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I'm really interested in knowing more about neurological signs in rheumatoid arthritis.
I have been getting joint pain in my fingers, wrists and toes, plus pins and needles in my hands and feet for a few months now - plus morning stiffness that ranges from mildly annoying to virtually disabling.
My doctor zoned in on the pins and needles, but scans have ruled out nerve entrapment in the spine.
He's now referring me to a rheumatologist. I have started to lose some function in one hand. I can't join the thumb and pinkie, or click my fingers, and gripping anything is exhausting. None of the usual signs you'd expect with carpal syndrome though, except what looks like slight thenar atrophy.
Meanwhile, my joint pains are persisting. My knuckles occasionally look a little red, but nothing really "angry". My big toes are the same and one has started to develop a bunion.
More recent symptoms include a burning sensation on the soles of my feet, sharp chest pain above the right breast when breathing in (this has happened twice but went away after about half an hour each time), pain in elbows and one shoulder, muscle spasm in the neck. On the plus side, the pins and needles are less frequent.
It's obviously troubling me because it's been going on for a while and because I'm losing hand function. But I just don't know whether a rheumatolgist is the right way to go. It seems like a lot of my symptoms are neurological.
I can't find much reliable information about the link between these neurological symptoms and RA. Maybe actual RA patients who have neurological symptoms could shed some light?
I don't want to have a load of expensive tests and referrals only for them to find nothing wrong.
My bloods were taken nearly three months ago, when my symptoms were quite new. RF was "20<", crp was 4. the only abnormalities were slight anaemia and low creatinine (which i understand is okay except it can indicate muscle wastage).
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any advice or information welcome.>
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