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#475877 - 08/28/12 11:29 AM visit with my rheumy
wallwe Offline
General_AS_Kicker

Registered: 07/14/02
Posts: 2597
Loc: nova scotia canada
Hi there
I had an appointment with my rheumy yesterday .
I am in a flare and have been most of the summer. My hands are really swollen ( to the point that I can no longer drive ) and the last remicade didn't even make a dent in the flare. Anyway I have to start the methotrexate and move the remicade up to every 4 weeks. If this doesn't help then he said he will change to one of the other meds. I hope it helps . I am getting tired of the constant pain .
_________________________
Take care Valerie

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#475890 - 08/28/12 02:52 PM Re: visit with my rheumy [Re: wallwe]
gbash Offline
Decorated_AS_Kicker

Registered: 10/09/08
Posts: 728
Loc: Oklahoma
Bummer. I pray you get better soon.
_________________________
AS symptoms started 1991. Official dx in 2006 with HLA-B27+, fused SIJ, bone spurs in back, extreme rib/hip pain, and other family with SpA. Started Enbrel in 2006 with good results, but stopped in 2010 due to nerve damage (MS) from it. Now getting good results with no-starch diet.

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#475894 - 08/28/12 03:26 PM Re: visit with my rheumy [Re: wallwe]
Sue22 Offline
Very_Addicted_to_AS_Kickin

Registered: 01/13/08
Posts: 19181
Loc: Upstate NY
Good luck with the new treatment!

As for the hands; a hand (physical) therapist has saved me several times in the past.

And on my own, when my hands flare, i'll do contrast baths several times a day:

1-2 minutes in very hot water, 1-2 minutes in ice cold water, back and forth for a total of 15-20 minutes, several times throughout the day as needed.

I've also learned a lot of ergonomic tricks (from the hand PT) to save my hands.

when my hands get bad, i stop using my thumb on the track pad and pull out the mouse.

i avoid reading anything that requires lots of thumbing through pages (like magazines).

in the kitchen, hubby does all the chopping and peeling, til my hands are a bit better. i do the rest of the cooking that's not so hard on the hands.

i only use gel ink pens; uniball are my favorite / easiest to use.

i'm very selfish with my hands, especially when they are flaring. i think about that spoon theory and really save my hands for only necessary tasks. though sometimes i understand that even that is not good enough.

hope you are doing better soon.
_________________________


sue

USpA
Humira (no more methylpred or Aleve?)
LDN/zanaflex/flector
vits C, D. probiotics. fish oil. CoQ, Mg, Ca
chiro
walk, bike
no dairy (casein sensitivity), limited eggs

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#475938 - 08/29/12 12:50 PM Re: visit with my rheumy [Re: wallwe]
NewNormalCharity Offline
Third_Degree_AS_Kicker

Registered: 03/30/11
Posts: 271
Loc: Blenheim ON CANADA
Sorry you are fealing so yuky, Hope new meds give some relief.

re hands: Mine dont swell visibly but they often ache, the right one especially.
The new Sharpie pens are great too. I use them now instead of gel and have found improvememnt. but i want to get the foamies to bulk them up a bit.
Also I use the Cutlery holders on spoons and on my toothbrush. It helped me alot. I dont need on spoons all the time but toothbrush yes. Again hope you feel better soon.
_________________________
Diagnosed Fibromyalgia 2004
Diagnosed Ankylosing Spodylitis Sept 2011.
Vertigo Since October 21 2012
Humira June 2012
Spending Each day using it to the full to help people in my community have hope, the only hope that keeps me going despite pain and fatigue every day most of the day.

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#475973 - 08/29/12 09:17 PM Re: visit with my rheumy [Re: wallwe]
manatee Offline
Presidential_AS_Kicker

Registered: 01/29/06
Posts: 2989
Loc: Pennsylvania
Hi Val, I had no idea you were having so much trouble with your hands. I have a lot of pain and swelling in my hands and wrists, can't use my thumbs anymore. We really take our hands for granted until we can't use them amymore. There are a few things I do for my hands one is a parafin bath for my hands, two, soak them in hot soapy water while doing my finger exercises, three, I have a jar of salve that has Glucosamin, Condroitin, and MSN that I use daily. If I can help you any let me know.

heart
Cindy
_________________________
" That which does not kill me only makes me stronger"

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#475984 - 08/30/12 01:18 AM Re: visit with my rheumy [Re: wallwe]
Shirley Offline
Journeyman_AS_Kicker

Registered: 08/23/12
Posts: 106
Loc: New Zealand
Hi Wallwe.

Hopefully the methotrexate will make a difference for you. It helps my hands heaps, more than anything else I've tried, but it took a few weeks at 15mg per week to start making a difference and improved even more once I increased to 20mg per week. I can even open cans again! Just be sure you take the folic acid to prevent side effects.

For me it is essential to use an ergonomic keyboard with the computer - I have one at home and one at work recommended by an occupational therapist who did an ergonomic assessment at work. I also got an ereader as holding ordinary books is too hard on my hands. Oh and an electric toothbrush - it's hard to cover everywhere properly when your hands don't work well and I also have a dry mouth etc, so I ended up with a row of fillings in one place where my toothbrush hadn't been reaching properly.

Good idea to go to a hand therapist to get any ideas about how to protect your hands while they are so inflamed.
_________________________
AS, IBS, reflux oesophagitis and dysphagia, PCOS/insulin resistance, asthma...
Currently managing my AS with humira, methotrexate, meloxicam, low starch diet and exercises. Also taking omeprazole, metformin etc.

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