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116 comments
Suman says:
Aug 2, 2010
I’m glad to have found you online. I had consulted you 2 months back and now I’m feeling much better. Will come to Dwarka and see you again. Thankyou.
Rajshri says:
Aug 6, 2010
Dear Dr. Garg:
I would like to know if Synovitis is another form of RA.
jyoti gauchan says:
Aug 6, 2010
sir,i am 33year old woman with two kids.Since past 8-9 years i tend to have deep pain in my hands(between the elbow and wrist area) and legs(calves) as soon as rain starts or during cold weathers. the pain is neither in the bones or in the muscles as far as i know. but it is some where deep inside . when i keep on pressing at particularly in some areas where there is pain for around some minutes the pain disappears instantly. since the pain is not in the joints i don’t think it is arthritis or gout. Please help me.
Dr. OP Garg says:
Aug 6, 2010
As per your description, you don’t seem to have arthritis. It’s likely to be a muscle / ligament pain. Are you overweight? Are your joints too flexible? How much do you expose yourself to the sun? As, these conditions can cause this type of pain. To find out the exact cause it’s better to meet a rheumatologist in person for consultation.
Dr. OP Garg says:
Aug 7, 2010
Synovitis is the inflammation of synovium which is a membrane that lines the joint cavity and secretes the lubricating fluid called the synovial fluid. This fluid is a source of nutrient to the cartilage. Inflammation of this is called synovytis and can occur in any form or arthritis, not only Rheumatoid arthritis. Therefore, synovitis can be detected in many forms of arthritis like gouty arthritis, Lupus, Oasteoarthritis (OA) etc.
If you have any more questions, let me know.
Similarities and Differences between Rheumatoid Arthritis (RA) and Lupus Arthritis (SLE) | Dr. OP Garg, Senior Consultant Rheumatologist in New Delhi, India talks about Arthritis and other joint conditions says:
Sep 7, 2010
[…] Questions […]
Kristian Torrisi says:
Sep 28, 2010
Your primary header is strange inside Opera, buddy.
onkpg says:
Sep 28, 2010
Hi, I just checked on the Opera. It shows fine to me. Which version do you use?
Shubha Menon says:
Oct 4, 2010
Dr. Garg, I have been diagnosed with fibromyalgia. I need to confirm the diagnosis and also need a good doctor who can help me manage the sickness. Do i need a rheumotologist or some other kind of doctor? Would be really grateful for your advice. Also, is there a good book I can read on fibromyalgia?
Thank you.
Shubha Menon
torebki says:
Oct 11, 2010
Keep posting stuff like this i really like it! Good job friend!
bluzki says:
Oct 11, 2010
I find myself coming to your blog more and more often to the point where my visits are almost daily now!
RAHUL GUPTA says:
Nov 29, 2010
Dear Dr. O.P.GARG JEE,
MY SON AGED 26 YRS OLD HAVING RHEUMATIOD LUNG DISEASE ASSOCAITED WITH ILD/UIP. DO U HV ANY TREATMENT?
Thanks & Regds
Alisha Pepitone says:
Dec 19, 2010
Hey…thanks for that. Great content material. I’ll be checking back shortly for much more information. Cheers!
Rishab says:
Dec 20, 2010
Hi Sir,
My sister is having this problem ( rumotology artritis ) from almost 5 years and almost all the joints ahve been affected and even not able to walk.
Could you please suggest something on this.
Dr. OP Garg says:
Dec 23, 2010
@Rishab, Your sister seems to be having Rheumatoid arthritis. I suggest you that if you do not want the joints of your sister deformed, take her to a Rheumatologist immediately get her fully evaluated and treated by modern tested medicines. Rest is your faith and your wish. Time is running out and you know that time does not come back. Best of luck
Chris says:
Jan 3, 2011
DR Garg- I was wondering what your learned opinion is regarding the use of MSM for RA? On the internet, I have read that it does not help RA although studies show inprovement for OA patients. I have also seen it touted as a viable supplement that can help RA. Additionally, please address the use of SAMe for RA. Thank you in advance for your time.
Chris from the RA group
sanjiv says:
Jan 20, 2011
sir i hve been having both knee joints pain for last one year,got CT SCAN done,the diognasis was MILD SYNOVIAL FLUID,i was advice to perform some physiotheraphy exercise but it was of no use,i have problem in walking down slop,i cant get up immediately from a chair or from a floor without support,im 35 years old,sir please help me out
Imran Ali Khan says:
Feb 14, 2011
Hello Dr. Garg Good evening
My wife is diagnosed with Ankylosing spondylitis in Pune. Although it is very rare in women. She is 25 years old and we recently marry. She often suffer from lower back pain on left side and upper thigh also on left side. She had difficulty in walking during the pain and it lasts from 2-3 days and repeats 1-2 times in a month. She also had to take pain killers to subside pain.
Kindly advise what more we can do to relieve her from this daily suffering.
