome. Sjögren's syndrome that is also associated with a connective tissue disease, such as rheumatoid arthritis, systemic lupus erythematosus, or scleroderma, is referred to as secondary Sjögren's syndrome. Though there is no cure for Sjögren's syndrome, the symptoms may be treated by using lubricating eye ointments, drinking plenty of water, humidifying the air, and using glycerin swabs. Medications are also available to treat dry eye and dry mouth.
Lyme disease is a bacterial illness, which is spread by ticks when they bite the skin. Initially the disease affects the skin causing a reddish rash associated with flu-like symptoms. It takes weeks to months after the initial redness of the skin for its effects to spread throughout the body. Lyme disease can be treated with antibiotics. Lyme disease can be prevented by using tick avoidance techniques.
Systemic lupus erythematosus is a condition characterized by chronic inflammation of body tissues caused by autoimmune disease. Lupus can cause disease of the skin, heart, lungs, kidneys, joints, and nervous
system. When only the skin is involved, the condition is called discoid lupus.
When internal organs are involved, the condition is called systemic lupus
erythematosus (SLE).
Ankle pain is commonly due to a sprain or tendinitis. The severity of ankle sprains ranges from mild (which can resolve within 24 hours) to severe (which can require surgical repair). Tendinitis of the ankle can be caused by trauma or inflammation.
Sacroiliac joint (SI) dysfunction is a general term to reflect pain in the SI joints. Causes of SI joint pain include osteoarthritis, abnormal walking pattern, and disorders that can cause SI joint inflammation including gout, rheumatoid arthritis, psoriasis, and ankylosing spondylitis. Treatment includes oral medications, cortisone injections, and surgery.
Arthritis is inflammation of one or more joints. When joints are inflamed they can develop stiffness, warmth, swelling, redness and pain. There are over 100 types of
arthritis including osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, lupus, gout,
and pseudogout.
Raynaud's phenomenon is characterized by a pale-blue-red sequence of color changes of the digits, most commonly after exposure to cold. Occurring as a result of spasm of blood vessels, the cause is unknown. Symptoms of Raynaud's phenomenon depend on the severity, frequency, and duration of the blood vessel spasm. Treatments include protection of the digits, medications, and avoiding emotional stresses, smoking, cold temperature, and tools that vibrate the hands.
Celiac disease is a result of an immune reaction to gluten, a protein found in wheat or related grains and present in many foods that we eat. Celiac disease causes impaired absorption and digestion of nutrients through the small intestine. Signs and symptoms of celiac disease include malabsorbption (diarrhea, foul smelling gas, bloating, and increased amounts of fat in the stool) and malnutrition (weight loss, edema, anemia, bruising easily, neuropathy, and infertility). Treatment for celiac disease is a gluten free diet, and at times if necessary, medications
A Baker cyst, also called a popliteal cyst, is swelling caused by knee joint fluid protruding to the back of the knee (popliteal area of the knee). Not uncommon, baker cysts can be caused by virtually any type of joint swelling (arthritis). They are often resolved with removal of excess knee fluid in conjunction with cortisone injections.
Pleurisy, an inflammation of the lining around the lungs, is associated with sharp chest pain upon breathing in. Cough, chest tenderness, and shortness of breath are other symptoms associated with pleurisy. Pleurisy pain can be managed with pain medication and by external splinting of the chest wall.
Bursitis of the knee results when any of the three fluid-filled sacs (bursae) become inflamed due to injury or strain. Symptoms include pain, swelling, warmth, tenderness, and redness. Treatment of knee bursitis depends on whether infection is involved. If the knee bursa is not infected, knee bursitis may be treated with ice compresses, rest, and antiinflammatory and pain medications.
Cushing's syndrome, sometimes referred to as hypercortisolism, is a hormonal disorder caused by prolonged exposure to high levels of the hormone cortisol. Symptoms may include obesity, thinning arms and legs, a rounded face, and increased fat around the neck. Some causes of Cushing's syndrome is from taking glucocorticoid hormones such as prednisone for inflammatory diseases. Treatment for Cushing's syndrome depends on the cause.
Vasculitis is a general term for a group of uncommon diseases which feature inflammation of the blood vessels. Each form of vasculitis has its own characteristic pattern of symptoms. The diagnosis of vasculitis is definitively established after a biopsy of involved tissue demonstrates the pattern of blood vessel inflammation. Treatment is directed toward decreasing the inflammation of the arteries and improving the function of affected organs.
Dry eyes are caused by an imbalance in the tear-flow system of the eye, but also can be caused by the drying out of the tear film. This can be due to dry air created by air conditioning, heat, or other environmental conditions.
Pericarditis is the inflammation of the pericardial sac that surrounds the heart. The causes of pericarditis include injury from heart attack, heart surgery, trauma; viral or fungal infection, HIV, tumors, mixed connective tissue disease, metabolic disease, medication reactions, or idiopathic. Treatment for pericarditis is generally medication, however, sometimes surgery is necessary.
