I have severe swelling in hands, wrist, ankles feet toes, every knuckle in my hand feels like it's on fire, fingers will stiffen and can barely bend, skin is often red , pain started in feet about 3 yrs ago ... chalked it up to Planner Faceitis... now I know it's not PF at all ... my wrists began hurting last Sept 2016 ... had X-rays and nerve conduction ... both neg ... labs were neg for RA and Lupus ... Fast forward to today and identical pain is now in feet toes hands every finger wrists , up my arms to elbows ... and I have painful knots at several finger and thumb joints ... I see Ruematologist in July and I am at my wits end as the pain is worse everyday please help
It really sounds like RA.
Your usually involves one of the great toes.
Is he doing the full panel of labs?
If you get worse, don't wait for appointment. Call and get seen earlier.
It sounds to me like you have gouty arthritis, or gout, an inflammatory disease that occurs when excess uric acid (a bodily waste product) circulating in the bloodstream is deposited as sodium urate crystals in certain joints.
The excess uric acid may be caused by genetic factors or kidney disease. The condition may be aggravated by certain drugs such as diuretics and low doses of aspirin or by consuming too much alcohol or foods rich in purines, which are broken down into uric acid.
Gout often starts with excruciating pain and swelling in the big toe – and often follows a trauma such as an illness or injury. Subsequent attacks may occur off and on in other joints – primarily those of the foot and knee – before becoming chronic. In its chronic stage, gout can affect many joints, including those of the hands. But this can take a few years to happen.
In order to make a definitive diagnosis of gout your doctor may take a sample of fluid from the affected joint. This is performed using a local anaesthetic and involves inserting a needle inserted into the affected joint and removing a small amount of fluid. The fluid is then sent to a laboratory where it is tested for the presence of uric acid crystals. If they are present, then gout is confirmed.
Rheumatoid arthritis (RA) occurs when the body’s immune system – which normally protects us from infection – mistakenly attacks the thin membrane that lines the joints. RA may begin acutely in many joints or start gradually in several joints causing damage and pain. Initially, the involved joints are the knuckles, middle joints of the fingers, wrists, and joints that attach the toes to the feet.
Unlike rheumatoid arthritis, gout is a well-understood and highly treatable disease. Medications are available to stabilize uric acid levels and relieve acute pain and inflammation. With appropriate treatment gout can be controlled and future attacks prevented.
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