Bhawna says:
Mar 24, 2011
hello sir
this is about my brother.he is 20 yrs old.from the past 1-1.5 yrs i am noticing that his finger nails are becoming abnormal in shape and size,hez having clubbing of finger nails.it started wid he having low grade fever for many months which doctors dignosed due to UTI. He didnt had any respiratory or cardiac symptoms.last year in nov 2010 we got his CT scan done for chest and abdomen.it was normal. now at present hez not having any fever only clubbing of finger and toe nails is there and hez nt gaining weight inspite of gud appetite,though there has been no weight loss also. His height is 5’9″ and weight been only 50kgs.
Neutral Density Filter says:
Apr 3, 2011
Hi, do you have a facebook fan page for your blog?,,..”
Sahera bhanu says:
Apr 14, 2011
sir,
Iam suffering from rhemotoid artharites from last one year. Iam suffering with unbearable pains in moy whole joints and body. I have visited all the arthrites doctors in my Kurnool town i.e in Andhra pradesh. kindly suggest me what can i do. other wise my life is burden to my family members. I had taken medicine from Dr. Narashimulu rheumatologis at NIMS. But it will not help any more. Kindly help me to live without pains.
Dr. OP Garg says:
May 5, 2011
sure, I have a facebook fan page; here’s the link
http://facebook.com/againstarthritis
onkpg says:
May 5, 2011
Yes, it’s here;
http://facebook.com/againstarthritis
Dr. OP Garg says:
May 5, 2011
Mr Akash: You are suffering with AS and disease is progressive. But the with correct and supportive advice and with medern medicines and interventions by Rheumatologist disease can be adequately managed. as you have already visited a Rheumatologist, I would like to see you in person before commenting further.
Dr. OP Garg says:
May 5, 2011
@Bhawna, As Clubing of the fingers is main problem and no other abnormality has been found. pl luk the presence of clubbing in other family members. Are his hands, wrists are getting thickened?. Does he sweat more with stinking smell? How are the facial skin, any joint Pains. You answer these Questions and Visit if possible for seeing the case in detail.
Dr. OP Garg says:
May 5, 2011
@Sahera Bhanu
Obviouly your case seems to be complicated and heart wrenching as you seem to be undergoing lot of pain. I need to see your case in detail and At present i can only assure you that much can be done but your co-peration in the management is required to achieve the desired goal.
Dr. OP Garg says:
May 5, 2011
@Sanjiv,
It is not clear whom you have consulted, Ideal Dr to consult is Trained Rheumatologist. You are suffering with Oligoarthritis, Cuse may be some Autoimmune disease like RA. So Cosult a rheumatologist as fast as possible to control this demon of arthritis. It can be controlled.
Dr. OP Garg says:
May 5, 2011
@Imran Ali Khan,
Firstly in young individuals we have to rule out the any possibility of Infections, most importantly Tuberculosis of the Sacroiliac joints. I have to see the complete picture of the case. I assure you that much can be done to relieve you from the pain.
Dr. OP Garg says:
May 5, 2011
@Shubha menon, You should consult a Rheumatologist to confirm the diagnosis as well as treatment. Regarding the literature on Fibromyalgia there are many good articles if you search the internet.
Dr. OP Garg says:
May 5, 2011
@Rahul Gupta, This complication in the lung usually develops in long standing uncontrolled and RF positive arthritis. Steroids and cytotoxic drugs can be partially effective if used in the early stages of the disease. If you are looking for the cure, it does not exist in present circumstances. However, RA activity should be tightly controlled by a Rheumatologist.
Cindy says:
May 5, 2011
55 year old female, with family history of autoimmune-mother, uncle, and now my son has a thyroid autoimmune problem. I have body pain, arthritis of neck, spine, knees, hands, wrists, etc.via MRI evidence. Have a V-shaped rash on chest with some spots that look like no pigment and the rest is red small and raised, and both sides of my neck have a rash type presentation that looks like tiny red dots very close together.My face has a weird look to it also, the skin on my cheeks looks similar to my neck, with red dot like appearance that waxes and wanes daily. Biopsy of neck showed a non specific mononuclear infiltrate. Had lymph node biopsy, as my lymph nodes are always inflammed-they said reactive lymph node. Have lumps growing on my joints-hands, and many small round lumps growing under my forearms and some on my thighs. Hands are very swollen each morning and hurt alot. My cuticles are overgrown, and the skin around my finger nails peel all the time. My lips peel too. Hard skin growths (not very thick) on knuckles, knees, and on the joints feet/ankles that are darker than my normal skin color.Very dry eyes, being treated with restasis.Extreme fatigue, and dizzy spells, falling alot, dropping things all the time. Vision is somewhat impaired with double vision. CBC normal. Ana direct positive. ENA testing-positive low titer U1RNP antibody-only antibody present. Normal sed rate, normal AST,GOT, and CPK levels.My rheumy says it is just fibro. I read that less than 1% of the healthy population can have a positive U1RNP antibody. I am clearly not healthy.She said at first it was MCTD, then decided because the titer is so low, that it is not MCTD-just fibro. After research, I found that a low titer RNP can mean systemic sclerosis, possible limited sclerodoma. My symptoms seem to match this disease, which in my mind could mean sclerodoma due to the skin presentations. In my research too, I found that genetics can play a role in autoimmune. One research site said that thyroid autoimmune problems in the family could lead to other family members with systemic sclerosis.
