Debra Lynch

The treatment for rheumatoid arthritis (RA) in the knees typically involves a combination of medication, physical therapy, lifestyle modifications, and sometimes surgical interventions. It is important to consult with a healthcare professional, such as a rheumatologist, for an accurate diagnosis and personalized treatment plan. Here are some common approaches to managing RA in the knees:

Medication:

Nonsteroidal anti-inflammatory drugs (NSAIDs): These medications can help reduce pain and inflammation in the knees.
Disease-modifying antirheumatic drugs (DMARDs): These drugs, such as methotrexate or sulfasalazine, work to slow down the progression of RA and minimize joint damage.
Corticosteroids: In some cases, corticosteroid injections into the knee joint may be recommended to reduce inflammation and pain.
Biologic therapies: Biologic drugs, such as TNF inhibitors, target specific pathways involved in RA to reduce inflammation and slow joint damage.

Physical Therapy:

Physical therapy exercises can strengthen the muscles around the knee, improve mobility, and help maintain joint function.
Range-of-motion exercises, low-impact aerobics, and stretching can be beneficial. A physical therapist can develop a personalized exercise plan.

Assistive Devices:

Use of braces or supportive devices can help alleviate knee pain and improve stability during weight-bearing activities.

Lifestyle Modifications:

Maintaining a healthy weight is crucial to reduce stress on the knee joints.
Applying cold or heat packs to the knee can provide temporary relief from pain and inflammation.
Resting and avoiding activities that exacerbate knee pain can be beneficial.

Surgical Options:

In cases where conservative measures fail to provide relief, surgical interventions may be considered. These can include knee joint replacement surgery, arthroscopy, or synovectomy.

It is important to discuss these treatment options and their potential risks and benefits with your healthcare provider. They can provide personalized advice based on your specific condition and medical history to help manage rheumatoid arthritis in your knees effectively.

The best Movement Disorder Specialist I have met is Alexander Pantelyat, M.D. at Johns Hopkins, hopkinsmedicine.org
Address: 600 N Wolfe St, Baltimore, MD 21287
Phone: (410) 502-0133

Preventing osteoporosis is an essential aspect of maintaining bone health, particularly for individuals at increased risk, such as those taking medications like Anastrozole after breast surgery. While calcium, vitamin D3, and magnesium are essential nutrients for bone health, it's important to understand their roles and consider the appropriate supplementation.

Calcium: Adequate calcium intake is crucial for maintaining bone density. It is recommended that adults aged 19-50 consume around 1000 mg of calcium per day, and adults over 50 should aim for 1200 mg per day. While dietary sources of calcium are preferred, calcium supplements can be considered if dietary intake is inadequate. It is generally recommended to divide calcium supplement doses throughout the day and limit each dose to 500-600 mg to facilitate optimal absorption.

Vitamin D3: Vitamin D is necessary for calcium absorption and bone health. Sun exposure and certain food sources, such as fatty fish and fortified dairy products, can provide vitamin D. However, many people may require vitamin D supplements, especially in regions with limited sunlight or for those who have inadequate sun exposure. The recommended daily allowance for vitamin D is 600-800 IU for adults, but individual requirements may differ based on factors like age, ethnicity, and medical conditions. It is recommended to consult with your healthcare provider for personalized vitamin D supplementation guidance.

Magnesium: Magnesium is involved in bone metabolism and calcium regulation. Emerging evidence suggests that magnesium plays a role in bone health, but more research is needed to understand its specific impact on osteoporosis prevention. Consuming a balanced diet that includes magnesium-rich foods like legumes, whole grains, nuts, and seeds can help meet magnesium requirements. However, routine magnesium supplementation is not typically recommended solely for osteoporosis prevention unless there is a documented deficiency.

While calcium, vitamin D3, and magnesium are important for bone health, it is crucial to consult with your healthcare provider, who can assess your individual needs based on factors like age, medical history, and unique medication considerations. They can provide personalized recommendations for nutrient intake and guide you on the appropriate use of supplements to support your bone health while taking Anastrozole or addressing any specific concerns you may have.

Shingles, also known as herpes zoster, is a viral infection caused by the varicella-zoster virus, which is the same virus that causes chickenpox. Shingles typically affects the skin in a localized area, causing a painful rash and blisters.

