What Helps Inflammatory Erosive Osteoarthritis?

Question

Asked by rsongbird

What Helps Inflammatory Erosive Osteoarthritis?

Yes, I know most osteoarthritis is not inflammatory, but mine is (and severe)...which makes it hard to find any answers. All my major joints -- hips, shoulders, knees, lower spine, and all fingers -- are affected with inflammation, deforming osteophytes, thinning cartilage, and several joints are bone-on-bone. I frequently get bursitis as well. I had one hip replaced, and am starting visco-supplementation with one knee. I am serum-negative (normal SED rate, normal TNF, no Rheumatoid factor). I had no positive results trying many DMARDS, many along with Methotrexate -- mostly I just got hair loss, and no change in my arthritic condition. I take many anti-inflammatory supplements, and the NSAID Mobic. Anytime I try to take a break from Mobic I quickly get more deformity in my fingers. I take Tramadol (Ultram) for pain around the clock every day. Could biologics like Enbrel or Remicade help me slow or stop the disease?

Answer

Hello, and welcome to our community. I was stunned to see your question. Only because, I too, have erosive inflammatory osteoarthritis. There really isn't much information out there that I can find. My rheumatologist told me that it is like RA only it doesn't attack organs. From the information I have been able to find, EIO is a subset of generalized osteoarthritis which is a subset of osteoarthritis. I don't believe it is all that common. I can't take NSAIDs becuase of stomach issues. Since my dx earlier this year, I have been taking Plaquenil. It takes a while to kick in, but I can tell you that it does make quite a difference for me. It is an anti-malarial drug and doctors use it to treat lupus and RA. They don't know why it works for RA and lupus, but it does. It is one of the DMARD group of meds...disease modifying antirheumatic drugs. It is also one of the safest, from what I have read. I also have fibromyalgia, so I take a med for that and I also take Tramadol. My rheumy prescribed a joint supplement made from egg membrane. My vitamin D level is low, so I take 20,000 units of Vitamin D a week. Have they checked your Vit D level? I'm sorry you have this condition. I am new to this, so I can only share what I have learned so far. I see the rheumy again later this month. Today I am having a nerve conduction test because my hands and wrists are painful and I cannot play my guitar anymore. Some days are better than others, though. I have some sort of nerve entrapment, I think. I also have osteophytes. I can see one of them on my wrist through the skin. It is a bump that is growing every year. Wrist spints help the pain sometimes. It is hard to determine what is generalized osteoarthritis and what is the EIO. My rheumy says I have both. Is that also your situation? My worst problems with EIO are with my hands and my feet. Sorry I don't have anymore information than this. I think you need to talk to your doctor about your options. I hope he is more forthcoming than my rheumy, who is sort of "closed mouth" about a lot of things. Peace, V