Dx/Tx

Diagnoses

  • Raynauds – 1974
  • Rheumatoid Arthritis, possible SLE - 2007
  • bilateral: trochanteric bursitis, chronic rotator cuff tendinopathy, plantar fasciitis, achilles tendonitis, tennis & golfers elbow:  ∞  itis
  • Migraines – 2008
  • Peripheral Neuropathy – 2009
  • Undifferentiated Sponyloarthropathy – 2010

Treatment

    • Exercise
    • Physical Therapy
    • TENS
    • Medication
      • DMARDs:
        • Plaquenil (Hydroxychloroquine) 200 mg po bid
        • Azulfidine (Sulfasalazine) 1 g po tid
        • Methotrexate 25 mg (1cc) sq qw
      • BRM:
        • Enbrel
        • Humira
        • Cimzia 200mg sq q2w
      • NSAID:
        • Ibuprofen 800 mg po tid
        • Mobic
        • DayPro
        • Feldene (Piroxicam) 20 mg po qd
      • Steroid:
        • Prednisone
      • Other:
        • Calan SR (Verapamil ER) 300 240 mg po qd
        • Prilosec (Omeprazole) 20 mg po qd
        • Folic Acid 2 mg po qd (needed due to the mtx)
        • assorted OTC vitamins
        • Tylenol 1000 mg po qid prn (rarely needed, thanks to the biologic)
    • Custom orthotics

*  *  *

The rheumatologist originally said mixed connective tissue disease, possible SLE.  Two months later, he said that a CCP of 175 meant definitely rheumatoid arthritis and started me on my first DMARD.  After a year and a half I changed doctors; the new rheumy repeated all labs and added a zillion others.  CCP had returned to normal, and my diagnosis returned to mixed connective tissue disease.  After a few months of further observation, the diagnosis was changed back to rheumatoid arthritis.  After an additional year of observations, she suggested that it’s looking like undifferentiated sponyloarthropathy (instead? too?). 

***

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