fluid on knee

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I have just had my knee drained by a consultant physiotherapist, think there was about 6 to 8 mls, he has sent this off to the lab to be tested, he said the colour looks like osteoarthritus but the amount could indicate that its my Rheumatoid, he said if its Rheumatoid the then consultant may want to increase my medication, I am just worried because I already take 8 tablets of Methotrexate a week, anybody had this and just treated as a flare and medication left as it was?



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  • Posted


    I have had fluid taken off my knee twice which was linked to my R.A.

    Ive had R.A. for about 17 or 18 yrs and the two episodes occured in the early days of the disease and were about 9 month,s apart, and after the 2nd draining it never happened again.

    I,m on the equivelant of 8 mtx weekly but in self administered injection form but i was never told it would either increase or decrease.

    If it concern,s you tell your Rheumy you,d rather stick to the doseage your now taking and see how it goes.

    All the best


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  • Posted

    hello Carol

    I have had RA about 20 yrs now many drains on both knees about 10 years ago because I was taking that many MXT tablets I was switched to injection once weekly

    much better as when you take tablets you only absorb about 75% of the dose.

    it wreaked havock with my digestive system by agreeing to inject weekly that problem was solved also when you inject the dose you get 100% so that may be an option you can discuss with your RA

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  • Posted

    I have RA, but osteoarthritis in both knees have had them drained 3 times then injected with the steroid shot that came out in 2017....works for quite awhile for me. It had nothing to do with the RA. In fact I stay with my RA doctor but started seeing an orthopedist for my knees. I also take methotrexate and it was never been increased. They usually only do so if it's not keeping your RA under control. And they can leave you on it and start you on shots to. My thinking is maybe 2 different issues then?

    much luck to you!

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    • Posted

      Hi, I was told that it could be osteoarthritis at the appointment, clinician said the colour of the fluid looked like osteoarthritis but the amount may indicate RA, he has sent it to the labs and said RA Consultant may want to see me if it is RA to increase Medication, will have to wait for the results, thanks for your reply

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  • Posted

    Hi everyone,

    Going back to my first post on this issue, I think the fluid from my knee must have come back as Rheumatoid as I have received an appointment to see my Rheumatology consultant in April, not due to go till July, the knee I had drained has been fine but my other knee has started hurting, think I have been compensating with that leg for a couple of months but I think it could be my Rheumatoid again. Any ideas what my consultant may do at my next appointment, I am worried now, thankyou

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