Hello to everyone! My name is Heidi, and I am 33. I am awaiting
diagnosis. My symptoms started the last week of June - my hands
felt swollen and stiff when I woke up in the mornings, but it would
pass, so I didn't think a whole lot of it. Right after the 4th of
July, the stiffness didn't go away, and went to my elbows. It got
uncomfortable, and then I got concerned. I went to the local ER,
thinking I was experiencing some sort of allergy or something. My
sed rate was 28, ANA negative, and I was sent home with directions
to take ibuprofen 3x/day and tylenol 3x/day. After several visits
to my local doc, and more blood tests, which all came back
essentially normal, I was referred to a rheumatologist at Mayo
Clinic in Rochester, MN (I live in a town nearby). They did some
more tests; the sed rate increased to 30, and x-rays of my hands and
wrists showed some osteopenia. Still no definitive diagnosis; the
rheumatologist said that although I haven't had it long enough to
make an official diagnosis, signs point to RA. I go again to see
him on the 11th of Sept. I have been taking Celebrex twice a day,
and tylenol 3x/day. I think things are the same, if not even
worse. My hand joints don't like pressure applied to them, and when
I move them at any sort of an angle, they scream! My elbows,
wrists, hands, and knees are the worst, but I have pain in my ankles
and feet as well.
I was supposed to call the rheumy a couple of weeks before my
appointment to report how things are going, so that if there was no
change, they could order more tests and possible joint scans for my
visit. I left a message for him yesterday, so I hope that I can get
some answers and a diagnosis. It seems strange to complain about
the length of time I've been dealing with this when I read how some
of you went undiagnosed for such long periods of time! I just hate
not having any answers. It's frustrating when I'm so miserable, but
yet the tests don't reflect the pain I feel. At least the rheumy
didn't look at me like I was crazy or tell me it is all in my head!
The rheumy told me that if I was still dealing with the pain on my
next visit, they'd be adding another med, bridging it with the
Celebrex. I have done quite a bit of research on the meds, and it
seems that methotrexate seems to be the front-runner as far as usage
is concerned. Is that usually the first med tried? Since it takes
awhile to take effect, is prednisone usually prescribed to bridge
it? I know everyone's circumstance is different, but I am nervous
and wonder what to expect.
Exercise is another thing I'm wondering about. Before all this
started, I gave up my gym membership and bought a Bowflex and a
Gazelle Edge (elliptical trainer). The Gazelle is pretty low-
impact, but does anybody know about Bowflex's usage in RA? Is it
safe? When can I exercise? I have read that if you're in a flare,
you shouldn't exercise, but rather wait until the flare passes. But
how would I know if I'm in a flare vs. just the garden variety
pain?
Sorry if these are stupid questions, and sorry about the length of
the post.
Take care everybody! Thanks in advance for any advice.
Heidi