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Rheumatoid Arthritis
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Discovery :
What is Rheumatoid Arthritis?
Original symptoms and visiting a GP
Referral to a rheumatologist, tests & diagnosis
Impact of the diagnosis
Ideas about causes
Impact of diagnosis on family & others
Tests and treatments :
Choosing treatments & taking part in trials
Painkillers
Anti-inflammatory drugs
Disease modifying anti-rheumatic drugs (DMARDs)
Steroid tablets, injections & intravenous pulses
Biologic treatments: anti-TNF and B-cell therapy
Long term use of drugs
Regular monitoring and other diagnostic tests
Physiotherapy & hydrotherapy
Occupational therapy
Other hospital specialists
Surgery - introduction
Surgery - upper limb and neck
Surgery - lower limb
Outpatient clinics
Complementary and alternative approaches
Living with rheumatoid arthritis :
Diet & food supplements
Exercise
Personal life and changes to the home
Social life & relationships
Mobility, driving & transport
Work
Financial implications & financial support
Sources of support
Body image
Attitude to RA & facing the future
Self-management
Ongoing symptoms- flares, stiffness & sleep disturbance
Ongoing symptoms- pain, fatigue, depression, weight change
Pregnancy & breastfeeding
Parenting & childcare
Messages to others with RA
Messages to health care professionals
Finding information about RA
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Rheumatoid Arthritis
Subject index
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Bones & joints
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Rheumatoid Arthritis
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Disease duration 11-15 years
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Interview 02
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Describes some of the pain she has experienced with her RA and how sometimes you need to go through the pain barrier.
Polymyalgia/palindromic arthritis episodes '88-92, RA diagnosed '94 & OA. Daily Voltarol 75mg, Defalzacort 6mg, pain killers & Methotrexate 25mg/wk (folic acid 5/7 days). Some steroid pulses. 2 hips, 2 knees replaced due to OA & shoulder operation proposed.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 0-5 years
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Interview 07
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After several visits to the GP with painful wrists and swollen joints she was referred to a specialist.
RA diagnosed 1998 after months of wrist pain and early morning stiffness. Initial steroid injections. Currently: Methotrexate 7.5mg /week & folic acid 5mg/day, Hydroxychloroquine 400mg/day and Ibuprofen as necessary. Exercise helps so swims 5 days a week.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 0-5 years
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Interview 20
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It was difficult to sleep with hot, swollen joints which hurt when she turned over and with the weight of the duvet.
Diagnosed September 2002 after few months of joint swelling/pain which was quite debilitating. Steroid injections helped and now pain and stiffness under control with Sulphasalazine (6 x 500mg/day) and Meloxicam (7.5mg/day). Life returned to fairly normal.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 11-15 years
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Interview 33
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Found Indometacin the most effective NSAID in reducing swelling and early morning stiffness.
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
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Rheumatoid Arthritis
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Disease duration 16-20 years
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Interview 15
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Initially the 'pumping' pain she felt made it difficult to sleep for days on end.
Diagnosed '85 after 2 hospital stays for groin pain; decreased mobility & sleep disruption. Side-effects on Gold injections & Methotrexate. Has steroid pulses/joint injections & daily Meloxicam 7.5mg & 2-4 co-codamol. Starts Anti-TNF in 2 wks. Operation on toes planned.
Topic
Bones & joints
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Rheumatoid Arthritis
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Ongoing symptoms- flares, stiffness & sleep disturbance
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Ongoing symptoms- flares, stiffness & sleep disturbance
Ongoing symptoms - flares, early morning stiffness and sleep disturbance
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