Help please 🙏 started with septic arthritis then ReA and last week diagnosed with PsA !
Hello 👋 Diagnosed two days ago - I’ll condense my journey to this point. Any words of wisdom will be gratefully received 😊
Up to 6 years ago I had been relatively healthy only having a couple of gynae ops, monthly migraine and the odd broken bone. Firstly I developed Dystonia with Tremor then in Feb last year after months of low back ache an MRI showed a multitude of probs in my lumber spine including facet joint arthritis, spondylolisthesis, disc bulges with nerve impingement etc. On Xmas day last year I fell in my garden which triggered a flare in my lumber, by the end of January a swollen, stiff and hot L knee which by Feb had developed into Septic Arthritis. Admitted to hospital, had an op to wash out the knee, IV antibiotics then 2 weeks later developed Reactive Arthritis in my R knee, shoulders and R index finger. In hospital 7 weeks, discharged on Prednisolone & Etoricoxib which reduced the swellings, temperature and inflammatory markers. Since discharge I have been seeing the rheumatologist trying to reduce the steroid which I’d got down to 10 mg but had increased pain & recently started having flares again with more joints getting involved. My CRPis still high & have neutrophilia & have genetic markers for PsA so my Rheumatologist changed my diagnosis on Thursday to psoriatic arthritis and I’m due to start on methotrexate 20mg on Tuesday then folic acid with blood tests every two weeks.
Feeling a bit overwhelmed, right now I have swelling and pain in both ankles, both knees, R shoulder & R index finger. Just been transferred from the physio that was dealing with my lumber spine to a rheumatology physio.
I’m on Clonazepam & Propanolol for the Dystonia
Tramadol & Paracetamol for Lumber Spine
Prednisolone & Etoricoxib for the arthritis
* Anyone on here with a similar disease progression ? Any advice re methotrexate or PsA in general
Thank you for reading my story ❤️
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