FAQ - synovitis
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synovitis, psoriasis, other med problems?

here is my problem- I have a slew of medical issues-from fatigue,always having respiratory illness and joint pain on my entire left side, to what i JUST realized were psoriasis patches on my neck (i had them in the past. havent seen them this entire year), as well as other issues- These being the main ones.I've taken numerous xrays, MRIs and blood tests. ONE blood test (my 1st) showed I had a positive ANA...a weak positive. Subsequent tests all came back negative for lupus, Rheumatoid Arthritis, etc etc...everything comes back negative...at different dr's, labs, etc... Recently, my left ring finger became extremely swollen after what felt like loss of circulation on my left arm...I was diagnosed with synovitis-which the doctor's have NO clue why I have this being that its usually only present in people with an autoimmune disease (which I have alot of symptoms of, but no lab work to justify it). Any idea what may be going on with me? I will begin taking the medrol pack (5 days) next wk
does this sound like any ailment that perhaps my doctors are not looking into? They tell me I am a "medical mystery", but I think they may just be incompetent.
I am seeing a rheumatologist...as well as a neurologist...all my blood tests for pretty much every type of arthritis has come back negative...are there any forms of arthritis that a blood test will not show?

hi, First according to the autoimmune association psoriasis is an autoimmune condition of the skin, so you do have one. I have Lupus, own a Lupus support/message board, and do most of the research for the group. I like you have had weak positive and negative ANA's over the years. Some other blood tests will come and go pos to neg. depending on disease activity. There are so many connective tissue autoimmune's that it is hard to say which one you may have.
There is off the top of my head, Lupus, Sjorgrens, Mixed connective Tissue disease, Raynunds, Polymyalgia Rhumatica, RA and others. Many take a while to progress. and most have a certain number of diagnostic critera you must meet before you can be diagnosed with it for sure. Like with lupus you must meet four of 11 critera. My MRIS come back Negative, but just got off chemotherapy for brain Cerabritis (swelling of brain, which dosent show in MRI's Etc. so it's all tricky, and depends how good your rhuemotologist is, and one at UCLA told me it is a bit of an art, not a full science. It can also take a bit of time to get a full picture, so they can get a history, and see what else happens.

I understand the not knowing is the hardest part. the scariest part, it took me 5 years, though I was ill from the age of 13. we saw drs, then stopped, it was before the critera was even out. That came out in 1982. I was diagnosed in my late 20's Im now 40. The medrol pack, may help, if they gave it to you, they are testing to see if there is any relief. any changes. that is good. My fingers will swell for a bit and go back down too, that is a sign of an auto immune, so are symptoms that come than leave to never return. I suggest you write down anything from the past that you can think of, because all these problems do NOT have to occur all at one time.Even deppression counts in a diagnosis of Lupus. Central Nervous system problems, Skin Issues, I will put the diagnostic critera for you to see.

The pattern of that ANA test you need to find out too. ask if it was speckled. There are several others, but that is mine and the one I can think of that goes with Lupus usually. They should test your blood monthly, but the medrol, can change the results. you also need what is called a SED rate, which can tell dr's how much inflammation is in your body, it has other names, westergreen is one. it depends on the lab, and where you live. ask for it. before you take the medrol pack. Circulation is also an issue. Here at least is the Lupus Critera so you can think of past history

Diagnostic criteria for lupus
The following criteria are used to distinguish lupus (systemic lupus erythematosus, or SLE) from other autoimmune and rheumatic diseases.

A person with 4 of these 11 conditions can be diagnosed with lupus; 3 symptoms suggest that lupus is probably present, and 2 raise the possibility of lupus. Symptoms may be present all at once or appear in succession over a period of time. 1

Butterfly (malar) rash on cheeks
Rash on face, arms, neck, torso (discoid rash)
Skin rashes that result from exposure to sunlight or ultraviolet light (photosensitivity)
Mouth or nasal ulcers, usually painless
Joint swelling, stiffness, pain involving two or more joints (arthritis)
Inflammation of the membranes surrounding the lungs (pleuritis) or heart (pericarditis). This inflammation is called serositis.
Abnormalities in urine, such as increased protein or clumps of red blood cells or kidney cells, called cell casts, in the urine
Nervous system problems, such as seizures or psychosis, without known cause
Problems with the blood, such as reduced numbers of red blood cells (anemia), platelets, or white blood cells
Positive antinuclear antibody (ANA) test
Signs of increased autoimmunity (antibodies against normal tissue), as shown by laboratory tests  (+ info)

what is pigmented villonodular synovitis?

Pigmented Villonodular Synovitis - Pigmented villonodular synovitis (PVNS) is a benign proliferative disorder of uncertain etiology that affects synovial lined joints, bursae, and tendon sheaths.  (+ info)

synovitis or tenosynovitis?

