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• Bones & joints >> Rheumatoid Arthritis >> Disease duration 21-25 years >> Interview 05 >> Thinks that some physiotherapists don't understand how much pain some of their exercises can cause.

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 21-25 years >> Interview 05 >> Physiotherapy and hydrotherapy did not give much improvement in her already damaged joints.

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 21-25 years >> Interview 04 >> Has learnt that physiotherapy and hydrotherapy help greatly to keep joints moving.

Diagnosed '79 with rapid onset after glandular fever. Various foot surgery undergone and hand surgery planned. Symptom relief from physio/ hydrotherapy & some complementary therapies/diets. Currently Coproxamol, Methotrexate, folic acid & occasional NSAID.

• Bones & joints >> Rheumatoid Arthritis >> Disease duration 26 years plus >> Interview 16 >> Intensive physiotherapy on her hand after surgery really helped.

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 16-20 years >> Interview 23 >> Is frustrated when physiotherapy referrals specify one joint when the pain may be referred from nearby joints.

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 16-20 years >> Interview 25 >> She has lost the range of movement in her neck and regrets not keeping up her neck exercises.

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 >> Self referral to a specialist rheumatology physiotherapist is much better because the wait is much shorter than elsewhere.

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 >> Melissa - Interview 50 >> Her local hospital say that they don't have funding to provide ongoing physiotherapy. A specialist hospital has offered her physiotherapy and hydrothe

Melissa was first diagnosed with juvenile idiopathic arthritis and later with rheumatoid arthritis. She was on Methotrexate for about eight years. She has been on two Anti-TNF treatments: etanercepts (Enbrel) and adalimumab (Humira) and expects to be started on influximab soon.

• 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 21-25 years >> Interview 36 >> She established exercise routines after hip and knee surgery.

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.

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• Bones & joints >> Rheumatoid Arthritis >> Physiotherapy & hydrotherapy >> Physiotherapy & hydrotherapy

Physiotherapy and hydrotherapy