This question was answered on Fri 09, Jul 2010 09:32pm by Dr Purnendu Sekhar Das

i have pain in my joints of hands,wrists,shoulders,elbows,feet,knees,hips withno swelling. fatigue is extreme at times. Cant concentrate. ra factor-negative.ana negative.can it still be rheumatoid arthritis? or what else should i betested for. Primary is

    
Asked by "dolores" (Female; 34; UNITED STATES; I have migraines,hypothyroid,asthma. I hav a sister who does have reumatoid arthritis ) on Tue 08, Jun 2010 07:04pm

i have pain in my joints of hands,wrists,shoulders,elbows,feet,knees,hips with no swelling. fatigue is extreme at times. Cant concentrate.I have stiffness in the morning that can last up to 1-3 hours. RA Factor-negative.ANA negative. Primary is sending me to a reumatologist because he thinks it is reumatoid arthritis.Again I doen't have the swelling in the joints.Could this be Reumatoid Arthiritis?

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Answer by Dr Purnendu Sekhar Das  on Fri 09, Jul 2010 09:32pm:

Hi, There is a good chance that you may be having the initial symptoms of Rheumatoid Arthritis (RA). The disease actually runs in families and it is an autoimmune disease causing inflammation of the joints. RA usually affects several joints at the same time, on both sides of your body. For example, both of your wrists may be painful and stiff. The hands, wrists, feet and knees are usually the first joints affected. Over time, it may also affect larger joints, such as your jaw, shoulders and hips. The swelling of the joints may not be present always. Although there is no cure for rheumatoid arthritis, the disease can be controlled in most people. Early, aggressive therapy to stop or slow down inflammation in the joints can prevent or reduce symptoms, prevent or reduce joint destruction and deformity, and prevent or lessen disability and other complications. Please visit a rheumatologist as advised by your PCP for confirmation of diagnosis and treatment. Hope this information is of help to you.

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