Hello. Since how long u r suffering from this problem. Your serum RA factor is very high. Do u have morning stiffness in joints when u get up from bed.
Next Steps
kindly send me all the investigations u have done with including serum
uric acid, ESR,
CRP and anti CCP so that I can send u medications.
Health Tips
stay active. can go for brisk walk daily. swimming is the best exercise for ur problem.