All posts tagged: RA feet

RA Hip Replacement

I am hopeful that my summer long saga of pain and futility are drawing to a close. My surgery is two weeks away. I am grateful to Ruth and her practical approach to problems. It is reassuring to me. After all my worry and anxiety,  I know I will be fine. I have only one more item to check off my list. It is an appointment to see my surgeon’s PA. My dentist gave me a pass. I had no oral infection. My primary met with me and did his part. I participated in a two-hour hip class which was informative but also made me anxious. I met with the anesthesiology nurse. I passed all my labs. My worries My RA will become a worsening problem as I will be off Medrol and meloxicam starting Sunday. My RA feet are badly affected as are my ankles. My tendons in my legs are also a problem when I walk. My hands, wrists and shoulders are also problematic. After taking the hip class, I became concerned that …

RA feet and orthotics

My RA started in my feet. About 20% of patients are introduced to RA via painful feet and about 95% of RA patients eventually do have feet involvement.  RA struck my poor feet first.  Diagnosis was slow as my primary doc, an internist, later said I was too old to have RA and that the pulses in my feet were strong so my feet were fine. Once I was diagnosed. Methotrexate (MTX) was my first RA drug. The dose was gradually increased until I reached the max of 25 mg/week.  I tolerated the nausea and diarrhea which eventually passed.  MTX helped me but by this time my feet were in a lot of pain and I walked with great difficulty. I was sent to a podiatrist who declared right off the bat that he didn’t do foot surgery for RA. Fine, I thought. I had read about the horrors of RA foot surgery and I wanted none of it. I did need to know what would help. He did three things for me. He ordered …

No More wonder drugs for my RA

I am at the end of the biologic wonder drug line. I have completed the ACR (American College of Rheumatology) treatment plan. I have also completed the EULAR (European League Against Rheumatism) treatment plan. Both are similar. Whatever is next? My doctor’s treatment approach centers on drugs. Are there any rheumatologists who offer more to their treatment plan than drugs? I am out of drugs. My doctor was angry with me when I brought her the statistics on Actemra. She said I read more than her other patients.  She said that Actemra was safer than Medrol. That is so wrong. My last possibility was Actemra. It turns out that I did have histoplasmosis. My doctor told me I couldn’t have had it, but I did. I had it when I lived in Nebraska. It is a contraindication. Actemra may reactivate the histoplasmosis. There also is a possibility that I had diverticulitis. Another contraindication as bowel perforation is a real possibility for Actemra users. So, my article on Actemra was timely. I am not depressed over this. …