Has anyone been told or discussed at length how bone marrow edema in a joint can be an indicator of inflammatory arthritis? I know it occurs with OA and RA, but does anyone have any other experience? I have absolutely zero indicators of RA…
This discussion came from my checkup at the rheumatologist last Friday. My Dr has gone back & forth regarding whether I have PsA or some other inflammatory arthritis, with little evidence to prove or disprove a diagnosis. However, there’s circumstantial evidence at each visit to suggest some type of inflammatory arthritis (random swollen wrist, random swelling in my foot, etc). Nothing ever lasts for long though, and my bloodwork is negative for everything each time. This has been the case for 5+ yrs now. I started seeing her for extremely rapid degeneration of my knee, at the request of my my wonderful Orthopedic surgeon who said my knee (both actually!!) simply doesn’t make sense.
This time though, she mentioned her detailed analysis of my MRI/Arthrogram on the “good” knee last August. (She hadn’t received it yet at my September appt)…She said the bone marrow edema from one of the cartilage defects on my kneecap is something rheumatologists look for as an inflammatory arthritis indicator, so for now, she recommends continuing the Plaquenil.
At my previous visit, she had suggested we stop the Plaquenil to see what happens symptom-wise, as I’m still not a verified PsA (or anything else) sufferer. However, this new information led her to think there’s still a good chance it IS an inflammatory type of arthritis and not just OA resulting from hypermobility.