I am a lot of pain each day which makes life a little difficult.My rheumy had me on Plaquenil, but since she insisted that I just have fibro, I stopped taking the plaquenil. Can’t take other “fibro” type meds, have severe allergic reaction.I just want a definate diagnosis….that’s all. She refuses to take any of my symptoms to be something other than fibro.
What is your best guess-timate of what I might have?
How can I confirm or convince my rheumy this isn’t just fibro? She won’t do any other biopsies like the nailfold capillary test, or muscle biopsy. I am at a loss….and basically want to give up.
Dr. OP Garg says:
May 10, 2011
@Cindy, Please send me photographs of the involved parts before commenting further. Also send the scanned copies of the Inv reports. Get Serum creatinine phosphokinase (CPK) and Lactic dehydrogenase level.
My email id is onkpg@yahoo.com
Pranjal Das says:
Jun 2, 2011
Dear Dr Garg,
I am suffering from from stiffness and spasm of the paraspinal muscles for the last 23 years. The doctors are unable to locate any cause. All rheumatic tests (SI joints, inflamamtion, MRI etc) are normal. My rheumatologist here has said that we can take opinion of a serious rheumatolgist. Now, I have a specific query for you sir – whether my problem could be a case of what is called Undifferentiated Spondyloarthropathy ?
Regards,
Pranjal Das,
Guwahati
Cell: 9864261164
Email – pdas.law@gmail.com
onkpg says:
Jun 4, 2011
As you have written that all the inv are normal. It does not seem to be a case of Undifferentiated Spondyloarthropathy. However before answering your question in firm affirmative, I have to ask you many questions and examine you. So as you know your disease is still untraceable, I have to take a closer look to solve the mystery.
Pranjal Das says:
Jun 12, 2011
Thanks for your response. I will try to visit Delhi and meet you.
Regards
neha says:
Jun 19, 2011
Dear sir
I am a 40 year lady and suffered from chickungunya in October 2010. Since then There has been pain in all the body joints which is quite sever in hands and legs. Also there is stiffness in the body. Can you please suggest some remedy for the same.
onkpg says:
Jun 20, 2011
Neha,
Post Chikunguniya Pains can continue for even one year although in reduced intensity. However, if it is persistent or you are developing swelling of joints, then you have to get serious diseases of joints excluded by a Rheumatologist. After going in details, appropriate medicines to control your symptoms will be prescribed.
neha says:
Jun 27, 2011
Sir: Thanks for your valuable comments. But there is no swelling in any body part. Just the pain is persistent throughout. It becomes severe at times and is quite bearable at times. Pl suggest.
onkpg says:
Jun 28, 2011
It seems that you have post chikunguniya polyarthralgias and myalgias. You may need Tab HCQs for few months. but I insist that you should not start anything without consulting a rheumatologist.
Chetan chaturvedi says:
Jun 29, 2011
My contact no is 8792652860
onkpg says:
Jul 1, 2011
As you are a case of RA, and this is joint damaging disease until we control the inflammation. So to that end, we have to find the alternative as you are not able to afford the biologics. To be able to help you I have to see your whole case, request to come for a visit , so that we can work up a management plan to contain the ill effect of your disease.
Puneet says:
Jul 27, 2011
Sir
I have cervical spondlytis with C5/C6 gap very less.Also the gap has lessened in from CI to c6 also have stiffness in the whole back.I have been told that i have dgenerative disease after as CAT SACN Was performed.What further examinations and tests do i require to correctly identify the cause of arthritis.also for the past 16 years i have bee suffering from depression,Anxiety and associated symptoms.Could this disease be a result of depression.Pleae advice I plan to come to Dwarka and would love to seek your advice.At the moment iam taking homeopathy and the pain is manageable but still have stiffnes in neck and back.Have heard that this is not curable in allopathy is that true and pls let me know what i should do???
onkpg says:
Jul 28, 2011
Yes, no chronic disease is curable in any system. Only its progress can be slowed down or halted, symptoms can be managed. I can only say that If you are comming under Allopathy, you will be reaping the benefits of more than 50-60 yrs of medical advancement. If you are happy with 50 yrs old unproven therapies, your choice. Best of luck for a life with lesser pains.
