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• Bones & joints >> Rheumatoid Arthritis >> Disease duration 16-20 years >> Interview 23 >> Explains feelings towards her joint operation, not wanting to know details and seeing it as a positive step.

Psoriasis age 17. Rapid onset RA diagnosed seronegative '86. Various DMARDS tried and complementary therapies/diet helped. Stroke '00, blood disorder & Sjogrens. Currently Steroids, Dihydrocodeine, Vioxx. 2 new knees/1 hip/2 shoulders & right thumb fusion.

• Bones & joints >> Rheumatoid Arthritis >> Disease duration 21-25 years >> Interview 19 >> Feels surgeons could explain more and patients should ask questions about the planned operation.

Diagnosed 1980. Early treatment NSAID, pain killer and steroids. 9 operations e.g. joint replacement, neck fusion. Various DMARDS. Currently on Anti-TNF Infliximab/7 weeks. Methotrexate weekly, Prednisolone, Rofecoxib, hydroxychloriquine daily.

• Bones & joints >> Rheumatoid Arthritis >> Disease duration 26 years plus >> Interview 16 >> Had both partial wrist replacements together and although it was very restricting for 3 months she felt it was worth it.

Diagnosed 1977 after shoulder pains. Diclofenac retard 100mg/day, Methotrexate 15mg/week & 5mg/day folic acid. Partial wrist & 2 finger joints replaced, thumb tendon repairs, 6 toe joint operations, ankle fusion & a back operation (not due to RA).

• Bones & joints >> Rheumatoid Arthritis >> Disease duration 11-15 years >> Interview 33 >> Returning home after her hip operation was challenging and she had to get used to being independent again.

Juvenile chronic arthritis diagnosed 1990. Initially NSAIDs, then methotrexate but nausea & then oral steroids from age 15. Finger tendon repair & hip replacement (01) Currently Anti-TNF Humira injected 2/month, indometacin, co-codamol & Lansoprazole.

• Bones & joints >> Rheumatoid Arthritis >> Disease duration 16-20 years >> Interview 14 >> Dislocated her ankle and consequently had pinning and replacement surgery in that and her other ankle.

Diagnosed '84 as sore fingers; main symptoms age 30+ & began DMARDs. Now Methotrexate 15mg/wk & daily folic acid, Meloxicam 15mg, Prednisolone 2.5mg, 6 Co-codamol & Lansoprazole. Operations; toe '90; wrist & finger fusions; 2 ankle replacements '01/03.

• Bones & joints >> Rheumatoid Arthritis >> Disease duration 21-25 years >> Interview 05 >> Was very glad to have moved from a private room to an NHS ward after her hip operation.

RA diagnosed as significant symptoms after birth of 2nd child. Complementary treatments used. Takes Diclofenac 15mg & 2 Coproxamol daily. 10 operations: hips, knees & shoulder replacement/revision; neck, ankle & toe fusions, and removal of bone in 1 elbow.

• Bones & joints >> Rheumatoid Arthritis >> Disease duration 26 years plus >> Interview 22 >> Describes the improvement immediately after her knee replacement operation.

Diagnosed 1964 Juvenile Chronic Arthritis. 11 years of steroids limited growth. NSAIDs 'til age 37. Now Methotrexate 10mg/wk + folic acid, daily Prednisolone 5mg, Naproxin 100mg, Niozadadine (anti-ulcer) & iron. 2 hips replaced age 26 & 2 knees, age 30.

• Bones & joints >> Rheumatoid Arthritis >> Disease duration 26 years plus >> Interview 22 >> Didn't like her scars and ate lots of Vitamin C rich fruit to heal them.

Diagnosed 1964 Juvenile Chronic Arthritis. 11 years of steroids limited growth. NSAIDs 'til age 37. Now Methotrexate 10mg/wk + folic acid, daily Prednisolone 5mg, Naproxin 100mg, Niozadadine (anti-ulcer) & iron. 2 hips replaced age 26 & 2 knees, age 30.

• Bones & joints >> Rheumatoid Arthritis >> Disease duration 21-25 years >> Interview 36 >> Had joint replacements under spinal block anaesthetic rather than general.

Diagnosed 1979 as a young child. Currently on Methotrexate 10mg & folic acid, tramadol 100mg 2/day, solpadol 7/day. 2 hips and 2 knees replaced under spinal anaesthetic in succession over 2 years. Broken femur complication of last knee operation.

• Bones & joints >> Rheumatoid Arthritis >> Disease duration 26 years plus >> Interview 17 >> Was shocked at how many operations the surgeon thought she needed and wished the wait were shorter.

