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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
Clip
Bones & joints
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Rheumatoid Arthritis
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Disease duration 16-20 years
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Interview 23
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Decided against having her wrist fused as she wants to keep the residual movement she now has despite the pain.
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
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Rheumatoid Arthritis
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Disease duration 26 years plus
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Interview 16
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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
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Rheumatoid Arthritis
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Disease duration 21-25 years
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Interview 11
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Had two carpal tunnel operations and a wrist bone removed to reduce tingling and pain and increase finger flexibility.
RA diagnosed after months of knee and elbow pain and reduced mobility. Many joint injections. Took steroids & Penacillamine for 10 years but chose to stop. Now Co-odamol 4/day and blood pressure drugs. 2 Carpal tunnel operations & wrist bone removal.
Bones & joints
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Rheumatoid Arthritis
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Disease duration 21-25 years
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Interview 05
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Has had injections into various joints with varying effects.
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
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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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Uses wrist splints for different tasks and has found a company that makes 'designer' wrist splints.
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 6-10 years
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Interview 26
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It began suddenly with a swollen ankle, pain in his knees and wrists, and aching all over as though he had flu.
Diagnosed '94 after flu like symptoms & joint problems for 6 weeks. Gold injections 50mg/week, slow release Voltarol 75mg/day, pain killers, Prozac 20mg/day (depression). Steroid injections when required. 3 bone removal operations from toes and ankle.
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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Has learnt to accept her changing body shape and no longer feels self conscious.
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 11-15 years
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Interview 10
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He had flares every day.
RA diagnosed after wrist problems & then overall disability. Some joint injections. RA medication: Gold 20mg/month, Diclofenac & Solpadol daily, Movelat (NSAID gel), Zopiclone (Sleep). Other drugs for ulcer, blood pressure, Emphysema, stroke and migraine.
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.
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