EXPERT
Mrs. Lesley Fein, MD
Rheumatologist
Dr. Lesley Fein is a rheumatologist practicing in West Caldwell, NJ. Dr. Fein specializes in the relationship between infections and auto-immune diseases.
40 years
Experience
Mrs. Lesley Fein, MD
- West Caldwell, NJ
- Mt. Sinai Hospital NYC
- Accepting new patients
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How to Treat Knee Gout?
Indocin is brutal on the stomach, especially at your age. It has the highest incidence of causing stomach ulcers. I would prefer a cortisone shot in the arm or the knee. One-shot READ MORE
Indocin is brutal on the stomach, especially at your age. It has the highest incidence of causing stomach ulcers. I would prefer a cortisone shot in the arm or the knee. One-shot will act as a powerful anti-inflammatory but not affect your immune system. Also, you should take Colchicine for acute gout attacks.
Detox
You would need to contact a doctor who specializes in functional medicine. I do not.
Sjogren's syndrome
Can these responses be submitted for CME credits?
Edema: ankles feet and lower legs
I would suggest you find a lymphadema specialist. If it was only fluid, it would have responded to diuretics. Lymphadema would not.
3.5cm Complicated Cyst On Right Kidney
Complex cysts need to be watched but surgery would only be indicated if it became suspicious over time. You are getting the correct approach.
Aching calf muscles and numb cold toes?
Firstly stop smoking! Nicotine constricts blood vessels and reduces blood flow to the feet. Secondly, you will need a full evaluation from a vascular specialist and rheumatologist READ MORE
Firstly stop smoking! Nicotine constricts blood vessels and reduces blood flow to the feet. Secondly, you will need a full evaluation from a vascular specialist and rheumatologist ASAP.
Pain
As long as autoimmune diseases and infectious causes of arthritis have been ruled out, the best treatment is exercise. Go to PT first and then keep it up. Also, use UBQH 100mg READ MORE
As long as autoimmune diseases and infectious causes of arthritis have been ruled out, the best treatment is exercise. Go to PT first and then keep it up. Also, use UBQH 100mg in the morning, Boswellia 400mg 3-4 times a day, Flaxoil 3 times a day. I do not like calcium tablets because there was a study suggesting that the calcium can line your blood vessels and promote atherosclerosis. Either get calcium from food (1200-1500mg a day) or take a delayed release calcium. Also, I never do ONLY 25D levels. You must ask for a 1,25D level as well.
Fibro nobody knows
I do not know enough about your condition to even guess what is going on. Fibromyalgia can be triggered by any chronic pain syndrome.
Pain in left shoulder blade area?
Please see a Cardiologist. Heart pain can cause similar symptoms. If that is not the cause, then see an Orthopedist.
Is it a nerve?
It definitely sounds like a nerve. Start with a Neurologist.
Can massage help knee arthritis?
No. See a proper physical therapist and make sure you take natural anti-inflammatory herbs: Boswellia 400mg 3 times a day and Flaoil 3 times a day plus Omega 3 capsule daily.
Swelling of legs?
Look into a condition called MCAS. First start with an allergist.
Can hip replacement fix hip arthritis?
Absolutely!
Can RA cause problems with swallowing?
If you are having trouble swallowing there are two things to consider:
1. The RA may have been triggered by Lyme disease which is associated with
neurological problems such as READ MORE
If you are having trouble swallowing there are two things to consider:
1. The RA may have been triggered by Lyme disease which is associated with
neurological problems such as difficulty swallowing. If you are living in
an area where you would be exposed to Lyme, or have been in areas where you
could have been bitten by a tick, it would be worthwhile to pursue that.
People who carry the DR2 gene can develop RA after exposure to Lyme.
2. You may have a neurological component of your auto-immune disease. This
needs to be evaluated by a Gastroenterologist with a swallowing study, and
possible esophageal manometry because it can lead to choking and aspiration
of food into the lungs.
Good luck!
1. The RA may have been triggered by Lyme disease which is associated with
neurological problems such as difficulty swallowing. If you are living in
an area where you would be exposed to Lyme, or have been in areas where you
could have been bitten by a tick, it would be worthwhile to pursue that.
People who carry the DR2 gene can develop RA after exposure to Lyme.
2. You may have a neurological component of your auto-immune disease. This
needs to be evaluated by a Gastroenterologist with a swallowing study, and
possible esophageal manometry because it can lead to choking and aspiration
of food into the lungs.
Good luck!
Is constant burning pain connected to fibromyalgia
This sounds more like a spinal cord problem. Have you had an MRI of your brain and entire spinal cord?
Severe foot pain
RA generally involves small joints, i.e. hands and feet. Without more information, for example, your test results, I cannot say more than that. Do you have a positive RF? Any other READ MORE
RA generally involves small joints, i.e. hands and feet. Without more information, for example, your test results, I cannot say more than that. Do you have a positive RF? Any other laboratory tests?
