Some labs are back and I am baffled....

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Regular Member

Date Joined Jun 2007
Total Posts : 25
   Posted 6/6/2007 2:19 PM (GMT -6)   
Hey everyone..
After the pain and misery of the last 5 days and my inability to stop the wrist pain from escalating, I ended up seeing my ortho doc today and got a cortisone injection in each wrist.  Actually....  I called to beg for an appointment but learned that I already HAD one for 9:30 AM.  I cannot imagine that I FORGOT I had an ortho appointment with all the pain I have had!   In addition, I also got some of the lab results from the doc and according to the tests-  sed rate and RF, etc.-  I tested negative for RA.  I know this is good news but it still leaves me wondering what in the heck is going on!!  The lupus test is still out but the ortho doc says he's sure that is negative too, now.  I'm baffled!!  My both wrists are hot, swollen and throbbing, I can't even open my pill bottle easily and the ortho said, "For now we'll call it tendonitis..."  Prescribed Vicoden HB 10/660mg 1-2 q 4hrs, physical therapy with a topical Rx steroid cream and electrical stimulation, more ice and rest.  This same doc told me last week he was sure it was RA.  No don't get me wrong.. I don't WANT an RA Dx, I am just feeling that I have more questions than answers once again and even more pain than yesterday.  Does tendonitis affect both wrists simulataneously like mine did with such a suddn onset?  Could OA exhibit symptoms of this type?
The ortho told me that now there is no need to see a Rheumatologist, at least not now with the negative test results.  I asked if an xray or MRI would show anything about why my wrists are three times their normal size and throbbing and he said there is no reason to have those done in light of the results.  I'm upset because I believe he thinks I WANT an RA Dx!!  Can you imagine anyone WANTING to be that sick???  I like this doc but I am really, really upset with him.  He acted like it was my depression that was making me cry in his office, NOT the throbbing pain.  He scheduled the PT for Tuesday and to be quite honest, if the injections give only marginal relief like I am feeling now, I will be a mess until my next 2 week visit with him!
I'm not sure if he would need to refer me to the Rheumatologist again or could I choose to go on my own?  I guess my insurance would determine that.  This is like a nightmare...  all I want is a Dx and treatment plan, for heaven's sake-  is that TOO much to ask for?
Holly's in PA sobbing even more!

Regular Member

Date Joined May 2007
Total Posts : 499
   Posted 6/6/2007 2:43 PM (GMT -6)   
Hi Holly,
There are some people here who will be able to help you with the labs and stuff, I'm too new to know much..still learning myself. But in the meantime, if you look on the list of posts, there's a couple that Erin brought up yesterday that help alot...on is called "ra level" I think, and the other says something about rhuematoid factor...if you read them, they may answer some of your questions. Think I would still try to get to a rheumatologist if you can, sounds like the sooner the one should be in as much pain as you are.
Take care!

Veteran Member

Date Joined Mar 2005
Total Posts : 3148
   Posted 6/6/2007 4:46 PM (GMT -6)   
Holly, Holly, Holly!  oh boy....beyond frustrating i know. hang in there & don't let this physician get you too upset.
why?  it may just be that his ego is too BIG for him to say to you that, HE DOES NOT KNOW.
he might not know what to say or think.  he might not know what's going on
now...negative test results?  brush them aside...let's talk about xrays!  you can have tendonitis HAVE negative bloodwork because there's nothing that would show up anyway...but you can see it on film.  same with osteo...will show up 100% of times with a good MRI and XRAY, but will not necessaily have ANY positive blood labs.  in severe cases of OA there's sedrate, CRP, ESR, etc....but a good film tells NO blood work sometimes can.
when the heck did this start?
so both wrists.  possible carpal tunel syndrome?  overuse injury?
any other joints affected?
i will "bump" back up to the top of the page some lab value & meanings of them, also false positives, false negatives and such.  it's a good read.
and don't want to be sick, you just want to now what to do to make those wrists better; what's causing it & how to prevent it!
when patients are seen by Dr.'s and there is NO + labs and somewhat vague findings....many physicians hate a puzzle and pull the depression BS on ya.
last time i checked depression doesn't cause RED, swollen wrists. (that is of course only if your not banging them!)
bring in your "I'M NOT DEPRESSED DIPLOMA" next appt. tongue
be in touch soon
Arthritis Forum Moderator & Co-Pilot
Active Severe Rheumatory Arthritis. AS. Crohns Disease. A.Chiari Malformation & right brain venous anomoly. Partial Complex Seizures (under control!). MVP & Tricuspid Valve Prolapse. Rheumatic heart & lung. Kidney Stones (oh joy). Previous Lymes Disease for 10 years.
Meds: Remicade infusions 600mg Q3weeks; Intra-articular knee injections; 6MP 50mgQD plus 75mg weekly; Mesalamine 4GramsQD; Prednisone 20mgQD; Entocort 9mgQD; Meclizine; Augmentin; Tigan 300mg; Reglan; LidoDerm; Diazepam 5mg; Rozerem 8mg; Diclofenac; Celebrex; Percogesic; Dilaudid 4mg. 

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