How Do They check For It????

[Re]

Hey guys I know most yall are veterans of this stinky pooh PsA crap, but as far as the enthesitis goes, how the heck do they check or know that is what you have. Do they check at all? All of my muscles, tnedons etc. through out my body hurt. I had a plantar fasciotomy April 2006 and still have no relief and both feet and ankles every where hurt UGH! Why do the docs not make mention of this. All I was told is that the muscle pain etc., is part of the pa. I am just confused. Why do my muscles hurt even when I have done nothing to hurt their feelings. Maybe it was my breath that angered them (time for Altoids) lol I guess I have rambled enough. Love to you all
Re

[Momelie]

My rheumy pokes and prods at mine. She had a new med student with her the last time I was there and she took my wrist and flexed it, and called it (and I quote) "boggy" and said that's an area of enthesitis. She also had me try to make a fist and when I do now, you can't see my knuckles due to the swelling.

She also probed my Achilles tendon (its there, too), and pointed out to the student the areas of swelling in between my knuckles on the back of my hand, and also on the top of my feet. Forearms and ankles, too.

Evidently that was enough for her to pronounce it widespread and tell me that it was better for my diabetes to deal with a round of prednisone than to keep going like I was. I've only got another week on it, so we shall see.

[Re]

momelie I have only seen the new rheumy four times now as the other (saw for 1 1/2 years) stopped taking my insurance. the problem with my new one is he is from Pakistan (Idon't care where he is from) but he starts talking too fast and I have to tell him to slow down. He must think I am a nut. Everyone that knows and loves me thinks that also, but the last rheumy just put me on sulfasalazine, methotrexate and prednisone and never really talked about the disease. So I am having to learn all of this by myself and from yall, and the bits I understand for Dr. Ali. He always treats me with respect and his wife is a doll. He started out aggressive with this disease. he said my inflammation was still too high on the meds the other doc put me on. So he started campaining for the Humira and poof little less than a month I was approved. I am very blessed in that aspect but I am going to get aggressive myself with all I can learn from yall. Gotta stop hand hurt.
Re

[ouchyk]

Re,

I believe they can tell by ultrasound...unless you have outward signs ( swelling )...

Enthesitis most often manifests as tenderness and sometimes pain, with or without swelling at the entheses. The most characteristic and clinically helpful site of involvement is at the insertion of the posterior and inferior surfaces of the calcaneum (Achilles tendon and plantar fascia insertions, respectively), which can result in painful heels and difficulty on walking. Other common sites include spinal processes, ischium, iliac crest, greater femoral trochanter, tibial tubercle, and the digits (dactylitis). There can also be associated tendinitis or tenosynovitis in Enthesitis.

Enthesitis is an inflammation of the entheses . It is also called enthesopathy, or any pathologic condition involving the entheses. Pain at these points of connection is known as enthesopathy, and inflammation at these sites is known as enthesitis. Metaplasia of fibroblasts at this attachment site results in the formation of fibrocartilage. One of the primary entheses involved in inflammatory autoimmune disease is at the heel.

I believe we get a lot of " refered pain " as well from entheses, tendonitis, and bursitis that causes great pain... :( sometimes building muscle ( last thing we want to do ) by exercising is helpful but you have to run it by your good dr first...maybe some PT? in water!!

feel better Re...I had a good friend I called rere growing up. :)
Karen

[Re]

ouchyk i was often called Miss ReRe because my name is Reatha and I grew up singing and traveled in a gospel group opening churches in various states. I do have trouble with plantar fascitis. Even had a plantar fasciotomy. No help from that. I do have muscle aches in other areas that hurt to touch. Go figure this is truely the weirdest disease. Thanks for the info,
Re

[Tilldee]

Re. I agree with you 100% it can get so confusing. When I first started reading about PA it kept saying joint pain which I could not relate too because most of my pain seemed to be in the muscles of my legs rather than the joints. It is going to the joints now, but my biggest complaint is the referred pain in the muscles, or so it seems. It is frustrating to try and tell someone that, but since finding this site and all the good people here I have learned so much, and I'm not CRAZY! Well, not from pain anyway. lol

When I first got here, I was still in somewhat of a denial stage, even though I had been Dx for months. This site and the conversations I have had here have opened my eyes, that this is not going away, and so many ways to deal with it, along with just a place to come and vent when I need to and I know somebody that knows how I feel will listen.

I don't believe our research will ever stop for each month it seems something new comes along. So keep doing what you're doing and taking one day at a time, after all, we're not promised tomorrow so today's all we get.

Love & Prayers,
Tilldee

[Re]

I totally agree Tildee. None of us are guaranteed tommorrow. I started feeling just a heightened amount of fatique on Friday around 5 p,m, and I slept in a bit this morning. Gonna go and find some wrist gloves so I can get some stuff done. My wrist are kind of achy today. Just crazzy. I love all of you guys for the great info,
Re

[Ihurt]

Re,

Re...I had a good friend I called rere growing up. :)
Karen


She wasn't from downtown, Jersey City, NJ was she? Boy what a coincidence this is!

Elaine

[Ihurt]

Re. I agree with you 100% it can get so confusing. When I first started reading about PA it kept saying joint pain which I could not relate too because most of my pain seemed to be in the muscles of my legs rather than the joints. It is going to the joints now, but my biggest complaint is the referred pain in the muscles, or so it seems. It is frustrating to try and tell someone that, but since finding this site and all the good people here I have learned so much, and I'm not CRAZY! Well, not from pain anyway. lol

When I first got here, I was still in somewhat of a denial stage, even though I had been Dx for months. This site and the conversations I have had here have opened my eyes, that this is not going away, and so many ways to deal with it, along with just a place to come and vent when I need to and I know somebody that knows how I feel will listen.

I don't believe our research will ever stop for each month it seems something new comes along. So keep doing what you're doing and taking one day at a time, after all, we're not promised tomorrow so today's all we get.

Love & Prayers,
Tilldee

I used to tell myself things like "your a hypocondriac", "this doctor is making this up to make money on you" "maybe they got my records mixed up with another patients" or the best was..."Elaine, your just getting lazy".

This group keeps my MEMORY GREEN!