Zoledronic acid and RA flare?

[CAROLINE23RED]

Hi

I had a ZA IV two weeks ago, since then some bone pain which I was told could happen, but my wrists/thumb have really flared, has anyone experienced this?

I have OI/RA and osteonecrosis in the knee.

Caroline

[Mistydawn]

Should you be taking ZA if you already have osteonecrosis of The knee? I understand in very rare cases bisphosphonates can cause osteonecrosis of the jaw

[nomoreheels in reply to Mistydawn]

It would seem counterintuitive U but studies show it's not the case with the knee, bisphosphonates are part of treatment & in many cases delayed joint replacement.

Hope things are generally ok with you? x

[Mistydawn in reply to nomoreheels]

Thank you for clarifying P.

Yes, all okay thanks. Hope you and your hubby are doing okay x

[nomoreheels in reply to Mistydawn]

I'm not bad at all thanks. The same can't be said for h but that's another tale. Second opinion time, we were due to go over to Manchester last Thursday but got a call on Wednesday from his Sec saying he's referred him on to his colleague. Now waiting for an appointment with him. Ho hum.

Pleased you're ok. x

[Mistydawn in reply to nomoreheels]

Ah so sorry to hear about your Hubby P. I do hope he doesn’t have to wait too long.

Take care of yourselves.

Hugs xx

[nomoreheels in reply to Mistydawn]

Thanks U. You take care of yourself too. Hugs right back. x

[CAROLINE23RED in reply to nomoreheels]

Thank you 🙏🏽

[CAROLINE23RED in reply to Mistydawn]

Hi thanks for your mess. I asked that question myself, they said it was rare and not to have tooth extraction or root canal several weeks either side of IV. It doesn’t seem to have agreed with my joints (pain) especially hands, but not much I can do now 😢. Caroline

[Mistydawn in reply to CAROLINE23RED]

Glad ZA is working for you Caroline.

Take care

Misty x

[CAROLINE23RED in reply to Mistydawn]

Hi

Not sure it is working, in more pain now than before😢

[Mistydawn in reply to CAROLINE23RED]

Sorry Caroline. I miss read your message and so sorry it is not working 😢 xx

[nomoreheels]

Pain in the hands (or feet) is a common symptom following the infusion Caroline so maybe that's what you're experiencing rather than an actual localised RD flare? If it continues maybe mention it to your Rheumy nurse but meantime you could try to flex it less & see if cold compresses ease it a little.

[CAROLINE23RED in reply to nomoreheels]

Thank you 🙏🏽. Could you explain what you mean by “flex it less”?

[nomoreheels in reply to CAROLINE23RED]

You're welcome. By flex I mean bend, try not to overuse it really, rest it when you're not having to use it, when sitting for example.

[CAROLINE23RED in reply to nomoreheels]

👍🏽