Diagnosed 1970. After early years, had 15 yrs when relatively well on NSAIDs. Flared up 99/00. Methotrexate 25mg/wk, daily Rofecoxib 25mg, Tramadol 200mg, anti-depressants & HRT. Awaiting 1 hip & 2 elbow replacements, wrist & finger straightening surgery.

• Bones & joints >> Rheumatoid Arthritis >> Disease duration 16-20 years >> Interview 25 >> Has used silicone gel on her scars to reduce the redness and swelling.

Juvenile chronic arthritis diagnosed '85, on steroids since. Hip replacements age 23 & 32, 2 knees together at 36 & wrist/hand ops. Currently Methotrexate, Prednisolone, Rofecoxib & Tramadol. Cinnarizine & Stemetil for side effects - balance loss & nausea.

• Bones & joints >> Rheumatoid Arthritis >> Disease duration 16-20 years >> Interview 25 >> Recovered quickly from her bilateral knee replacement surgery by exercising regularly and feels she now has more energy.

Juvenile chronic arthritis diagnosed '85, on steroids since. Hip replacements age 23 & 32, 2 knees together at 36 & wrist/hand ops. Currently Methotrexate, Prednisolone, Rofecoxib & Tramadol. Cinnarizine & Stemetil for side effects - balance loss & nausea.

• Bones & joints >> Rheumatoid Arthritis >> Disease duration 21-25 years >> Interview 36 >> Her fourth joint replacement was complicated by a broken femur, so recovery took much longer.

Diagnosed 1979 as a young child. Currently on Methotrexate 10mg & folic acid, tramadol 100mg 2/day, solpadol 7/day. 2 hips and 2 knees replaced under spinal anaesthetic in succession over 2 years. Broken femur complication of last knee operation.

• Bones & joints >> Rheumatoid Arthritis >> Disease duration 6-10 years >> Interview 31 >> Recovered well with physio after two elbow replacements and is very happy with the movement she now has.

Diagnosed '93 after quick onset. Side-effects from various DMARDs. Currently on Enbrel (anti TNFa) twice a week, Brufen retard 2400mg/day, Prednisolone 7.5mg/day and Paracetemol as required. Both elbows replaced (2002) and knee washout operation.

• Bones & joints >> Rheumatoid Arthritis >> Disease duration 16-20 years >> Interview 03 >> Recovery after hand surgery took longer than she expected.

RA diagnosed '86. For 10 years chose NSAIDs/pain killers and complementary therapies. DMARD treatments started 1996 (various). 2 replacement shoulders 2000. Started Infliximab 9/02. Less pain/tiredness but pre-existing damage means hip replacement '04.

• Bones & joints >> Rheumatoid Arthritis >> Disease duration 26 years plus >> Interview 22 >> Was given good advice before her hip replacement that she should not compare her recovery time to patients with osteoarthritis.

Diagnosed 1964 Juvenile Chronic Arthritis. 11 years of steroids limited growth. NSAIDs 'til age 37. Now Methotrexate 10mg/wk + folic acid, daily Prednisolone 5mg, Naproxin 100mg, Niozadadine (anti-ulcer) & iron. 2 hips replaced age 26 & 2 knees, age 30.

• Bones & joints >> Rheumatoid Arthritis >> Disease duration 21-25 years >> Interview 19 >> Feels better on anti-TNF medication with increased mobility and energy but still has extensive joint damage.

Diagnosed 1980. Early treatment NSAID, pain killer and steroids. 9 operations e.g. joint replacement, neck fusion. Various DMARDS. Currently on Anti-TNF Infliximab/7 weeks. Methotrexate weekly, Prednisolone, Rofecoxib, hydroxychloriquine daily.

• Bones & joints >> Rheumatoid Arthritis >> Disease duration 21-25 years >> Interview 36 >> Waited several years for hip and knee replacements. Waiting led to increasing disability and her life went on hold.

Diagnosed 1979 as a young child. Currently on Methotrexate 10mg & folic acid, tramadol 100mg 2/day, solpadol 7/day. 2 hips and 2 knees replaced under spinal anaesthetic in succession over 2 years. Broken femur complication of last knee operation.

• Bones & joints >> Rheumatoid Arthritis >> Disease duration 16-20 years >> Interview 03 >> Describes her shoulder problems, how she had them replaced with a 'wonderful' result.

RA diagnosed '86. For 10 years chose NSAIDs/pain killers and complementary therapies. DMARD treatments started 1996 (various). 2 replacement shoulders 2000. Started Infliximab 9/02. Less pain/tiredness but pre-existing damage means hip replacement '04.