While shingles can be uncomfortable and painful, it is unlikely to directly affect or worsen a pre-existing bone infection (osteomyelitis) in the spine. Shingles primarily affects the nerves and skin, while osteomyelitis is an infection of the bone itself.

However, it's important to keep in mind that any significant illness or infections can potentially impact the overall health and well-being of the body, including the immune system. If you have a pre-existing bone infection, it's essential to prioritize your overall health and diligently follow your healthcare provider's instructions for managing the osteomyelitis.

If you suspect you have shingles on your back, it is advisable to consult with a healthcare professional for a proper diagnosis and appropriate management. They can evaluate your symptoms, provide treatment options, and address any concerns you may have regarding the coexistence of shingles with your pre-existing osteomyelitis.

Please reach out to a healthcare professional for personalized advice based on your specific medical history and current condition. They can provide the most accurate and individualized guidance to address your concerns effectively.

A bone density test, also known as a dual-energy X-ray absorptiometry (DXA) scan, is recommended for certain individuals to assess their risk of osteoporosis. The following groups of people should consider having a bone density test:
Women aged 65 and older
Men aged 70 and older
Postmenopausal women under the age of 65 with risk factors for osteoporosis (e.g., family history, low body weight, smoking, certain medical conditions)
Men aged 50-69 with risk factors for osteoporosis
Individuals with a fracture or significant height loss
Individuals on certain medications known to contribute to bone loss (e.g., long-term corticosteroid use)

A diagnosis of osteoporosis is usually established through a combination of medical history, physical examination, review of risk factors, and bone density testing. To diagnose osteoporosis, a bone density test is conducted, and the results are compared to a reference standard called a T-score. A T-score of -2.5 or lower is indicative of osteoporosis. Additionally, the presence of a fragility fracture (a fracture resulting from minimal trauma) is also an indication of osteoporosis, regardless of bone density values.

Patients with low bone mineral density (osteopenia) should be evaluated to determine their fracture risk and assess potential underlying causes. This evaluation typically includes:

Detailed medical history to identify risk factors
Laboratory tests to rule out secondary causes of bone loss (e.g., vitamin D deficiency, hormonal imbalances)
Assessment of lifestyle factors, such as diet, physical activity, and smoking cessation
Evaluation of potential medication-related causes of bone loss
Patients undergoing treatment for osteoporosis should be monitored to assess their response to therapy and evaluate the effectiveness of the treatment. Monitoring may involve the following:
Repeat bone density testing: Periodic DXA scans are recommended to assess changes in bone mineral density over time.
Fracture evaluation: Assessing fracture incidence can help determine whether the treatment is effectively reducing the risk of fractures.
Clinical evaluation: Regular follow-up visits with the healthcare provider to assess overall health, medication adherence, and any potential side effects.

The frequency of monitoring may vary depending on the specific treatment plan and individual patient characteristics. It is essential to follow the guidance and recommendations provided by your healthcare provider to ensure proper evaluation and monitoring while undergoing osteoporosis treatment.

The symptoms you are experiencing in your left thigh could potentially be related to a nerve issue. Numbness, tingling, and a "falling asleep" sensation can often be associated with nerve involvement. It's important to consult with a healthcare professional for a proper evaluation and diagnosis. They will be able to conduct a thorough examination and, if necessary, order any relevant tests to determine the underlying cause.

Several possible causes could contribute to your symptoms, including:

Nerve Compression: Pressure on the nerve, such as from sitting or stretching in certain positions, could cause temporary symptoms like numbness and tingling. This can potentially be relieved through changes in posture or movement.

Sciatica: The sciatic nerve travels through the back of the thigh and can cause similar symptoms if it becomes irritated or compressed. Sciatica often arises due to issues like a herniated disc in the lower back or degenerative changes in the spine.

Peripheral Neuropathy: Nerve damage or dysfunction in the peripheral nerves can lead to sensory changes and discomfort. Conditions like diabetes, vitamin deficiencies, or autoimmune disorders can contribute to peripheral neuropathy.

Other Possible Causes: There can be various other factors contributing to your symptoms, including musculoskeletal issues, inflammation, or even vascular problems.

