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Arthritis?

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  • #2248
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    PlaneMan
    @planeman

    Some will remember my topic on MM about my hands (and now hip).

    I saw the consultant today and my hip is mildly wrecked. The cartilage on the ‘socket’ part is worn and has a tear in it. That explains the increased pain I have while walking and moving it anyway apart from straight forward  or back. The consultant was happy to say it was a ‘one of those things’ situation until I showed him my swollen ,bright red fingers.

    I had bloods done and I’m having a MRI on my hands tomorrow. The first one was done when the fingers weren’t inflamed so he’s hoping that something will show this time.

    I’m seeing the physio monday and the consultant a week today, hopefully it’s better news than the referral to a surgeon which was going to happen today but has been delayed while I continue to confuse medical science.  :unsure:

Viewing 9 replies - 421 through 429 (of 429 total)
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  • #64199
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    Dave Rice
    @ricedg
    Forumite Points: 9,804

    I get an annual check on my ankle replacement that always involves x-rays (but not this year it’ll be by phone).

    Even though every one shows it’s as good as the day it went in and I have no issues at all they always do it. In the last 2 years they’ve not been done before I see the consultant and even after the physical examination has produced no worries they still insist it’s done.

    I believe they are just being thorough, I don’t read too much into it. What will happen when it wears out I don’t know (apart from the fact you can’t do two replacements) and I’m not sure they are either as the usual route of arthrodesis isn’t appropriate. They don’t know how long it will last, may be 10 years and I’m on year 8, but as I said it still looks like the day it went in.

    Just as well Rheumatology did x-rays on my back a few weeks ago as the consultant was 99% sure it was osteoarthritis and not what it turned out to be.

    #64205
    Participant
    Dave Rice
    @ricedg
    Forumite Points: 9,804

    Update: Just had my annual check up via a phone call. Even though they are not expecting any change they have booked up a walk-in x-ray for me.

    #64207
    Participant
    PlaneMan
    @planeman
    Forumite Points: 7,726

    Just had another letter, this time from the hip surgeon following my recent x-rays.

    I have to have a MRI of my right hip (the worst one) but he thinks hip salvage surgery is probably the way forward. Due to my relatively young age  he wants to avoid a hip replacement if possible. Apparently the problem is ‘Cam impingement occurs when the femoral head is not perfectly round and cannot rotate smoothly inside the acetabulum. It often results from a bump formed from excess bone growth at the end of the femur. During movement, the bump grinds the cartilage inside the acetabulum.’ That would explain why it hurts so f***ing much. :negative:

    Just have to wait for the MRI appointment and then one with the surgeon.

    Dave, hope your x-ray is a good result. :good:

    #64212
    Participant
    Dave Rice
    @ricedg
    Forumite Points: 9,804

    I had the same issue with my ankle, too young for replacement and the same boney growth problems along with cartilage loss and damage.

    They did a day surgery job to clean everything up and it certainly bought me some time and some relief. Sounds very similar. It didn’t affect my walking at all, neither good nor bad, and the 24 hours the local anaesthetic they pumped in lasted was marvellous (the surgery was done under general anaesthetic).

    #64482
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    PlaneMan
    @planeman
    Forumite Points: 7,726

    Appointment with the consultant today.

    Good news is my shoulders are not showing any real signs of arthritis but it looks like it’s starting.

    Bad news is that means it’s muscular, so another scan booked for whenever.

    Right hip is ruined but not hip-replacement ruined. Surgeon reckons hip salvage will work, according to the letter he sent the consultant.

    Still waiting for a date for the pelvis MRI and surgeon appointment. Consultant said ‘don’t hold your breath’ :scratch:

    #64491
    Participant
    Dave Rice
    @ricedg
    Forumite Points: 9,804

    My MRI for my back came through quickly, it’s on the 15th.

    Had a phone consultation with a new cardiologist. Wow, what a difference. There’s some new medication that will probably sort out my fluid on the lungs issues, but more importantly there is a new local group of (I’m guessing nurse based) heart specialists that will look at my whole medication. I’ve been told to expect an intense couple of months of blood tests and tinkering then it should all start to settle down. But they will be monitoring me permanently from now on.

    One thing he wants to get down is my cholesterol. It’s well into the OK territory but he thinks it’s quite feasible to get it lower still. This is something I’ve always thought too but my GP has been reluctant to even tell me my count, all they say is it’s OK. It’ll largely be out of their hands now. Also he wants me to have an MRI of my heart to see if there’s been any changes.

    Looks like I’m in for a busy new year, hopefully someone will squeeze a vaccination in there somewhere 🎯

    #64497
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    Ed P
    @edps
    Forumite Points: 17,429

    Dave ask your cardiologist about the risks of peripheral neuropathy if cholesterol levels are aggressively lowered for a protracted period. I had to eliminate statin use due to the problems it caused with loss of feeling/pain at the extremities, it took some years to revert back to normal.

    #64499
    Participant
    Dave Rice
    @ricedg
    Forumite Points: 9,804

    I already suffer from it Ed, my fingertips are extremely sensitive especially to crushing. Trapping my finger in a door / drawer is ridiculously painful. I will be mentioning it to the new heart outfit but it’s definitely pain worth the gain for me. However it could also be linked to arthritis rather than statins so I’ll be mentioning it to the rheumatology team as well.

    Me and the Mrs decided that we need to take vitamin D supplements and started a few weeks ago. I went for the recommended dose rather than the 10x right-on-the-maximum products that dominate. It does seem to have improved my tiredness but again that is also linked to ankylosing spondylitis or even my heart so who knows?

    #64502
    Participant
    Ed P
    @edps
    Forumite Points: 17,429

    +1 to vitamin D, but you need more than the minimum during the dark days of winter.

    The other vitamin supplement that appears to be good for the heart is vitamin K-MK7. As it happens it is also excellent for the bones, and definitely should be looked at for females taking calcium supplements or suffering bone loss. link.

    If you do take it it should be taken with something fatty, e.g. milk or yoghurt as it is a fat soluble vitamin. (unfortunately it is quite expensive, the only natural sources tend to be in fermented Japanese foods such as natto, kimchi etc, or grass-fed dairy products. (Channel Islands/ Holland have MUCH lower rates of heart disease than UK corn-fed dairy, but similar diets!)

    As usual, do your own research and talk to your specialist/doctor.

     

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