Arthritis Diagnosis

  • 17 replies
  • 50 subscribers
  • 2689 views

As I have mentioned a few times, alongside the cancer I've had noticeable oedema in my hands, wrists and ankles. This has been accompanied by stiff, painful joints. This has been going on since October and really held me back from doing some of the things I love to keep me occupied whilst going through treatment and recovery.

I finally met with the rheumatologist yesterday. What a refreshing meeting!! After a year of locums / different doctors getting blood tests done, to have a different doctor call with results to say I was showing inflammation ("no sh** Sherlock, that's why we had the test" I always wanted to say) it was a different experience. I sat down and he said, "I've read your notes, I know about the x-rays, scans, tests and cancer". It was so reassuring. After many questions, an examination of my joints, and another review of my records he determined I have seronegative rheumatoid arthritis. I thought this would be the 1st of a number of appointments to slowly get a diagnosis. When I said that if it was managed I thought I would make a stronger, faster recovery from the cancer he decided to start treatment now. 

There was no nonsense about my request for all medication to still be in liquid form and he is liaising with my oncologist to check treatment. I had a steroid injection which will hopefully take effect until the rest of my meds start working. 6 vials of blood later I was heading home. 

The cancer scans and regular blood tests, along with a good GP (when I can actually see him) who had sorted chest, hand and feet x-rays already, may have helped speed up this diagnosis. Either way it was reassuring to be getting sorted so quickly. 

One thing puzzled me a little in that he mentioned this may have been triggered by the cancer. Has anyone else come across this kind of thing? I know there's a long list of side effects and comorbidities from either the cancer or the treatment, but I hadn't come across this one. 

  • Strangely I was wondering the same earlier this week as some of my main joints are a little sore.  It may be just age catching up on me, it may be some of the things I've been doing recently or it may an effect of the cancer.  I don't know.  I will ask at my next check.

    Peter
    See my profile for more details of my convoluted journey
  • Hi Ronnie. I do know that some cancer drugs like the immunotherapy Checkpoint Inhibitors can cause SNRA and that some cancers are misdiagnosed as it but it’s an interesting point. See if your rheumatologist can elucidate? Yes interesting. 
    I hope you can get some decent help over it now. I wonder if now the cancer had gone the arthritis might settle? 

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I BLOGGED MY TREATMENT 

    Macmillan Support Line -  0808 808 00 00 7 days a week between 8am-8pm

    Community Champion badge
  • Hi Ronnie, interesting you say that, following my laryngeal cancer treatment within 7 months I too was diagnosed with senonegative RA so I guess there’s something in your GP’s theory.  Sounds like you have a good one, hang onto him they’re a rare species.

  • Hope it's not too bad with the joints. 

    My meds are taking effect now and I can see the difference, no more lego hands! Grin

    Take care 

  • Hope it's not too bad with the joints. 

    My meds are taking effect now and I can see the difference, no more lego hands! Grin

    Take care 

  • Hi 

    How bizarre, maybe there is a link that needs more research? 

    Yes, he is a great GP, but sadly off on long term sick at moment! The are like rocking horse **** though!!! 

    Hope you're coping well with it all! 

  • Not too bad, they just ache and feel like they are seizing up unless I force them to move.  I am also getting very tired very quickly after I've done something.  I'm back at hospital on the 23rd so I will ask then what they think.

    Peter
    See my profile for more details of my convoluted journey
  • Hi. I read this post but have had Rheumatoid Arthritis for nearly 10 years (well controlled) however have been diagnosed very recently (last week) with nasopharyngeal cancer which is distressing as it is a rare cancer but then read that the meds for my RA could have contributed to the cancer -- Too much googling is driving me insane!!!

  • So sorry Ashley that you’ve been diagnosed. Please try to stay away from Dr Google. It is a minefield unless you know and understand exactly what you seek. It’s full of inaccurate and alarming information and meaningless stats. The places  for answers and support are here and your medical team. 
    No question is silly. Whatever you need somebody somewhere here has an answer. 
    I’ll tag  who has A similar arthritis and has been treated for tongue cancer. She’ll doubtless  pop on and say hello 

    Best wishes 

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I BLOGGED MY TREATMENT 

    Macmillan Support Line -  0808 808 00 00 7 days a week between 8am-8pm

    Community Champion badge
  • Hi Ashley,

    Sorry to hear about the cancer diagnosis. I'm no medic by any stretch of the imagination  but if there is any link then I imagine your team will know how the meds for each react and will help you through this. They're trying sulphasalazine for my immunosuppression as it is apparently gentler post chemo. But then again, mine came the other way round. 

    As Dani says, steer clear of Google on this, too many rabbit holes. 

    Take care, Ronnie