Amyloidosis is a group of diseases resulting from abnormal deposition of certain proteins (amyloids) in various bodily areas. The amyloid proteins may either be deposited in one particular area of the body (localized amyloidosis) or they may be deposited throughout the body (systemic amyloidosis). There are three types of systemic amyloidosis: primary (AL), secondary (AA), and familial (ATTR). Primary amyloidosis is not associated with any other diseases and is considered a disease entity of its own. Secondary amyloidosis occurs as a result of another illness. Familial Mediterranean Fever is a form of familial (inherited) amyloidosis. Amyloidosis treatment involves treating the underlying illness and correcting organ failure.
Connective tissue disease is when the body's connective tissues come under attack, possibly becoming injured by inflammation. Inherited connective tissue diseases include Marfan syndrome and Ehlers-Danlos syndrome. Systemic lupus erythematosus, rheumatoid arthritis, scleroderma, polymositis, and dermatomyositis are examples of connective tissue diseases that have no known cause.
Osteopenia is a bone condition characterized by bone loss that is not as severe as in osteoporosis. Bone fracture is the typical symptom of osteopenia, though the condition may be present without symptoms. Treatment involves lifestyle modifications (quitting smoking, not drinking in excess) and ensuring an adequate intake of vitamin D and calcium.
Still's disease (Systemic-Onset Juvenile Rheumatoid Arthritis) is a disorder characterized by inflammation with high fever spikes, fatigue, salmon-colored rash and/or arthritis. Though there have been several theories regarding the cause(s) of Still's disease, the cause is not yet known. Many symptoms of Still's disease are often treatable with anti-inflammatory drugs.
Corticosteroid drugs such as prednisone and prednisolone are commonly used to treat asthma, allergic reactions, RA, and IBD. Steroids such as these do have serious drawbacks such as steroid withdrawal symptoms such as: fatigue, weakness, decreased appetite, weight loss, nausea, vomiting, abdominal pain, and diarrhea. Speak with your healthcare provider prior to tapering off steroid medications.
Chronic pain is pain (an unpleasant sense of discomfort) that persists or progresses over a long period of time. In contrast to acute pain that arises suddenly in response to a specific injury and is usually treatable, chronic pain persists over time and is often resistant to medical treatments.
Juvenile arthritis (juvenile rheumatoid arthritis or JRA) annually affects one child in every thousand. There are three types of JRA: pauciarticular (less than four joints affected), polyarticular (more than four joints affected), and systemic-onset (inflamed joints with high fevers and rash). Treatment of juvenile arthritis depends upon the type the child has and should focus on treating the symptoms that manifest.
A ganglion is a fluid-filled cyst that forms from the joint or tendon lining. Ganglia are most frequently found in the ankles and wrists and are usually painless. A ganglion often resolves on its own. Aspiration of the ganglion fluid or surgery may be necessary.
Relapsing polychondritis is an uncommon, chronic disorder of the cartilage that is characterized by recurrent episodes of inflammation of the cartilage of various tissues of the body. Tissues containing cartilage that can become inflamed include the ears, nose, joints, spine, and windpipe (trachea). Tissues that have a biochemical makeup similar to that of cartilage such as the eyes, heart, and blood vessels, can also be affected. Nonsteroidal antiinflammatory medications (NSAIDs) is used as treatment for mild cases of the disease. Steroid-related medications also are usually required.
Biologic rhythms, or biorhythms, are how our bodies respond to the regular phases of the sun, moon, and seasons. A medical chronobiologist studies how the "body clock" or biorhythms affect diseases and how the body clock responds to treatment of diseases and conditions at different times of the day.
Felty's syndrome is a complication of long-term rheumatoid arthritis. Felty's syndrome is defined by the presence of three conditions: rheumatoid arthritis, an enlarged spleen, and an abnormally low white blood count. Treatment of Felty's syndrome is not always required; however, treatment for patients with infections is available.
The hearts sits in the center of the chest and is surrounded by a sac called the pericardium. This sac has two layers, one that fits tightly onto the heart muscle and another looser layer surrounding the inner layer. Inflammation of these tissue layers surrounding the heart is referred to as pericarditis.
What causes pericarditis?
There are many causes of pericarditis. Most often the cause is unknown. Causes of pericarditis are listed below:
Idiopathic
The cause of the illness is not identified (although often it's the result of a minor viral illness or
"cold")
Mechanical injury to the heart
Heart attack (myocardial infarction) and
Dressler's syndrome
If you think you have a medical emergency, call your doctor or 911 immediately.
Arthritis RSS
Healthy Living Tips
This site complies with the
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.
Related Reading: arthritis | methotrexate | fatigue