Wednesday, September 08, 2010 Dan asks

Q: I have some very severe pain that is in my joint but is also in my muscles on my arms and legs. it is worse where the joint pain is worse. Is this normal for RA?

The pain mimics the pain of my joint in the area. If my right wrist is swollen and painful then the muscles on my forearm are in spasm also.
Answer This
Answers (2)
9/ 9/10 2:08pm

RA doesn't generally cause muscle spasms.  The forearm spasms are a classic Fibro symptom however.  Many of us have RA and Fibro at the same time.  They are not in the same family of disorders but they like to play together at the park. 

 

Have you Been dx'd with RA or are you asking if you have it from your symptoms?

Reply
9/ 9/10 2:23pm

I have not been dx'd yet but My family doctor said I definitely have the points under the "new system" whatever that means. My Rh app. is Monday. My neurologist also believes that I may have Ra. also along with probable MS and definitely diabetes ( I have been dx'd with diabetes for a few years.). They all seem to come in bunches. 

Reply
9/ 9/10 3:43pm

The system your doctor is referring to is the criteria developed by the American College of Rheumatology that sets the bar for diagnosing RA and its related diseases. Since there is not one specific test for RA (and a positive RA factor does not mean you have it) you have to mean 4 of the list of 7 criteria.

 

I just talked to a friend of mine who has had MS since she was in her early 20's and is now around 55. 

 

She remembers that spasms and tics are down there on the very long list of symptoms of MS and is usually a result of muscle loss and/or weakness. But she says her spasms are visually noticeable.  Her particular case started with problems controling her eye movement and wide spread pain through out her body and then a flare us which rendered her paralized for a period of time.  Over the years she has had difficulty controling her tremors and has not has had no sensation in legs and hands for over 10 years.  She drops things often and falls a lot as she says it feels like she is walking through mud and can't feel where she is putting her feet. 

 

Now remember with MS the symptoms are very different with each individual.  What one MS patient endures another may never see.

 

Question, aside from looking at test results, why would a neurologist think you have RA?  And if test results are already indicating it, why is there a maybe? And shouldn't it be a neurologist who gives the finally say in whether you have MS as it is neurological.  An MRI to see damaged nerve casing is the best bet of diagnoses and that is he/her job. A positive MRI is not a "probably."  Is a rheumie supposed to be diagnosing your MS as well?

 

At any rate, I am sure you can't wait for Monday.  this is a very intriguing mystery.

Reply
9/10/10 6:01am

Thanks for the reply. My Ms is probable because I do not have all the "positive" results yet. My spinal fluid does shoe the "banding" of proteins in ms patience but my mri did not show any lesions yet. It is not uncommon for someone who is thought to have developed primary progressive ms to go a year or more without a dx. My neuro wants me to go to a rheumie doctor because of the swelling and severe pain in my wrists and the base of my fingers. He will not provide a dx. it needs to be a rheumatologist.He is going to give me the dx for ms not the rheumie (as soon as I meet all the criteria).

Thanks

Dan

Reply
9/ 8/10 8:52pm

Dan,

  Hello! I am still rather new to the RA thing  but have had the muscle spasms and pain before. My thought on it is that the swelling affects the nerves somehow. I do also have fibromyalgia which involves the muscles. I would for sure ask your Dr about it when you go in. Maybe right down a list of things you want to talk to the Dr about. I find that it is helpful to do this because it never fails if I don't, I forget something that I wanted to ask. Please keep us posted on how you are doing. We are here for you.

Kim :)

Reply
9/10/10 6:07am

Thanks Kim for the advise. I am used to writting down everything I feel. I actually keep a daily journal for my Neurologist for my MS dx. I will probably just hand all of this info over to rheumatologist. Whatever this turns out to be I have to be careful of medicines that I take that will effect blood sugar levels since I am a diabeteic. steroids are like poison to a diabetic.

Reply
Answer This

Important:
We hope you find this general health information helpful. Please note however, that this Q&A is meant to support not replace the professional medical advice you receive from your doctor. No information in the Answers above is intended to diagnose or treat any condition. The views expressed in the Answers above belong to the individuals who posted them and do not necessarily reflect the views of Remedy Health Media. Remedy Health Media does not review or edit content posted by our community members, but reserves the right to remove any material it deems inappropriate.

Ask a Question

Get answers from our experts and community members.

Btn_ask_question_med
View all questions (3514) >
By Dan— Last Modified: 12/27/10, First Published: 09/08/10