I'm preparing for a Rheumatology appointment next Tuesday. I have RA which seems to be causing achillies tendonitis and plantar fasciitis in both legs/feet. My joints and swelling in feet is starting to improve with Methotrexate, but the stiffness and pain in my achillies tendons is not (3.5 months now). I am unable to walk much and cannot get my heels down on the ground after resting for more than 15 mins.
Anyone else had the same? If so, what helped improve it? What should I be asking for at my appointment?
I haven't had foot X-rays for 3 years and they said I couldn't have one last year despite foot problems. I'm going to push for an X-ray this time as have had 2.5 months bad foot joint inflammation and still getting pains/stiffness on walking, but I'm wondering about an ultrasound or MRI to show inflammation and condition of my achillies tendons? Has anyone had that done? My hospital is reluctant to do monitoring X-rays etc, so I'll have to push, but don't know what is available via NHS Rheumatology.
I had the same achillies problem in one leg for 6 months last year and it improved with oral steroids, physio and starting Methotrexate. Unfortunately I had to move to the lowest dose MTX due to side effects at Christmas and during this time started a huge flare and both legs started playing up (plus all my joints, horrendous). I'm just getting under control again with my joints, having worked up to 15mg Mtx since then, but there's no improvement at all in my tendons.
I'm sleeping with a Dorsiwedge boot on each foot at night and doing as much of the physio exercises as I can, but still at the point that exercise is making them worse. Had a really bad time on steroids (40mg Prednisone) and coming off them after Christmas, so hoping to avoid going back on. I'm still awaiting a podiatry appointment at the hospital, so haven't found insoles that's help yet, other than gel heel raisers.
Anyone had the same problem? What diagnostic tests have you had and what treatment has helped you?