Hello. Can someone shed light on exactly what is synovitis? An ankle & foot doctor is trying to determine the cause of my ankle and foot swelling to twice its size since December. It does not hurt, I have not injured it in any way and I do not have a clot in my leg. I've had a doppler scan, xray and MRI that shows nothing other than some slight arthritis in my ankle and mild swelling of the joint. It swells during the day, returns to normal during night and then swells again during the day. It is only my left foot and ankle. For the last few days the doctor has had me wearing a compression stocking which has made my foot I'd say 95% better. At the end of the day it now has "slight swelling". We are hoping if I wear this stocking for a few weeks that it might heal whatever the problem is. The mystery is very annoying. Any medical thoughts on this would be appreciated. Thanks. :o)

They're talking about inflammation of the synovial membrane: which is what lines (some of) our joints and keeps them 'supple'. and lubed by way of synovial fluid.

Hope that helps  (+ info)

what can be the causes for synovitis in wrist?

patient is suffering from avascular necrosis of lunate bone

Synovial fluid gets trapped in the joint causing a "boggy" mushy feeling.It is the inflammation of the synovial membrane.This fluid can be aspirated out to confirm or r/o joint diseases.

use this web site

www.healthscout.com/synovitis  (+ info)

Is anyone familur with synovitis of the posterior tibial tendon & dilated vessels and veins showing on MRI?

In June 06 I broke my left ankle and tore the tendons resulting in surgery. The pain never got better on the inside of my ankle and I have never regained full use of my ankle. I am seeing a new podiatrist and just received results of my MRI. The pain is horrible and I want to educate myself in this as much as possible. Here is what the MRI says
fatty tissue with dilated vessels seen within the medial aspect of the foot at the level of the calcaneus. Synovitis of the posterior tibial tendon. Several dialated veins seen in this region.
Any advice would be greatly appreciated
yes I kow its inflammation. I have had this injury for almost 2 years and have been on multiple anti-inflammation drugs. I was just looking for some answers to some of the terms in the MRO meant.. Thanks for your answer.

Synovitis is an inflammation of the synovial sheath which is the tissue that covers tendons that allows then to slide back and forth with minimal friction. The posterior tibialis muscle is in the calf, the tendon for the muscle runs on the inside of the ankle and to the foot. The muscle points your foot down and inward at the same time. Dilated veins are just enlarged veins (probably not the cause of pain). Calcaneus is the heel bone  (+ info)

Does Anyone Here Have Degenerative Arthrosis (aka. degenerative osteoarthritis)& How You Deal With The Pain ?

I wonder how people with degenerative arthrosis also known as degenerative arhtritis or degenerative osteoarthritis, have deal with the unbearable pain and work. Have this condition stop you from working ? How can I return to work, and with what medications to kill the severe pain on my feet and knees joints ? I dont want to become bedwritten, Im only 29 years old and already have Degenerative Arthrosis on my both feet & both knees, periostitis atributed to enthesopathy, tendinitis, synovitis,crps, rsd, a fracture on my foot that havent healed yet in 5 years since it happened, etc, not to mention the depresion this have caused me, but im not giving up yet. Althouht im in a lot of constant severe pain, I will like to know if this condition will get less painfull with time or if is going to get worst and what can I do, since doctors are afraid to give straight answers on this questions. Anyone suffering from any of this conditions, I will appreciate any comments on this. Thanks.
I dont think that baking brownies with marihuana is for me...lol. I dont even smoke it, much less eat it....Thanks thou.

My deepest sympathy. I'm 49 and have osteoarthritis. Too many years of joint damaging sports. I use heating pads, a hot tub, a physiotherapist/Chiroprator and a good NSAID (Aleve). I find the problem is agravated with life style choices. Ensuring I am well hydrated, back off the booze and moderate non-impact excercise (walking, swimming) tends to help.

Best of luck, getting old is not for sissy's.  (+ info)

toxic synovitis?

This is the first time I've ever hear those two words in conjunction with each other, but, synovial fluid is the lubricant produced in most of your joints like your elbows, and knees and knuckles, and such, so that your bones and cartilege slide across the surfaces of each other instead of wearing the joint out when the bones stop growing in the late teens or early twenties..

Synovitis, therefore, would be an inflamation of the surfaces coated with synovial fluid.

The term 'toxic' means poisonous.

I'm not sure what would cause synovial fluid to become toxic, though.

I take that back. There are no blood vessels on the surfaces of the bones and cartilege in any of your joints, so any time you get any kind of infection within the joint, there are no blood vessels to help carry microbial waste products away, so those waste products remain within the joints, and pollute the synovial fluid, making it toxic.

Some of those toxins break down and become small enough molecules to work their way back into the tissues of the joint and into the bloodstream, where they wind up poisoning the rest of your body, giving you all the symptoms of a full-blown illness, until the liver can break them down into harmless, or even beneficial chemicals, but even then, as long as the infection is still running strong, you won't be getting any better.

