Shoulder damage: Hi there. I have had RA for six years... - NRAS

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Shoulder damage

DoubleD profile image
5 Replies

Hi there. I have had RA for six years. I have been on 4 different demands and am currently on leflumonide and hydroxy. I had a joint injection into my shoulder yesterday which showed up a lot of erosion and a tear in the tendons all caused by the RA. My rhumy then said that at my next review (next week) we would need to review my Meds. The problem is I don't think I'm going to meet the DAS score for biologics as my bloods have always been fairly level yet there is a lot of damage going on. Anyone any ideas where I might go from here? Thanks.

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DoubleD profile image
DoubleD
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Barrister profile image
Barrister

If you have a tear then you should be referred to an orthopaedic surgeon to have it repaired. Sorry I don't have any further info. I'm on Enbrel and MTX ( was on Humira before but it stopped working) and since I've been on enbrel, I've developed erosions in one of my shoulder joints. I had shoulder surgery just over a month ago for a removal of bone spur and repair of a large rotator cuff tear and also removal of metal filings left behind from surgery last year. Clemmie

DoubleD profile image
DoubleD in reply toBarrister

Thanks for the reply. They did say that I would probably need surgery at some point. This would be my third although the other two were for RA damage in my jaw. I feel that after 4 different drugs the dmards are just not working now and am a bit worried that I'm going to come out of the next appointment no better off because of a low ESR reading and not much swelling but a lot of pain and damage.

Barrister profile image
Barrister in reply toDoubleD

I have always had a low ESR but I have PsA so there are different rules/guidelines when it comes to prescribing biologics. Clemmie

Jacki08 profile image
Jacki08

My bloods have never shown any inflammation and I'm on biologics--- my erosion was discovered on scans. Xx

DoubleD profile image
DoubleD

Thanks for that Jacki08. That sounds promising and gives me Hope!

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