All posts filed under: Diagnosis

How is the diagnosis of RA determined?

The Classic Symptoms Of RA

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The Classic Symptoms Of RA Symptoms may vary during a day and from day to day and from person to person. The unpredictability of symptoms makes daily activities harder to plan. The following are symptoms common to Rheumatoid Arthritis. Pain is a hallmark of rheumatoid arthritis. Pain comes in many forms in the same person. It is sharp as the edge of broken glass. It is burning. Aching. It is incapacitating and it can be unrelenting. Consuming. Sometimes it is excruciating. The middle joints of the fingers, the knuckles, wrists, the joints in the toes and the feet are affected. The shoulders, elbows, knees and ankles, and the hips become affected. The cervical spine is frequently affected. The lumbar and thoracic spines can be affected but less commonly. Pain may make it hard to get out of bed in the morning. Pain may increase as the day wears on. Pain can wake you in the middle of the night. The trouble is that the pain is not isolated to one spot. It encompasses many joints …

The challenge of Feet

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My rheumatologist sent me to a podiatrist, a foot doctor.                 Charming man. Once a client of mine.        X-rays were ordered, the podiatrist way. Standing. Weight bearing. Three views each.  For the third view I climbed steps  and was x-rayed  at foot level.   A  much better test than the standard foot  x-rays. Results: persistent degenerative changes with in the feet bilaterally. I admit that this was expected. What happens next?  My doc said surgery is not the answer.  As my feet get worse he feels steroid injections would be helpful. Now it is important that I wear shoes that fit  well and offer good support.  I should also wear special inserts (Motion Control performance insoles by Prothotics). I got the inserts first.  They are so much better than anything you will find at Target or Walmart. They have support for feet in areas that are thinning in RA. He suggested our New Balance store or REI.  New Balance was closer. They fitted the inserts and fitted …

Rheumatoid arthritis classification criteria 2010

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An international test evaluation for RA.  I scored 7 and I am RF negative.                                                        2010 Rheumatoid Arthritis Classification THE 2010 ACR-EULAR CLASSIFICATION CRITERIA FOR RHEUMATOID ARTHRITIS Score Target population (Who should be tested?): Patients who have at least 1 joint with definite clinical synovitis (swelling)* with the synovitis not better explained by another disease† Classification criteria for RA (score-based algorithm: add score of categories A – D; a score of ≥6/10 is needed for classification of a patient as having definite RA)‡ A. Joint involvement § 1 large joint¶ 0 2-10 large joints 1 1-3 small joints (with or without involvement of large joints)# 2 4-10 small joints (with or without involvement of large joints) 3 >10 joints (at least 1 small joint)** 5 B. Serology (at least 1 test result is needed for classification)†† Negative RF and negative ACPA 0 Low-positive RF or low-positive ACPA 2 High-positive …