sanjay mochi says:
Aug 14, 2011
dear sir,
my self SANJAY MOCHI,NATIVE-AHMEDABAD
my sister is diagnosed of rheumatoid arthritis.so pls let me know that is it controllable by medication or ayurved ? SHE HAD MASCULAR PAIN BEFORE TWO YEARS,AND WE HAVE CONSULTED LOCAL DOCTOR,HE HAD DONE EXPERIMENT AND GAVE HIGH DOSE OF STEROID (TILL 2 MONTH).CAN IT BETHE REASON BEHIND IT? from ur experience about RA tell me what should i do at the earliest,we haven’t inform her about this disease and b’caue of severe pain she is not able to do even the regular work.pls advice what to do? it will be nice of u if u give ur valuable appointment or suggest any doctor in ahmedabad or any other city. thanking u and waiting for ur prompt reply.
onkpg says:
Aug 23, 2011
RA is a autoimmune disease which causes the inflammation of multiple joints and pain and stiffness is worst in mornings lasting for more than an hour. Now, in modern science it is treated best by Rheumatologist with modern disease modifying medicines which should be started as early as possible to avoid the damage of joints. One thing to remember that disease can be controlled like diabetes and can not be cured completely. If somebody advice that it can be cured please run away from him as he is ignorant about the real nature of the disease. as far as the appointment is concerned, you can plan your move to Delhi and let me know when you are coming. With appropriate medications, she will do excellent. many patients from Ahmdabad are under me and doing well.
babul reddy k says:
Sep 21, 2011
I am Babul , my wife is a SLE patient we got married resently after marrage we came to know that she was suffering with it ,at present under doctor’s adwise she is taking medicine and know my question is what will be the future of her and what kind of family life we have to life?.
thank you
Manu says:
Sep 22, 2011
Hi Sir,
My wife was suffering from Gastritis, due to H pylori. She got treatment from Fortis. During that treatment she got some joint pains(wrists, knee, ankles, shoulder joints etc), to which doctors said is Reactive Arthritis. Now the Joint pains are gone but she is still suffering from acute pain in back side of shoulder, this pain is sometimes in backside of shoulder, sometimes between shoulder and elbow and sometimes in between elbow and wrist and Rarely in hands. She feels very weak these days. We are taking treatment from a Senior Consultant, Internal Medicine. He says it could be due to cervical degeneration(Neck Xray says there is a minor to moderate degeneration of neck muscles) and has suggested physiotherapy(IFT) and some medicines which are not strong coz that can affect her stomach again. Please guide us as she is in trouble since last 3 months.
Regards,
Manu
Surya says:
Oct 27, 2011
Hi Sir,
I am surya from hyderabad and my age is 30 years. I went to a ayurvedic docter,he said that I have symptoms of arthiritis.Now i was undergoing for ayurvedic treatment.
I have few questions :
Can the disease be prevented with ayurvedic treatment or shall i go for allopathy.
If the arthiritis is in initial stages can it be cured or prevented.
I have another question raised in my mind whether to marry or not after knowing that I have arthiritis problem.
Please suggest a good docter for arthiritis problem.
I will be very much thankfull to you, if you answer to my questions.
Thanks & Regards
Surya
Chadha says:
Oct 28, 2011
Dear Dr Garg, My mother 68 Years a housewife suffers from a peculiar ailment – on the onset of fever her knees get locked and she is unable to walk for a few days then. This has happened more post her typhoid attack in May 2011 and this has been repeated 2 times and the last on 2nd October 2011 has only made it worse. The physician though seems to have managed the fever but has suggested that we see a rheumatologist for further advise. Your guidance would be much appreciated
Dr. OP Garg says:
Nov 5, 2011
@ Mr. Chadha, Your mother is most likely is having Osteoarthritis with loose bodies in the knees which are getting locked. So please show to a Rheumatologist for confirmation of the diagnosis and also to see the extent of damage to the knees. then he will be able to guide you further.
Dr. OP Garg says:
Nov 5, 2011
@Surya, answers to your queries: 1. Go to allopathy, Ayurvedic medicine do not halt the progress of the disease if it is RA. ( There are at least 100 type of arthritis). 2. It depends on which is the type of arthritis. Generally arthritis can be effectively controlled and joints can be saved with modern medicine. 3. If your disease is well controlled, there is no bar for marriage, provided you get a guy who can understand your illness and co-operate with you. 4. You have to consult a physician trained in Rheumatic diseases called rheumatologist.
Stuti Singh Dadhwal says:
Jan 28, 2012
Hello Sir
My brother is suffering from Ankylosing Spondaylitis from the age of 18 ,can this diesease bbe cured ,and if yes request your suggestions
Narendra says:
Feb 15, 2012
Dear Dr. Garg,
For the past couple of months, my wife (42 years) has been complaining of some swelling at knees or fingers or other joints which used to stay for a period of 3-4 days and then subside of its own, but recurred after a gap of 25-30 days. But now this swelling, stiffness and pain is persistent for the past 10-15 days. She is also having problem in keeping her hand raised for long and has some stiffness in the shoulders also. She was tested with positive RA factor 2 months back. She had now been advised some more blood tests whose results are
Anti CCP – 24.5
Vitamin D3 – 18.5
CPK – 173
Serum Ferritn – 8
Seems to be a case of Rheumatoid Arthritis
Could you please confirm based on these results whether the diagnosis is correct? Also guide as to what should be the course of action regarding treatment, medication, exercise, diet etc. What is the best treatment and their side effects, if any? What is the future of such cases?
