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Arthritis and Rheumatism

Normal for Rheumatoid?

06/12/2000

Question:

I have rhuematoid arthritis, I have chronic pain and swelling. Sometimes the areas get a little red and are guite tender. They only last a day or two. I have had chronic back pain in the sacral area of my back for about 4 years. Sometimes that spot swells, sometimes not. I am so stiff in the morning nothing works, and my back doesnt want to "bend". I have been down now for about a week with persistent Low temp, and pain radiating from the groin to the knees,and From the back to the buttox, down the backs and sides of my legs. I also have 2 tender areas up my spine. My neck hurts just where it connect to my head and both sides, and travels to my jaw. In the evenings, the pain (Dull, boring, Ache) is almost unbearable. when try bend or stoop, I literally feel naseus. trying to sleep has been rough. Could this just be a really bad spell, or just the normal progression of my Rheumatoid. Is this common?

Answer:

It is possible for rheumatoid arthritis to cause problems in the neck and low back, but several other causes are also possible. These other causes could include sciatica, hip disease, kidney infection (a cause of low back pain), a bone infection (osteomyelitis), a herniated vertebral disc, a vertebral compression fracture, or a type of arthritis other than rheumatoid arthritis, such as reactive arthritis or ankylosing spondylitis. I would advise you to visit a rheumatologist, who can ask you additional questions, perform a physical exam, and get x-rays and blood tests to find out what is going on and how it can best be treated. If your problem turns out to be rheumatoid arthritis, you will probably benefit from treatment with some of our new medications, which were not available even a few years ago. If your problem turns out to be something other than rheumatoid arthritis, your doctor can make sure that you get the appropriate treatment.

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Response by:

University of Cincinnati Fred Finkelman, MD
Director, Division of Immunology
Division of Immunology and Allergy
Department of Internal Medicine
College of Medicine
University of Cincinnati