Morning all 👋
Just a little question.
I have sero positive RA, on Mthx 10mg for 2 and a half years now. Although it’s not as controlled as I’d like, have intermittent flares, my Consultant can’t really increase the dose as my ALT shoots up to over 100. Last year she introduced Hydroxychloraquine, but it gave me severe stomach problems and I ended up in A&E. Now she’s procrastinating about adding anything else in, saying I’m obviously sensitive to medications 🤷♀️
Anyway, since going back to work after lockdown my left shoulder has started to stiffen, and I’ve had trouble doing my bra up etc, I’m sure you’ve all been there 😉
Having tried and failed numerous times to get in touch with the nurse helpline and Consultant I finally phoned my GP last week who gave me Prednisone (such a sweet relief). After the first two day I felt great, all pain and stiffness gone, as would be expected with steroids, but yesterday and especially this morning the stiffness is back. Not as bad, but still there. I can only tolerate 10mgs as I get severe indigestion otherwise, even with the gastro coated ones (plus I am on Lansaprozal), I’m wondering if maybe it’s the dose is not high enough or it’s actually something else happening there like maybe osteoarthritis? If so, how do they differentiate or diagnose between the two 🤷♀️
You really need a diagnosis of what is wrong with the shoulder. It is possible it is not the Rheumatoid Disease (we tend to put everything down to that, as do our medical team). On the other hand, if it responded to steroids that suggests that it was inflammatory in origin. 10mg steroid is not a big dose - perhaps a steroid injection might be indicated? But not without a diagnosis which can only be got if you keep trying to get into contact with the rheumy team at the hospital.