Make sure to schedule an appointment with a healthcare provider who can assess your symptoms, review your medical history, and perform a physical examination. They may recommend further tests, such as nerve conduction studies or imaging, to help identify the underlying cause. With an accurate diagnosis, you can then discuss appropriate treatment options to alleviate your discomfort.

I'm sorry to hear about the difficulties you're experiencing due to your arthritis symptoms. It's important to address your concerns with your healthcare provider, who can provide appropriate evaluation and management options. In the meantime, here are a few general suggestions that may help alleviate some of your symptoms:

Pain Management: Nonsteroidal anti-inflammatory drugs (NSAIDs) like Meloxicam can help reduce pain and inflammation. However, if your symptoms are not adequately controlled, you should discuss alternative pain management options with your healthcare provider. They may consider adjusting your current medication or prescribing additional pain management strategies.

Physical Therapy: Consult with a physical therapist who specializes in arthritis management. They can develop an exercise program to improve joint mobility, reduce pain, and strengthen the muscles surrounding the affected joints. Physical therapy may also include modalities like heat or cold therapy to provide additional relief.

Assistive Devices: Consider using assistive devices to reduce strain on your hands and arms. Examples include jar openers, adaptive utensils, and ergonomic tools designed to decrease joint stress while performing daily tasks.

Splints or Braces: Customized splints or braces can help stabilize and support the affected joints, providing pain relief and promoting better function. Consult with a hand therapist or occupational therapist to determine if using splints or braces would benefit you.

Lifestyle Modifications: Make necessary adaptations to activities that aggravate your symptoms. This may involve finding alternative ways to perform tasks or delegating certain activities to reduce strain on your hands and arms.

Stress Management: High stress levels can exacerbate pain and potentially increase inflammation. Explore stress management techniques such as meditation, deep breathing exercises, and engaging in activities you enjoy to help reduce overall stress levels.

Remember, these are general suggestions, and it's crucial to consult with your healthcare provider for personalized advice based on your specific condition. They can provide a comprehensive assessment and develop a tailored treatment plan to address your arthritis symptoms and improve your quality of life.

Voltaren Arthritis Gel is a topical nonsteroidal anti-inflammatory drug (NSAID) that contains diclofenac, which helps reduce pain and inflammation in the joints. The gel formulation allows for direct application to the affected area, providing localized relief.

While Voltaren Arthritis Gel is commonly indicated for use in the hands, feet, and knees, its labeled usage does not exclude its application to the hips.

The decision to use Voltaren Arthritis Gel on the hips or any other joint should be made in consultation with a healthcare provider. They can assess the specific condition, severity, and location of the joint pain and provide guidance on whether Voltaren Gel or other treatment options are appropriate.

There are a few possibilities that could be causing your son's joint pains. It's important for him to continue working closely with his healthcare providers to investigate further and get an accurate diagnosis. Here are a few potential explanations for his symptoms:

Rheumatological Conditions: While the x-rays did not show any abnormalities, certain rheumatological conditions can cause joint pain that may not be apparent on imaging studies. It might be helpful for your son to consult with a rheumatologist who can conduct a detailed examination, potentially order additional tests, and consider conditions like rheumatoid arthritis, psoriatic arthritis, or lupus, among others.

Medication Side Effects: Some medications, including those used to manage multiple sclerosis (MS), can have side effects that include joint pain or musculoskeletal symptoms. It's important for your son to discuss his concerns regarding his current MS medication, Tecfidera, with his neurologist to determine if there could be a correlation between the medication and his joint pain.

MS-related Symptoms: Although joint pain is not typically considered a primary symptom of MS, some individuals with MS may experience musculoskeletal pain and stiffness. It's important to have your son's MS management assessed by his neurologist to ensure it is adequately controlled.

Gut-related Issues: The bowel problems your son is experiencing may or may not be related to his joint pain. Nevertheless, gastrointestinal conditions such as inflammatory bowel disease (IBD) or celiac disease can sometimes coexist with autoimmune conditions like MS. It may be beneficial for your son to consult with a gastroenterologist to investigate and address his gastrointestinal symptoms.

Other Factors: It's also worth considering other potential factors that could contribute to his joint pain, such as lifestyle factors (stress, physical activity), nutritional deficiencies, or other systemic conditions. A comprehensive evaluation by his healthcare team can help explore these possibilities.

