Hello I am new to this site and am looking for some advice.
I have psoriatic arthritis without any skin lesions and had not been using any medication except pain relief and anti inflammatories for several years. My flares were sporadic and usually in my right knee and left foot and occasionally my toes however in the last year my right foot and left knee took bad flares.
I developed septic arthritis in early December 2020 in my left knee and ended up having keyhole surgery to wash out the knee and was on IV antibiotics and then oral antibiotics for several weeks. The swelling has never fully subsided and it has been in my feet and toes as well. I started 10mg of methotrexate weekly with folic acid in between and each time I took the methotrexate my knee would swell terribly I was due to have my dose doubled to 20mg next week.
I have been told to stop taking the methotrexate as my white blood cells are too low and I’m seeing my specialist tomorrow as my rheumatologist nurse advised that due to the surgery and my blood levels she doesn’t think I’ll be allowed a steroid injection in case it introduces infection into the knee. She suspects they will try me on sulfasalazine as even though the dose of methotrexate was so low the effect on my bloods means they won’t continue.
I feel like the methotrexate made no difference whatsoever to my joints if anything it merely irritated them and my fear is that the sulfasalazine won’t have any effect either. I have been dragging my leg for months now and I really want something to hit the arthritis hard without knocking my white bloods off.
I’m sorry for the long post but the watch and wait approach is no longer an option for me as I am at the end of my patience. Any advice or suggestions I can take to my appointment tomorrow would be greatly appreciated x