Health DescriptionHealth Consultation Description: The joints in my body (fingers,wrists, elbows, shoulders, spine, hips, knees and ankles) have become increasingly painful and stiff. I am stiff until around 2pm every day, they do not appear to be extremely swollen red or hot. However the middle finger knulckes have increased in size significantly. I am no longer able to wear any rings.
My doctor did blood tests (RA factor, sed rate,etc.) and all came back normal and not suggesting RA. He put me on Cymbalta thinking it was
Fibromyalgia but that does not seem to help at all. My doctor does not see the need to send me to a rheumatologist, with my insurance i would need a referral. Do you have any suggestions on what I can ask my doctor to test next?
Expert ReplyCondition analysis:
Testing is typically supplemental to a suspicion produced by history and examination. In other words, the story and the physical exam findings should guide what tests are ordered. That is why a face-to-face visit with a healthcare provider is important. If you still have concerns about an underlying inflammatory arthritis, then a consultation with a rheumatologist may be worthwhile irrespective of your insurance plan. Perhaps you could ask your primary care doctor again if a referral to Rheumatology is warranted.
Instructions:
Hot and Cold Compresses: Alternating hot and cold compresses can also help ease joint pain. Heat therapy helps decrease pain, increase blood flow and relax sore muscles and joints. Cold therapy reduces inflammation and numbs the areas around the affected joint.
-- Wrap both compresses in separate towels before using them. They should not be applied directly to the skin.
-- Place the hot compress on the affected area for about three minutes.
-- Remove the compress and immediately put a cold compress in its place for about one minute.
-- Repeat the process for 15 to 20 minutes a few times daily until you get relief.
Note: Do not use heat therapy if the affected area is red, hot and irritated. Do not use cold therapy if you have circulatory problems.