An injection of Depo Medrol as SOS was given about 10 days back and she is now much better. Even otherwise it appears that the flare is gone and has now much subsided.
If treatment has to start, what should be the initial dose to start with as the disease is in early stage? Should we consider taking the injection as SOS since it is a steroid and may have side effects?
Please help as starting the medication at the earliest is the key to better treatment.
Your guidance would be much appreciated.
Thanks & Regards
onkpg says:
Feb 19, 2012
I have read your wife’s complete history and I am of the opinion the she is developing a Palindromic onset Rheumatoid arthritis, I am of the opinion that perhaps you are already consulting a Rheumatologist. If not, consult and follow his opinion as continuous monitoring will be required, do not worry about side effects, let your rheumatologist worry about it, side effects can be handled, if they occur. But side effects of the untreated diseases will be permanent damage to the joints. Choice is yours. And by any mistake do not indulge in the so-called centuries old remedies offered by all and sundry, if you really want to save the joints.” You are lucky to know about a Rheumatologist in the beginning of the disease.”
onkpg says:
Feb 26, 2012
@stuti, We can do all is in our hands to make him fit. A lot of it depends on which stage he is in. Please bring him in for a check up.
Uday says:
Mar 27, 2012
Dear Sir,
This is Uday from Vellore, Tamil Nadu.
I am presently working in Bahrain and my family is based in Vellore.
I got your email id from DoctorNDTV queries.
My Wife is suffering from serious pain on both hands since almost one year now.
Brief History :
After confirmation of Pregnancy (April 2011),She developed mild pain in her right hand finger which gradually increased to entire hand(Joints) after three months.
She was totally paralyzed in terms of doing any household work or for taking care of herself for that matter.
Even taking a cup of water was herculean task for her.
The pain started on both hands after 6 month of pregnancy.
We diagnosed the cause with various doctors and they suspected case of RA though it wasn’t confirmed from them.
And our OB/Gyno advised to avoid taking any RA related tabs like Prednisolone.
In Nov after Normal delivery the pain was bearable for one month.
But from past 2-3 months the situation is worst.
We checked with a Famous Ortho from Bangalore and he did a couple of tests and informed that this is a Case of Reactive Arthritis.
the treatment is going on for 1 month but hardly any improvement.
Her day to day activities is terribly hampered.
Herewith I have attached the test reports conducted in past one year.
The latest report conducted after consulting a experience Ortho from Bangalore is also attached.
Few doctors have suggested a case of RA.
We are clueless now.
Request you to guide us on above to get better treatment.
We are based in Vellore, Tamil Nadu and will be difficult to come to clinic.
Kindly advice how to proceed with this.
Thanks n Regards,
J.Uday
onkpg says:
Apr 3, 2012
Seems to be a case of Inflammatory polyarthritis most likely RA, I could not get your inv. report attached. She should visit at least once for deciding the final cause and advicing you the medication, further follow up can be planned on line. My mail id is onkpgarg@gmail.com
amit says:
May 15, 2012
Hello sir , myself Amit 36 from delhi. In 2011 around diwali i developed severe body joint pains with the fever.Though the fever lasted only a week but i am still suffering the pain. Specially in my knees and feet.Kindly suggest me the right consultation.
manoj says:
Jun 19, 2012
dear sir ,my wife is dignosid from aiims delhi systemic scelorosis years 2003.also meditation from dr rohini handa applo delhi. but not relief .so please clearly help me .if way other than changed.
Dr. OP Garg says:
Dec 24, 2012
@Suman:
You are welcome.
Dr. OP Garg says:
Dec 24, 2012
@manoj: We can certainly help, hope your wife will do well.
Dr. OP Garg says:
Dec 24, 2012
@babul reddy k: Disease can be controlled and she can have a normal family life
vijay says:
Apr 16, 2013
Dr. o.p. garg
My wief who is 50 years old and is suffering from knee joint pain , is not able to walk and is putting on weight as she can not walk. She ostoporatic because of hypo thioride. can you help us.
Dr. OP Garg says:
May 15, 2013
@vijay: Yes we definitely help, Let us evaluate her first to see what best can be done.
Hemant Verma says:
Jun 25, 2013
Hello Doctor,
This is regarding my wife who is 7 months pregnant. She has been diagnosed with rheumatoid arthritis and has swollen knee (not able to walk properly) and fingers. Doctor in bangalore prescribed to take steroids. I am little scared about taking these steroids as it might effect the child.
Can you please suggest medicines that are safe during pregnancy for rheumatoid arthritis? And any other precaution I need to take?
