All posts tagged: Rheumatoid Arthritis Classification

Orencia, After three months

I knew Orencia was working for me one week after my first infusion. Swelling in my hands, ankles and feet gradually disappeared until at three months I only have minor swelling in my hands. My daily dose of  RA(RD) pain has subsided to mostly feet pain, occasionally hand pain and spine pain. My improvement is amazing and  feels like a miracle. It feels like a miracle because I had been in uncontrolled RA pain since the Fall of 2012. Now in the Fall of 2015, the pain is almost gone. Thanks to Orencia my RA fog is lifting. I have more energy. And I will have a lot more energy as I move more. I am still on other medications for my RA(RD)*. I am also on Methotrexate injections. I take Plaquenil,  meloxicam, gabapentin.  My prednisone is 2/3 of original dose and decreasing. I go to the infusion center once a month. Time is about one hour. Occasionally, I have what feels like a rebound effect. About a week after the infusion, I have a day or two of inflamed joints. Then it’s …

what website has the best RA info

  Maneuvering the tangled jungle of internet information can be extremely frustrating. There is a lot of misleading information by reputable sites.  A lot of information is summarized and then vaguely  jumps to  faulty assumptions.  All this adds to our confusion.   Reputable resources may vaguely summarize information for patient information sheets. The American College of Rheumatology is a good  resource for general information about  RA.  However, patient information sheets are generalized and vague.  I wonder if the science writers think we are too dumb to get the real stuff.  A lot of our confusion about RA stems from getting peace meal information that is vague.  Rheumatologists actually do use the 2010 Rheumatoid Arthritis Classification Criteria to assist diagnosis.  Why don’t they tell us about it?  It sounds pretty black and white to me.  PubMed comments on the criteria show how the new criteria is the game changer tool to diagnose RA. The classification tree of the 2010 Rheumatoid Arthritis Classification Criteria is worth checking out. Johns Hopkins Arthritis Center is a respected source of Rheumatoid …

How the docs diagnose RA

The course of RA is unique to each of us.  My RA announced itself  to me as  big and boisterous.  Initially, I had sharp pain in my left shoulder.  I thought it was from swimming as shoulders do get a workout in lap swimming.  Quickly hands, fingers, wrists, ankles, feet and toes joined in.  I was in total pain and largely incapacitated.  I sought salvation to my problem in the ER, the only solution at the time. In 2010 the American College of Rheumatology(ACR) and the European League Against Rheumatism(EULAR) formed a working group to replace the 1987 ACR classification criteria for RA with up to date classification criteria. RA is at its most destructive in the first 2 years.  It needs to be caught early and treated aggressively.  The 2010 Rheumatoid Arthritis Classification Criteria became a big diagnostic help. The group came up with a 10 point system that covers four RA categories:  joint involvement, serology, acute-phase reactants, duration of symptoms.  The target population for this scoring must be patients who have at least …