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DMARD not working effectively
Dear Dr...
I am taking DMARD from last 13week... including methotrexate 15mg weekly...saaz 500mg and hcqs200 daily...along with 5mg of steroids
When i start tapper dose of steroids again pain is started in knee only(slightly cartilage is destructed).
What i have to do
Answers (6)
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You need to connect with me on Practo chat for detailed discussion. We had to understand the pathology and have to manage accordingly.
Next Steps
general conditioning excercises
quadriceps excercises
Health Tips
continue with medications till then .
get my appointment at Practo chat for further management
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Hello,
I understand that you have been taking DMARD Since past 13 weeks. You have recent episode of pain when trying to taper steroids. These symptoms are common with this condition. It is advisable to consult with me bhy online appointment to exactly explain you how you can taper the medication and I can help through your treatment in future.
You can take medications along with other medications as it will control your symptoms.
For your conditions and other orthopedic problems you can communicate with me by online appointment.
Consult directly with me, your orthopaedic doctor, through Practo for detail history, discussion and treatment plan. Here we can chat or can also do audio or video consultation for detailed management. Take appointment for thorough prescription and consultation. Visit the following link for online consultation: https://www.practo.com/mumbai/doctor/chintan-doshi-orthopedist/consult
Thank you.
Next Steps
Consult directly with me, your orthopaedic doctor, through Practo for detail history, discussion and treatment plan. Here we can chat or can also do audio or video consultation for detailed management. Take appointment for thorough prescription and consultation. https://www.practo.com/mumbai/doctor/chintan-doshi-orthopedist/consult
Health Tips
Avoid walking for long distance. Avoid squatting, sitting cross legged, climbing stairs. Hot fomentation. Increase exercises.
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Taper off steroids. Start knee quadriceps Strengthening exercises.
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For the time being continue to take low dose steroid and can increase the dose of sazo to 1000
If required Also we can think of starting biologics.
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Dr. Sandeep Saraf Agarwal
Orthopedist
10 yrs exp
Visakhapatnam
Hello
Next Steps
U can refer this link to your close family members , relatives and friends..which might help them
Kindly ask to take APPOINTMENT through the following link https://www.practo.com/visakhapatnam/doctor/sandeep-saraf-agarwal-orthopedist?cache_refresh=true
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Dr. Ganvir Dhammadeep H
Orthopedic surgeon
17 yrs exp
Thane
Plz CONSULT with me...
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.