I am in bangalore, so can’t meet you in person.
Thank you,
Hemant
Dr. OP Garg says:
Jul 1, 2013
@Hemant Verma: Dear Hemant, if your wife has active disease during pregnancy, your dr is right in prescribing small dose of steroids. It is safest way during pregnancy. Other medicines which can be tried are HCQs and Sulfasalazine.
seerat says:
Sep 30, 2013
sir my mother is 65 yrs old. she has droken her hip bone 4 yrs back. doctors told hip replacement but said that will not happen in her case as one side is deformed. her knee joints are also deformed. she is bed ridden since 4 yrs. earlier we were short of money but now i have enough. can i see her walking back. plz plz help me, as i cant see her so much oppressed.
K. K. Garg says:
Oct 16, 2013
respected doctor sir
my wife smt. darshana devi garg is suffering from wegeners granulomatasis diagonised at medanta hospital during june,2013. she has been given four doses endoxan, & has some improvement. now the fifth is due. a few days back she suffered from pneumonia for which she is being treated. now we want to contact you for your advice. kindly advise.
K. K. Garg
JAIPUR. (Mob)09829466877
nishant says:
Apr 12, 2014
Dear Dr. Garg,
My brother-in-law has been tested positive for HLA-B27 and seems to be suffering from reverse arthritis, regarding which I would like to seek your suggestions.
It would be helpful if you could tell us about its cure and guide us to deal with it.
Although placed in Lucknow, it would not be difficult for us to visit you or someone you refer to anywhere in Delhi or elsewhere.
Eagerly looking forward to hear from you and would like
to furnish more information, if sought.
Thanking you,
with regards,
nishant
Dr. OP Garg says:
Apr 27, 2014
Yes, your brother is suffering with SPA, most likely Ankylosing spondylitis, which can be controlled easily under a Rheumatologist. You can bring him to Delhi. we will look after him.
Dr. OP Garg says:
Apr 30, 2014
@Seerat Let us see her condition.Will evaluate to decide, what best can be done.
Dr. OP Garg says:
Apr 30, 2014
Mr KK Garg, You can visit us. Can take appt on 09818015748.
Girdhari says:
May 2, 2014
Sir,
In my wife blood report, whose age is 33 years, HLA-B27 Positive came and
in all her body joints there is severe pain. Is its treatment possible.
Tirmizy Azhar says:
May 3, 2014
Dear sir,I am from ranchi.
My wife, age 23 was feeling pain and little stiffness in hand’s finger for last 2 months every morning but there is no swelling and numbness. My Dr. told us that it is the initial symptom of arthritis and suggest blood test , urine test and x ray.
Test results are normal and hs-CRP and RA factor also found negative but ESR found increased i.e 35 mm/hr. X ray report shows medial subluxation of proximal ip joint of both hands. Dr. has given the following medicine:-
1.robosure
2.obsteosolve
3.lorfit
4.D3 shine 60K (once a week)
5.depomedrol 120ml (once)
6.Mext 15 (once a week)
7.Saaz
My wife feeling improvement within 4 days of treatment. I want to assure from u whether the treatment is on right track or not and It will be cured or not.
Kavita parhi says:
May 5, 2014
Respected Sir,
I am of 20 years of female from bhubaneswar, odisha. My doctor told me that you may have RA due to stiffness and pain in fingers of my both hands. can i live normal life in future and upto how much year. How long i have to treat my RA. I am very afraid kindly help.
Vishal says:
May 9, 2014
Dear Dr Garg,
I am 34 years old Male,I have been diagnosed with CTS in my left wrist and taking countineous treatment with Neuro but beside of that i feel pain in my right & left wrist(Joint portion arm & wrist,
Is it arthritis, please confirm & help,
Dr. OP Garg says:
May 21, 2014
@Vishal Perhaps you require intra articular injection, and you may be developing arthritis and require evaluation.
Dr. OP Garg says:
May 21, 2014
Kavita Parhi: Yes RA is very much treatable, best result under a Rheumatologist. You will live a normal and complete life but under treatment.
Dr. OP Garg says:
May 21, 2014
Tirmizy: Yes your treatment is under right track. Disease can be controlled and joint deformities can be avoided. It can be cured only if you want it.
Dr. OP Garg says:
May 21, 2014
Girdhari: Yes treatment is possible and will require evaluation by a Rheumatologist about the type of exact type of arthritis.
Vaishali Jain says:
Jun 11, 2014
Dear sir,
I am 24 years old married female. i was feeling pain in my fingers joint every morning and also it is little difficult to open and close. Doctor told me for anti ccp and RA test. my anti CCP result found less than 0.5 and RA found negative. ESR found 40.CRP is negative. But the doctor is giving treatment for arthritis and told me it will be cured within 45 days. Can it be RA and will be cured completely.
Dr. OP Garg says:
Jun 26, 2014
@Vaishali Yes, it may be early RA, and high chance of reversal at this stage, but make sure you are under a Rheumatologist.
