So, I need some thoughts. I went to see that new rheumy to hopefully start Enbrel. The MTX and celebrex weren't cutting it so much. Went off the MTX about 6-8 weeks before this appt. Then I realized how much the MTX was actually helping. I was in agony.
So anyhoo, met the new rheumy. She was awful as far as personality goes but I am a nurse are realize that some of the best docs suck as far as social skills go. She does a very crappy exam. Has a script of questions and does not allow me to add anything.
She explains to me I have fibromyaligia. She wants a biopsy of my itchy, scabby areas on my scalp to determine if they are in fact psoriasis. She wants to re-do all the arthritis testing, which i have had done numerous times (all neg), and do xrays, which I have had done as well.
I did add that the pain migrates to different joints, they become warm and puffy and I was having a flare in my shoulder at that time and could not lift it. She said it was tendonitis. I asked her how did I get tendonitis without doing anything? She didn't know. I told her I had a lot of relief with prednisone, she said everyone feels better on prednisone. But my doc back then said fibromyalgia does not normally respond to MTX and NSAIDS. I walked out.
1. I'm not paying for all the testing she wants, been there done that.
2. Already took the fibromyalgia road, tried all the meds, they never helped.
3. As soon as put on NSAIDS, prednisone, and MTX I was getting relief.
4. I've been telling people for years that my sx don't fit fibromyalgia.
5. My sx: Migrating joint pain. Feet kill me, especially toes and achilles tendon. Spine is very painful, especially lower back. My joints pop and crack and more so if there is a flare there. In fact I was told my joints are hyper mobile (was told i do not have Erlers (whatchamajigger) Syndrome). Extreme fatigue. Excercise induces flares. Xrays and bone scan show arthritis to ankles, feet, knees, spine (mainly all facet joints), shoulders, elbows. I don't ever have a sed rate higher than 11. RA-, ANA-, Lymes-, CRP (never tested). and yes, i have tenderness to tissue surrounding the joints. Also have intercostal rib pain.
6. I would accept that maybe I have fibro with something else, but I am convinced that fibro is not the lone cause of my sx.
So, any thoughts? I am depressed and feel hopeless about ever feeling better. I am 40 and I've been dealing with since age 17. I am getting worse. To the point that working makes me cry. Am I on the wrong track or is the Doc that dx'd me on the right track? I just don't know who to trust anymore.
I recently cut way back on carbs and restarted my doxycycline, both help some. Still on Celebrex but only use it when I work or if miserable.
Please any thoughts as to what direction I should go?