Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Arthritis Questions

Dear doctor I had a lab test for anti ccp and rheumatoid factor and the result of anti ccp is 33.58 u/ml and the rheumatoid factor is just 10 iu/ml. I consulted an internal medicine specialist in abu dhabi and he referred me to a rheumatologist. The only symptom is I have infection on my right thumb toe and forth toe. I also had a sugar test which resulted as 6 upon fasting, considered to border line. The whole episode was due to eye burning and dryness and I would like to get your advise further on how to handle the situation. Age: 40 sex: female weight: 64 height: 169 exercise: 4 days/week mother of two girls, house maker.

Dr.Julie Mercy J David 94% (35033ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Dear doctor
I had a lab test for anti ccp and rheumatoid factor and the result of anti ccp is 33.58 u/ml and the rheu...
The "normal" range (or negative test result) for rheumatoid factor is less than 14 iu/ml. Any result with values 14 iu/ml or above is considered abnormally high, elevated, or positive. Treatmentthere is no cure for rheumatoid arthritis. But clinical studies indicate that remission of symptoms is more likely when treatment begins early with medications known as disease-modifying antirheumatic drugs (dmards). Medicationsthe types of medications recommended by your doctor will depend on the severity of your symptoms and how long you've had rheumatoid arthritis. •nsaids. Nonsteroidal anti-inflammatory drugs (nsaids) can relieve pain and reduce inflammation. Over-the-counter nsaids include ibuprofen (advil, motrin ib) and naproxen sodium (aleve). Stronger nsaids are available by prescription. Side effects may include stomach irritation, heart problems and kidney damage. •steroids. Corticosteroid medications, such as prednisone, reduce inflammation and pain and slow joint damage. Side effects may include thinning of bones, weight gain and diabetes. Doctors often prescribe a corticosteroid to relieve acute symptoms, with the goal of gradually tapering off the medication. •disease-modifying antirheumatic drugs (dmards). These drugs can slow the progression of rheumatoid arthritis and save the joints and other tissues from permanent damage. Common dmards include methotrexate (trexall, otrexup, others), leflunomide (arava), hydroxychloroquine (plaquenil) and sulfasalazine (azulfidine). Side effects vary but may include liver damage, bone marrow suppression and severe lung infections. •biologic agents. Also known as biologic response modifiers, this newer class of dmards includes abatacept (orencia), adalimumab (humira), anakinra (kineret), baricitinib (olumiant), certolizumab (cimzia), etanercept (enbrel), golimumab (simponi), infliximab (remicade), rituximab (rituxan), sarilumab (kevzara), tocilizumab (actemra) and tofacitinib (xeljanz). These drugs can target parts of the immune system that trigger inflammation that causes joint and tissue damage. These types of drugs also increase the risk of infections. In people with rheumatoid arthritis, higher doses of tofacitinib can increase the risk of blood clots in the lungs. Biologic dmards are usually most effective when paired with a nonbiologic dmard, such as methotrexate. Therapyyour doctor may send you to a physical or occupational therapist who can teach you exercises to help keep your joints flexible. The therapist may also suggest new ways to do daily tasks, which will be easier on your joints. For example, you may want to pick up an object using your forearms. Assistive devices can make it easier to avoid stressing your painful joints. For instance, a kitchen knife equipped with a hand grip helps protect your finger and wrist joints. Certain tools, such as buttonhooks, can make it easier to get dressed. Catalogs and medical supply stores are good places to look for ideas. Surgeryif medications fail to prevent or slow joint damage, you and your doctor may consider surgery to repair damaged joints. Surgery may help restore your ability to use your joint. It can also reduce pain and improve function. Rheumatoid arthritis surgery may involve one or more of the following procedures: •synovectomy. Surgery to remove the inflamed lining of the joint (synovium) can be performed on knees, elbows, wrists, fingers and hips. •tendon repair. Inflammation and joint damage may cause tendons around your joint to loosen or rupture. Your surgeon may be able to repair the tendons around your joint. •joint fusion. Surgically fusing a joint may be recommended to stabilize or realign a joint and for pain relief when a joint replacement isn't an option. •total joint replacement. During joint replacement surgery, your surgeon removes the damaged parts of your joint and inserts a prosthesis made of metal and plastic. Surgery carries a risk of bleeding, infection and pain. Discuss the benefits and risks with your doctor.
Submit FeedbackFeedback

Sound comes from my knees while sitting-standing, it hurts a lot, I have to take support of something. And i'm only 22. What to do? I do not want to be a burden on anyone.