Bhagirath paswan says:
Mar 11, 2015
My wife is suffering from sale ceased for 8 years. His treatment from Aims Delhi Dr said that she is not fully well so please suggest me about this ceased.
Aparna Singh says:
May 18, 2015
I (aged 37 Female) is suffering from RA (diagnosed in 2010) and has been prescribed with 15mg Folitrax (weekly) and Sazo 500mg (twice daily). With the medication, there is no deformation observed and things were in control. Recently, despite of the continued medication, I am having pain almost every day and pain is shifting very frequent (elbow, toe, wrist, fingers, shoulder, etc).
Could you please explain the reasons for the new development and advise for course of action to be followed.
Anonymous says:
Jul 1, 2015
Hi Sir,
I am having clubbing of fingers and toes from past 4years I did check up multiple times but ddnt find any other abnormalities.In family no one is having this clubbing. Fingers are looking thickened…I sweat more with stinking smell. My facial skin is getting red like akne and having jont pains sometimes and from the time I noticed clubbing I have knee swelling as well.Though I ddnt have any serious health problems this clubbing bothers me.Please advise.
Dr. OP Garg says:
Jul 20, 2015
You suffering with a condion called hypertrophic oateoarthropathy. You require detailed evaluation to confirm the diagnosis and further treatment. Pl consult a Rheumatologist.
Dr. OP Garg says:
Jul 20, 2015
your disease is not under control. pl consult your rheumatologist for revision of therapy for better control of your condition.
sunil lumar says:
Jul 26, 2015
sir i suffering sle dieses i treat my dieses many doctor jaipur delhi banglor but ther is no clearness but there is no respones properly about this dieses sir i send my all report of this dieases i want to send this reoport to you please tell me your email id or contact number.
l thankful to you.
arabinda says:
Jul 31, 2015
I am suffering from fever ankyloging spondiletis. Help me sir my phone no (09854332519 )
Dr. OP Garg says:
Aug 7, 2015
Where are you based in India?
Ankit Shanker says:
Sep 5, 2015
Sir my father is having pains in knees and ankles for last 5 years, the pain increases when he eats something heavy in protein contents or he walks more or climb stairs. He has pains in knees and ankles regularly. He has been showing to an orthopedist for last 4 years. They say that it is due to increase in Uric acid and it cannot be completely heeled. It can be only controlled by exercise and control on foods. Sir now we are thinking it may be a case of rheumatoid arthritis or Osteo arthritis. Sir please give ur views whether it is a case of arthritis or not … Thanks in advance
Anonymous says:
Sep 6, 2015
hello dr.garg
myself asha i am suffering with autoimmune disorder -Dermatomyositis & polymyosistis from last 4 years.under the threatment of Dr.Uma kumar (AIIMS)on medication- omnacotile 20 mg & folitrex inj.30 mg(once a week)want to know can u pls advice better medicine than this as not getting releif with these med. Cpk also high-its 3000
pls help
Dr. OP Garg says:
Sep 12, 2015
Asha, If you are not doing well, you have to upgrade the medicines. Before advising you any further, we would like to evaluate you. In present circumstances, you may switch to MMF. Although you are in good hands.
Dr. OP Garg says:
Sep 12, 2015
@Ankit, Your father most probably suffers from gout, serum uric acid need to be brought down to 6 mg with the help of uric acid lowering agents. He may need intraarticular injections to save joints from persistent inflammation and you need to be under a Rheumatologist.
shabana says:
Oct 12, 2015
sir.
my esr level 100
rcp is posigive
r.f is negitive
anti cccp negative
my hand joint and foot joint pain
rakesh r jadhav says:
Nov 6, 2015
Hi doc,
I am rakesh jadhav from pune india my brotherin law is having problem with hlab27 and he is having trimindias pain in his back.so just want to ask is there any problem for him if he get married? Can he do sex or not?
Dr. OP Garg says:
Nov 20, 2015
Rakesh: yes, he is having a type of arthritis called ankylosing spodylitis. Require a good control of arthritis by Rheumatologist to avoid him leading a painful and wasteful dependent life.
satyabrata patra says:
Nov 20, 2015
Respected sir,I am 27 yrs old male,my all joint are pain & some joints are swollen since 7 months.i am checkup by rehumatology doctor in odisha bhubaneswar mr.prasant pradhan.But no more results.please sir help me,my cell no-09584297296
Dr. OP Garg says:
Nov 30, 2015
As multiple joints are affected, you have some kind of arthritis. To find out which one, we have to evaluate and after deciding the cause of your joint pains, we have to begin the targeted therapy for that particular type of arthritis., request to visit with all your available reports.
Rahul says:
Jan 5, 2016
Sir,I am 24 year old male,I was diagnosed with UTI,along with there was pain and swelling in my knee and ankle,after consulting the doctor i came to know that i’m suffering from reactive arthritis,i’m under treatment but after a month there is minor improvment,but full movement of knee is not possible,please suggest me what to do
Dr. OP Garg says:
Jan 21, 2016
@Rahul Your disease is not properly controlled. we would like to see you before advicing further course of action and to streamline the therapy.
