Apparent Lengthening in legs, Stiffness, Neck Pain

[cure4richa]

Hi Doctors:

Please find my case history below:

Case History:

Pain started in the month of July 08 and I suddenly felt numbness and severe pain in

my right leg. I realized that my leg is not supporting my weight.I have consulted

few orthodpadecians who adviced some multi vitamin and pain killer tablets with 10

days physiotherapy treatment. I followed the same but it did not worked at all.

Then I changed my doctor who adviced me few tests. Details are as follows:

1) Tuberculin Test
Date: 13/10/2008
Results: Negative

2) RA Factor
Date: 13/10/2008
Results: Negative

3) X Ray for Pelvis with both Hips
Date: 11/10/2008
Results: Mild 'S' shaped scoliosis with convexity to left boneislan is seen in left

femoral head
Visualised bones and joints are normal

4) Mycobacterium TB PCR (Qualitative)
Date: 20/10/2008
Results: Not Detected

5) Haematology(ESR)
Date: 11/10/2008
Results: Normal

6) MRI Scan of both Hip Joints
Date: 12/10/2008
Results: On Right side - Altered marrow signals in the right acetabulun (roof,anterior and posterior)

* Moderate degree of Synovial effusions
7) Nuclear Bone Scan
Date: 17/10/2008
Results: * Mild hypermia with a peripheral rim of increased traces. Concentartion seen involving head of right femur,could represent synovitis

8) Gallium Scan
Date: 11/11/2008
Results: findings are compatible with the diagnosis of chronic infections in the right hip

9) ANCA
Date: 18/02/2009
Results: Negative

10) ANA
Date: 17/02/2009
Results: Negative

11) ACCP
Date: 17/02/2009
Results: Negative

Doctors mentioned that there is apparent lengthening deformity in right leg(3 cms difference).

At present, Doctors are giving treatment for Rheumatoid and Tuberculosis both.

Medicines for Tuberculosis(Completed 6 months)
- Cobadex
- AKT 3
- Zeof 400 /Ofloxacin 400 mg
- B-long

Medicines for Rheumatoid

- HCQS
- Lofecam 4
- Sa zo 500 mg

Pain is reduced but limping is still existing. I have neck pain as well. I feel stiffness in various joints.

Please suggest if the treatment is correct or if there is any alternative treatment which can solve my problem in a fast way.


I need to get rid of this. Even I am not sure what caused this.

Please suggest what can be done here. If necessary, I can share the reports as well.

Thanks,
Richa

[cure4richa]

Thanks txsilver. I will publish in ask a doctor forum also.

I know that it takes time but it seems no one is clear of the cause. even TB was not detected but doctors adviced to go for its medication. They mentioned that it is in very minor stage so it is not detected in any scans.

I wanted to know other doctors opinion as every doctor has different opinion.

Richa

[txsilver]

Hi Richa, you have actually posted this in a patient forum.  The ask a doctor forums are on the right hand side of the forums page.  I can see from above that you are taking a steroid (HCQS) and sulfasalazine but I do not know what lofecam is.  There are other medications to treat RA.  Because of your history of TB, I am not certain which of them may be available to you.  I can tell you that there is not a fast treatment to RA.  If you can take one of the more aggressive medications, they often take 3 months just to evaluate the effectiveness and then the dosage may have to be modified or another drug added.  From diagnosis until the right treatment was found for me took just over 1 year.  If you want to explore your treatment options and are concerned about your doctors treatment plan, get a second opinion from another doctor.  He/she may simply validate the treatment you are on, but at least you would have peace of mind.