Dr.Karuna Chawla 97% (96019ratings)
BHMS
Homeopathy Doctor, Noida
Sound comes from my knees while sitting-standing, it hurts a lot, I have to take support of something. And i'm only 2...
Follow these dos and don'ts to help your knees feel their best. 1. Don't rest too much. Too much rest can weaken your muscles, which can worsen joint pain. Find an exercise program that is safe for your knees and stick with it. If you're not sure which motions are safe or how much you can do, talk with your doctor or a physical therapist. 2. Do exercise. Cardio exercises strengthen the muscles that support your knee and increase flexibility. Weight training and stretching do, too. For cardio, some good choices include walking, swimming, water aerobics, stationary cycling, and elliptical machines. 3. Don't risk a fall. A painful or unstable knee can make a fall more likely, which can cause more knee damage. 4. Rest, ice, compression, and elevation (rice) is good for knee pain caused by a minor injury or an arthritis flare. Give your knee some rest, apply ice to reduce swelling, wear a compressive bandage, and keep your knee elevated. 5. Don't overlook your weight. If you're overweight, losing weight reduces the stress on your knee. You don't even need to get to your "ideal" weight. Smaller changes still make a difference. 6. Don't be shy about using a walking aid. A crutch or cane can take the stress off of your knee. Knee splints and braces can also help you stay stable. 7. Don't let your shoes make matters worse. Cushioned insoles can reduce stress on your knees. 8. Do play with temperature. For the first 48 to 72 hours after a knee injury, use a cold pack to ease swelling and numb the pain. A plastic bag of ice or frozen peas works well. Use it for 15 to 20 minutes three or four times a day. Wrap your ice pack in a towel to be kind to your skin. After that, you can heat things up with a warm bath, heating pad, or warm towel for 15 to 20 minutes, three or four times a day. 9. Don’t jar your joint (s). High-impact exercises can further injure painful knees. Avoid jarring exercises such as running, jumping, and kickboxing. Also avoid doing exercises such as lunges and deep squats that put a lot of stress on your knees. These can worsen pain and, if not done correctly, cause injury.
Submit FeedbackFeedback

I am 34, female from past one month I am experiencing knuckling bones sound in my feet ,knees ,elbow when I move?

Dr.Rahul Rai 91% (3363ratings)
MSPT (Master of Physical Therapy), Bachelor of physiotherapy
Physiotherapist, Gorakhpur
I am 34, female from past one month I am experiencing knuckling bones sound in my feet ,knees ,elbow when I move?
Check ir uric acid and ra factor. Do regular exercises advise by physiotherpist. Send urs report in chat. My code is rre530.
Submit FeedbackFeedback

I am 34, from past one month I am experiencing knuckling bones sound in my feet ,knees ,elbow when I move.

Dr.Julie Mercy J David 94% (35033ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am 34, from past one month I am experiencing knuckling bones sound in my feet ,knees ,elbow when I move.
Strengthening exercises. Weak thigh muscles contribute to the strain on your tendon. Exercises that involve lowering your leg very slowly after extending it can be particularly helpful, as can exercises that strengthen all of the leg muscles in combination, such as a leg press. Half squat (do 2 to 3 sets of 10 repetitions) calf raises (do 2 to 3 sets of 10 repetitions) hamstring curl to do this exercise: 1. Stand facing a wall or use a chair for support. Your feet should be hip-width apart. 2. Lift one foot up, bend your knee, and raise your heel toward the ceiling. Go as far as you can, while keeping your upper body still and hips pointing forward. 3. Hold for 5 to 10 seconds. 4. Relax and lower to the starting position. 5. Do 2 to 3 sets of 10 repetitions for each leg. Leg extensions to do this exercise: 1. Sit up tall in a chair. 2. Put your feet flat on the floor, hip-width apart. 3. Look straight ahead, contract your thigh muscles, and extend one leg as high as possible without raising your buttocks off the chair. 4. Pause, then lower to the starting position. 5. Do 2 to 3 sets of 10 repetitions for each leg. Straight leg raises to do this exercise: 1. For this exercise, you can use a mat to add cushioning under your back. 2. Lie down on the floor with one leg bent and one leg straight out in front of you. 3. Contract the quadricep of your straight leg and slowly raise it up off the floor until it’s the same height as your bent knee. 4. Pause at the top for 5 seconds, then lower to the starting position 5. Do 2 to 3 sets of 10 repetitions for each leg. Side leg raises to do this exercise: 1. Lie on your side with your legs stacked on top of each other. Cradle your head in your hand, and place your other hand on the floor in front of you. 2. Raise your top leg as high as you comfortably can. You should feel this on the side of your hips. 3. Pause briefly at the top, then lower your leg. 4. Do 2 to 3 sets of 10 repetitions for each leg. Prone leg raises to do this exercise: 1. For this exercise, you can use a mat to add cushioning beneath you. 2. Lie on your stomach with your legs straight out behind you. You can let your head rest on your arms. 3. Engage your glute and hamstring muscles in your left leg and lift your leg as high as you comfortably can without causing pain. Be sure to keep your pelvic bones on the floor throughout this exercise. 4. Hold your leg in the lifted position for 5 seconds. 5. Lower your leg, rest for 2 seconds, then repeat. 6. Do 2 to 3 sets of 10 repetitions for each leg. Stretching exercises. Regular, steady stretching exercises can reduce muscle spasm and help lengthen the muscle-tendon unit. Don't bounce during your stretch. Heel and calf stretch to do this stretch: 1. Stand facing a wall. 2. Place your hands on the wall and move one foot back as far as you can comfortably. Toes on both feet should be facing forward, heels flat, with a slight bend in your knees. 3. Lean into the stretch and hold for 30 seconds. You should feel the stretch in your back leg. 4. Change legs and repeat. 5. Do this stretch twice for both legs. Quadriceps stretch to do this stretch: 1. Stand next to a wall or use a chair for support. Your feet should be shoulder-width apart. 2. Bend one knee so your foot goes up toward your glutes. 3. Grab your ankle and gently pull it toward your glutes as far as you can comfortably. 4. Hold for 30 seconds. 5. Return to the starting position and change legs. 6. Repeat 2 times on each side. Hamstring stretch to do this stretch: 1. For this stretch, you can use a mat to add cushioning under your back. 2. Lie down on the floor or mat and straighten both legs. Or, if it’s more comfortable, you can bend both knees with your feet flat on the floor. 3. Lift one leg off the floor. 4. Place your hands behind your thigh, but below the knee, and gently pull your knee toward your chest until you feel a slight stretch. This shouldn’t be painful. 5. Hold for 30 seconds. 6. Lower and change legs. 7. Repeat 2 times on each side.
1 person found this helpful
Submit FeedbackFeedback