Anonymous says:
May 1, 2016
My mother is suffering from rheumatoid arthritis for last 30 year, doctor has suggest her folitrax 20 mg injection & depomedrol 80 mg injections for 4 weeks. Please suggest me can both injections can be taken at same time on same day.
Md.Rasel Bhuiyan says:
May 8, 2016
History of my disease :
I am Rasel bhuiyan , 33 years old . in 2001, first .. I felt my knee and shoulder pain . initially doctor diagnosis and said that its rheumatic fever and need to take injection for long time . I have visited another doctor in Dhaka and said same . finally I have taken injection 12 lac power for rheumatic fever till 2006 .In 2006 , I have taken suggestion of a rheumatologist and said that it was a wrong treatment and you are a arthritis patient , it will never recover you need to take medicine life long . he gave me pain killer and another medicine like methotax which I cannot tolerate . I have taken medicine several years but till no visible improvement . specially I feel joint pain in knee , wrist , elbow , ankle . pain exist alltime . maximum doctors say that it has no proper treatment in the world .Dr . atiqul haque , a renowned rheumatologist in Bangladesh suggested me to take mebthera injection which is two injection need to take 15 days apart .It can remove pain for few years . its costly and I think injection may have side effects .Actually I want to know is there any solution of the disease where I can lead a normal pain free life ? If you know pls give me a feedback urgent .
Dilipkumar says:
Jun 8, 2016
sir I’m Dilip Kumar from Tamil nadu , How to get your appointment, trigger point injunction is possible to cure fibromaylgya.
DEEPU UTTAM says:
Jun 11, 2016
Sir rheumatoid arthritis in mango eat.
Dr. OP Garg says:
Jun 15, 2016
I didnt get you. Please explain what you mean. use google translate if your english is weak.
Dr. OP Garg says:
Jun 15, 2016
Pl take them on different days
Sanjeet says:
Jul 31, 2016
sir, my uncle facing pain in hips,back,and shoulder. pain is not at one place for more time. it’s moving one place to an other.
His age is 50 years.
please suggest where should i consult.
Thank you.
Sanjeet says:
Jul 31, 2016
He is not able to walk due to pain. His condition is worse please suggest me what is the actual problem and when we can meet with you.
Dr. OP Garg says:
Sep 2, 2016
Please call 9650206569 to fix an appointment.
Ajay says:
Sep 26, 2016
Sir,
I am from uttrakhand ( Ranikhet ) My mother is suffering for rheumatoid arthritis from last 5 years and she is diabetic also .She were taking the Homeopathic treatment but now the doctor said that this will not recover .
So i request you please suggest me my number is 9760303108 and my email id is aju.rani@gmail.com .
Regards
Ajay singh rautela
Ankita singh says:
Sep 25, 2017
Dr I want ask one question. Ki kya ek person folitax 50 injection lega rhematioid arthritis mein to uski life threat and harm hoga and dr please suggest Mein it is ok or not and something more about arthritis any treat ment jisse side effect na ho and harm na life ko please dr as soon as possible reply me dr
Dr. OP Garg says:
Dec 19, 2017
If the treatment is taken under supervision of a Rheumatologist, side effects are very rarely seen.
Deshaveni Prasad says:
Jan 20, 2018
Hello Sir!
My name is Prasad (24)
I am suffering from RA since 5yrs and under the medication of Dr. A N Roy-Consultant Rheumatologist at Yashoda Hospital, Hyderabad.
I currently use medicines like:-HCQ 200, FOLITRAX 10mg, FOLIC ACID 5mg, CHOLECALCIFEROL 60K.
But, still these medicines feel useless and suffering from a lot of pain, and when I tell him about my pains he gives NAPROSYN and NEUROKIND LC(for pain in the right leg from waist to ankle) and if still suffers he says, â€there are no more medicines for uâ€.
And during 1year of my medication, the white patches developed on my lips and when consulted, he told they are not because of tablets n he referred to a Dermatologist, confirmed vitiligo.
And, I undergo eyes&liver tests every year!
And my entire lifestyle has been changed bcz of RA.
I literally cry everyday of my pains.
I am thinking to stop the medicine n I do not know what to do!!
It will be great pleasure if you suggest me anything..
And I am planning to consult you?
Mukesh says:
Feb 18, 2018
I am Mukesh kumar and deep pain my body and My CRP is very high 156.5 mg/l plz sir help me
Yinka says:
Apr 28, 2020
I am 45yrs old suffering from osteoarthritis am tired of using painkillers bcos the pains only subsides and later more severe please Dr help advice me on what to do and please prescribe for me bcos I feel stiffness and have to pull my muscles seriously before I could stretch to walk thanks in anticipation Dr