Given the complexity of your son's case and the various symptoms he's experiencing, it's crucial for him to continue working closely with his healthcare providers to determine the underlying cause of his joint pain. They can conduct further evaluations, consider different treatment options, and develop an individualized plan to address his symptoms and overall well-being.

The relationship between viral infections and autoimmune symptoms in rheumatoid arthritis (RA) is a complex and multifaceted topic. While individual experiences may vary, it is important to understand some general principles that may explain the observations you have made.

Immune System Interaction: Viral infections stimulate the immune system, causing it to shift its focus towards fighting the virus. Inflammatory immune responses that play a role in autoimmune conditions like RA may be temporarily dampened during this time, leading to an improvement in symptoms.

The presence of an active viral infection can divert the immune system's attention away from attacking the joints, potentially resulting in a temporary reduction in RA symptoms. However, it is crucial to note that this improvement is only temporary, as the underlying autoimmune condition is not cured or resolved.

Autoimmune diseases like RA occur due to dysregulation of the immune system, where it mistakenly attacks healthy tissues. A viral infection can sometimes create a rebalancing effect on the immune system, modulating its response and temporarily stabilizing the autoimmune symptoms. However, this effect may not be consistent across all individuals or all types of viral infections.

It is important to remember that these observations are general trends and do not necessarily apply to everyone with RA. Additionally, while experiencing a temporary relief in symptoms during a viral infection may be a positive occurrence, it does not mean that intentionally seeking out infections is a viable or safe approach to managing RA symptoms.

As always, it is recommended to consult with a healthcare professional, such as a rheumatologist, who can provide personalized guidance and treatment options tailored to your specific medical history and condition. They can help you understand the underlying causes of your RA symptoms and develop a comprehensive management plan that takes into account your overall health, immune system function, and long-term well-being.

Based on the information provided, it is essential to consult with a rheumatologist to further evaluate your symptoms and determine the underlying cause. While some blood test results may be negative or inconclusive, it does not necessarily rule out an autoimmune condition or other rheumatological disorders. The presence of certain symptoms, such as chronic joint pain, fatigue, and a butterfly rash, warrant a specialist's attention to explore potential autoimmune or connective tissue diseases.

Here are a few points to consider regarding your blood test results:

DNA Double-Stranded (dsDNA) Test: A negative result for dsDNA antibodies helps to rule out certain autoimmune diseases like systemic lupus erythematosus (SLE). However, it does not exclude the possibility of other autoimmune conditions.

Antinuclear Antibody (ANA) Test: A negative ANA result suggests a lower likelihood of certain autoimmune disorders, but it does not completely rule out all autoimmune diseases. It is important to note that not all autoimmune conditions are characterized by positive ANA results.

Rheumatoid Factor (RF): A high RF level can be associated with rheumatoid arthritis (RA) but can also be found in various other conditions or even in healthy individuals. A rheumatologist will consider other clinical factors, physical examination, additional blood tests, and imaging studies to confirm a diagnosis.

Since you have been experiencing symptoms for a prolonged duration and have multiple coexisting medical conditions, a thorough evaluation by a rheumatologist is crucial. They will conduct a comprehensive assessment, including a detailed medical history, physical examination, and potentially further blood tests or imaging studies. This will help to determine the most likely diagnosis and guide appropriate treatment.

When dealing with knee arthritis, it is important to be cautious with certain exercises that can potentially exacerbate symptoms or put excessive stress on the knee joint. Here are some exercises to avoid or modify if you have knee arthritis:

High-impact Activities: Activities that involve jumping, running, or abrupt, forceful movements, such as basketball or tennis, can place excessive stress on the knee joints. These activities can worsen pain and potentially damage the arthritic joint further. It is generally advisable to avoid high-impact exercises or modify them to reduce impact.

Deep Knee Bends or Full Squats: Exercises that require deep knee bends or full squats can put excessive strain on the knee joint. These movements can exacerbate pain and potentially worsen joint damage. Instead, try partial squats or modified versions that limit the range of motion and reduce stress on the knee joints.

Lunges: Traditional lunges involve bending the knee and placing weight on the front leg, which may aggravate knee arthritis. Instead, consider performing modified lunges with a smaller range of motion or focusing on alternative exercises that engage similar muscle groups without causing excessive strain on the knees.