37 female esr increase 38. My family Dr. say you have probably arthritis, heart problems or certain types of cancer. I want to know, which test I need to do for knowing my problems. I am diabetics. But everything is fine in urine routine and tlc dlc.

Dr.Rahul Rai 91% (3363ratings)
MSPT (Master of Physical Therapy), Bachelor of physiotherapy
Physiotherapist, Gorakhpur
What is urs problm. Accoding urs problme ,we can say about any test. Esr increse not mean cancer, there is any infection in urs body. During period and some medication can show high level of esr. By the way you can go for blood test like crp, anti ccp. For private counsltation use code rre530.
Submit FeedbackFeedback

My weight is 93 kgs and height 5.9" and I live a healthy life but four years back developed arthritis and cannot go out for walking to maintain health I want to do weight lifting etc.

Dr.Karuna Chawla 97% (96019ratings)
BHMS
Homeopathy Doctor, Noida
My weight is 93 kgs and height 5.9" and I live a healthy life but four years back developed arthritis and cannot go o...
Yes you can but start slowly n build stamina slowly. Don’t overdo. First of all you should change your eating habits like 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of water first thing in the morning (within 10 mins of waking up). No only biscuits or rusk will not do. 2. Don't overeat 3. Take your breakfast every day. Don't skip it. U can eat whatever your mother or grandparent eat in bfast. I mean to say whatever is your traditional food. If punjabi eat paratha, if belongs to south then take idli/ dosa etc. 4. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, seasonal fruit, a cup of curd/milk etc 5. Finish your dinner at least 2 hours before going to sleep. 6. Avoid fast foods n fried foods7.take a lot of green vegetables n fruit. 8. Drink lot of water9. Everyday preferably sleep on same time 10. Maintain active life style exercise in the form of yoga, cycling, swimming, gymming etc. Now about point no. 10. You should join a gym for weight training. Do it 2-3 times a week with at least 48 hours in between 2 sessions. On other days you can do cardio exercises. T for more details you can consult me.
1 person found this helpful
Submit FeedbackFeedback

I am having popping sounds at (near) my elbow joint, knee joint, ankle joint. My age is 16 .i do not have any history of falling, twisting, sprains, that means I am having growth spurt can you please answer my question.

Dr.Julie Mercy J David 94% (35033ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am having popping sounds at (near) my elbow joint, knee joint, ankle joint. My age is 16 .i do not have any history...
It looks like you are anaemic. And also you have to check with your vitamin and calcium, if the bones are weak then automatically the pain gets triggered more as there is less energy during any metabolic activity.
Submit FeedbackFeedback

Hi doc, as precautions so as to prevent further wear and tear of cartilage and the pain ,can we take calcium and vitamin d, glucosamine, supplements to help in maintaining bone health. At present my mom is on metoprolol 50 mg medication (mastectomy done in 2006), has severe knee pain (arthritis) please suggest if she can take calcijoint (dosage-o.d/b.d ?) and also can she use biojoynt tabs along with calcijoint tabs? If so what should be d dosage ?how long should the tabs be taken (any break needed in between - before re-starting the medication like 1 month gap for every alternate 3 months?). Or any other alternative medicines or nutritional supplements you wd recommend. Although it will not reduce pain by much even if it gives some relief should be good. Thanks in advance.

