Had a hospital visit yesterday with my rheumy nurse, has now been 4 weeks since starting the mtx.
I have been struggling again with pain and stiffness in both knees but more so the left one as usual. Have previously had a steroid injection in this one which did help for a few months but has worn off.
I do believe that because of the pain that I am in this has not helped with the severe stiffness, pain and slight swelling that I have in my left hip as I feel that when walking I am over compensating hence the hip troubles. Am I making sense????
So upon examining me the nurse was quite concerned about the level of pain and stiffness that I am still in so decided to call in a consultant to take a look at me.
He came in, quickly examined me by rotating my knees and had a quick look at my blood works in particular I think was the CRP levels which I think monitor inflammation. These have always been low as well as my rheumatoid factor hence the diagnosis of Psoriatic Arthritis.
He then quickly questioned me about when I felt worse which is always upon getting up in the morning, after sitting for long periods, driving etc. I told him that although I have had only 3 major outbreaks of psoriasis in adulthood there has not been a lot else.
Basically, he was concerned that as I had not begun to react to the mtx he was questioning my original diagnosis more or less saying my symptoms were not consistent with PsA. He went on to say that as my blood levels were low and I did not display any redness or heat on my joints I may have something else. He thinks that as my symptoms of pain began around November it may be a calcium deficiency and has ordered a blood test for this. As well as that he would like me to have an ultrasound of my ankles and possibly mri of my hips. Having done my homework on PsA I do believe my symptoms are consistent but feel at a total loss now and totally bereft. Are anyone else's crp low all the time or is it just me???? I know that I am not imagining the pain and stiffness. My hands do swell,my ankles are still swollen and have been since September. My knees are puffy and i do experience pain and stiffness throughout my whole body. Strangely enough the nurse actually said that she could feel the beginnings of nodules on my thumb although i havnt noticed.
So im lying here wide awake and its 4.04. I feel totally rock bottom again and just feel like throwing the towel in!