The problem with a synovitis, is that oral antibiotics don't help, because the antibiotics are large chemicals that don't exit the bloodstream into the joints and into the infection any more than larger microbial waste products enter the blood stream. So, the only treatments I perceive of are antibiotics by injection, cleansing and antibiotics by orthoscopy, by lower-tech slice-and-stitch surgery, and by sitting around and waiting for your white blood cells to find their way into the joint and overwhelm the infection, which will also be a very, very, slow process.  (+ info)

Why am I having constant pain in my hand?

I was diagnosed with de Quervains synovitis which is a tendonitis in my hand...why would it hurt so bad. I'm waiting on some medicine but it could take 1-2 days. IB profen or any anti-imflammatory doesn't work I've tried.

Man i'm hurting I can't fold clothes, do dishes....and I'm typing with one hand and the other under an ice pack.

talk to your doctor about an injection  (+ info)

Is it legal that a doctor diagnose you several chronic conditions put doesnt want to document them ?

I have been in about 13 different doctors for my extreme pain, after over a year being off work by the doctors one of them ordered a bonescan & I was diagnosed with DEGENERATIVE ARTHROSIS, DEGENERATIVE CHANGES IN MY KEES AND FEET & PERIOSTITIS ATRIBUTTED TO ENTHESOPATHY, RSD, CRPS, TENDINITIS, SYNOVITIS, & AN UNHEALED FRACTURE ON MY FOOT, DEGENERATIVE OSTEOARTHRITIS & also I was told by the doctor Im flat footed. Im also having problems with my back & right hand because of my conditions side negative effects. I was told by one of this doctors I saw recently that my foot condition was severe & chronic & that there was nothing that could be done for my foot, no injections, or surgery. He said to me that i cant work in this condition because of the pain this is causing me. When Im ready to leave I ask him to please give me a copy of his medical opinions & diagnosis he just told me & he refused and said " I cant write all that, all I can write is CHRONIC FOOT PAIN. ?? is this legal ???
Obiously people that doesnt have my conditions, wouldnt know how painfull it is even when your are sitting,but since just a very few people know the pain this causes so let me add some more info. Even when youre sitting this hurts a lot on your feet & knees for some reason they locked & is very painful even when youre sitting.My lower to middle back also hurts a lot now because of all the changes in my body & alignment this conditions caused.Is very easy for someone that doesnt feel the pain to say:Cant you find a job were you are sitting?Very easy to say.Most of these people that thinks like this are the ones that makes a huge deal & issue when they get a simple headache or get their period,is easy to try to force someone to work when it isnt you who will feel the severe,chronic pain.Take this in consideration.TheQ was is it legal to put something severe & chronic like is something very simple & not serious. Check the definitions & effects of this conditions first if you can.Thanks
I also forgot to mentioned that Ive being off work by the doctors on Physical Therapy for over a year and on medication wich theyve changed several times, but it doesnt help at all. I have the objective evidence on MRI and a Bonescan that shows all this problems and conditions, but none of this doctor wants to as some of them have told me "compromise themselves by putting themselves in the line by declare me disable because you are too young. If you were 50 or 55 old with your exact conditions I would have problems"

by the way Im 29 with all this conditions that are normally comon on persons over 60 years old. I wonder if I have being discriminated because of my age.... All I know is that my conditions didnt care about my age....
correction: they say that if I were 50 or 55 years old they would have no problems declaring me disable, but since Im too young they wont do it & put their name on the line.....

I do know the pain that you are speaking of and the frustration of dealing with doctors over documentation. I honestly think that alot of it is to avoid getting wrapped up in diasabilty hearings. When I first filed for disability I was shocked about how little documentation was available, keep in mind that I go to physical therapy every week and I belong to the pain clinic. Makes no sense.
I really don't think legally you can do anything much though, they are just gonna say that they have enough info for them.
They are obligated though to give you any medical records you request. I go to a hospital clinic, and when I request something I have to pay by the page, but it is pretty reasonable. I don't know how a private doctor would do it.

All I can suggest to you is to keep a notebook with you and while you are with the doctor, write everything down they say, this works 2 ways, 1 they will know that you are on top of things and they can't just easily blow you off, 2 you will have info at your fingertips always when you need it. I
have a day planner and write everything, document appts, times, dates, what we did, anything that i thought was lacking in my appt., etc. I know they think I'm crazy, but these days if you don't take care of these things yourself, you might not ever get anywhere.
I don't know if this helped or not, because there aren't many answers here, but I do understand. :=) )=:  (+ info)

My MRI report says "Rupture of the medial collateral ligament" what does that mean?

I had an MRI on my foot the other day because I have been suffering from progressively worsening pain in my fourth and fifth toes.
It says:
"Rupture of the medial collateral ligament of the fifth metatarsophalangeal articulation. Mild effusion and reactive synovitis of the joint."
What does this mean? I have been trying to do what is best to help my foot heal, but I'm not getting any real information as fast as I would like.

  (+ info)

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