Dr.Julie Mercy J David 94% (35033ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Hi doc, as precautions so as to prevent further wear and tear of cartilage and the pain ,can we take calcium and vita...
Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. Stiffness have developed due to weakness of the ligaments & inflamed cartilage. Specific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knee a variety of physical therapy techniques can help reduce the symptoms associated with patellar tendinitis, including: strengthening exercises. Weak thigh muscles contribute to the strain on your patellar tendon. Exercises that involve lowering your leg very slowly after extending it can be particularly helpful, as can exercises that strengthen all of the leg muscles in combination, such as a leg press. Half squat (do 2 to 3 sets of 10 repetitions)calf raises (do 2 to 3 sets of 10 repetitions)hamstring curl to do this exercise: 1.Stand facing a wall or use a chair for support. Your feet should be hip-width apart. 2.Lift one foot up, bend your knee, and raise your heel toward the ceiling. Go as far as you can, while keeping your upper body still and hips pointing forward. 3.Hold for 5 to 10 seconds. 4.Relax and lower to the starting position. 5.Do 2 to 3 sets of 10 repetitions for each leg. Leg extensions to do this exercise: 1.Sit up tall in a chair. 2.Put your feet flat on the floor, hip-width apart. 3.Look straight ahead, contract your thigh muscles, and extend one leg as high as possible without raising your buttocks off the chair. 4.Pause, then lower to the starting position. 5.Do 2 to 3 sets of 10 repetitions for each leg. Straight leg raises to do this exercise: 1.For this exercise, you can use a mat to add cushioning under your back. 2.Lie down on the floor with one leg bent and one leg straight out in front of you. 3.Contract the quadricep of your straight leg and slowly raise it up off the floor until it’s the same height as your bent knee. 4.Pause at the top for 5 seconds, then lower to the starting position 5.Do 2 to 3 sets of 10 repetitions for each leg. Side leg raises to do this exercise: 1.Lie on your side with your legs stacked on top of each other. Cradle your head in your hand, and place your other hand on the floor in front of you. 2.Raise your top leg as high as you comfortably can. You should feel this on the side of your hips. 3.Pause briefly at the top, then lower your leg. 4.Do 2 to 3 sets of 10 repetitions for each leg. Prone leg raises to do this exercise: 1.For this exercise, you can use a mat to add cushioning beneath you. 2.Lie on your stomach with your legs straight out behind you. You can let your head rest on your arms. 3.Engage your glute and hamstring muscles in your left leg and lift your leg as high as you comfortably can without causing pain. Be sure to keep your pelvic bones on the floor throughout this exercise. 4.Hold your leg in the lifted position for 5 seconds. 5.Lower your leg, rest for 2 seconds, then repeat. 6.Do 2 to 3 sets of 10 repetitions for each leg. Stretching exercises. Regular, steady stretching exercises can reduce muscle spasm and help lengthen the muscle-tendon unit. Don't bounce during your stretch. Heel and calf stretch to do this stretch: 1.Stand facing a wall. 2.Place your hands on the wall and move one foot back as far as you can comfortably. Toes on both feet should be facing forward, heels flat, with a slight bend in your knees. 3.Lean into the stretch and hold for 30 seconds. You should feel the stretch in your back leg. 4.Change legs and repeat. 5.Do this stretch twice for both legs. Quadriceps stretch to do this stretch: 1.Stand next to a wall or use a chair for support. Your feet should be shoulder-width apart. 2.Bend one knee so your foot goes up toward your glutes. 3.Grab your ankle and gently pull it toward your glutes as far as you can comfortably. 4.Hold for 30 seconds. 5.Return to the starting position and change legs. 6.Repeat 2 times on each side. Hamstring stretch to do this stretch: 1.For this stretch, you can use a mat to add cushioning under your back. 2.Lie down on the floor or mat and straighten both legs. Or, if it’s more comfortable, you can bend both knees with your feet flat on the floor. 3.Lift one leg off the floor. 4.Place your hands behind your thigh, but below the knee, and gently pull your knee toward your chest until you feel a slight stretch. This shouldn’t be painful. 5.Hold for 30 seconds. 6.Lower and change legs. 7.Repeat 2 times on each side.
Submit FeedbackFeedback
Icon

Book appointment with top doctors for Arthritis treatment

View fees, clinic timings and reviews