Leg Press and Heavy Weight Training: Using heavy weights while doing leg presses or engaging in intense weight training exercises that focus on the lower body may cause increased stress on the knee joints. It is advisable to reduce the resistance or modify the exercise to maintain a pain-free range of motion.

Step Aerobics and Stair Climbing: Activities that involve repetitive stepping or stair climbing can put strain on the knees, especially if performed with incorrect form. If you engage in these activities, consider reducing the height of the step or using a low-impact modification, such as using a stationary bike or elliptical machine instead.

Always consult with a healthcare professional or a physical therapist who can provide guidance on which exercises to avoid or modify based on your specific condition and limitations. Additionally, listen to your body and if any exercise causes pain or discomfort, make adjustments or discontinue it until you receive further guidance.

Exercises that focus on stretching and strengthening the muscles involved in maintaining proper posture can help improve rounded shoulders. Here are some exercises that may be beneficial:

Chest Stretch:

Stand in a doorway with your arms bent at a 90-degree angle, elbows at shoulder height.
Place your forearms on each side of the doorway and lean forward, gently stretching your chest and shoulders.
Hold the stretch for 20-30 seconds and repeat several times.

Upper Back Stretch:

Stand or sit upright with your feet flat on the floor.
Reach both arms in front of you and interlock your fingers.
Round your upper back, pushing your hands away from your body while tucking your chin.
Hold the stretch for 20-30 seconds and repeat several times.

Scapular Squeezes:

Sit or stand with your arms at your sides.
Squeeze your shoulder blades together as if trying to hold a pencil between them.
Hold the squeeze for 5-10 seconds and then relax.
Repeat the exercise for 10-15 repetitions.

Shoulder Blade Retractions:

Lie face down on an exercise mat or on your bed.
Extend your arms out to the sides at a 90-degree angle, palms facing down.
Squeeze your shoulder blades together and lift your arms off the ground while keeping them straight.
Hold the position for a few seconds and then lower your arms back down.
Repeat the exercise for 10-15 repetitions.

Prone Cobra:

Lie face down on an exercise mat with your arms by your sides and palms facing down.
Lift your chest and head off the ground, squeezing your shoulder blades together.
Hold the elevated position for a few seconds, then lower back down.
Repeat the exercise for 10-15 repetitions.

Remember to perform these exercises with proper form and start with light intensity. If you experience any pain or discomfort, discontinue the exercise and consult with a healthcare professional or physical therapist for further guidance. Additionally, combining exercises with overall posture awareness and correcting ergonomic factors (such as desk and chair alignment) can help in improving rounded shoulders over time.

The recovery time for arthritis hand surgery can vary based on various factors, including the specific type of surgery performed, the extent of the arthritis, individual healing abilities, and compliance with post-operative rehabilitation protocols.

In general, the initial recovery period after arthritis hand surgery typically ranges from several weeks to a few months. During this time, acute post-operative pain and swelling are expected to gradually decrease. Your surgeon may also recommend immobilization or splinting of the hand for a period to protect the surgical site and allow proper healing.

Physical therapy and hand exercises are often prescribed to restore range of motion, strength, and function. The duration and intensity of rehabilitation will depend on your specific case and the surgical procedure performed. It's essential to follow the guidance and instructions provided by your healthcare team to optimize healing and recovery.

Absolutely!


The first step is to get an accurate diagnosis by ordering imaging tests, such as X-rays or MRI, to assess the extent of joint damage.

After confirming the diagnosis of knee arthritis, the next step is to develop a tailored treatment plan. This plan may include a combination of various interventions based on your specific needs, symptom severity, and overall health. Treatment options can include:

Medication: Prescribing pain relievers, nonsteroidal anti-inflammatory drugs (NSAIDs), or corticosteroid injections to manage pain and reduce inflammation in the knee joint.

Physical Therapy: A physical therapist can design an exercise program to strengthen the muscles around the knee, improve range of motion, and reduce pain.

Recommending the use of assistive devices like braces, orthotics, or canes to improve mobility, reduce stress on the knee joint, and provide support.

Advising you on lifestyle changes such as weight management to relieve pressure on the knee joints and reduce pain.

In cases where conservative treatments are insufficient, surgical interventions, such as arthroscopy or joint replacement surgery, as an option for advanced or severe knee arthritis cases.

Monitoring your progress and adjusting the treatment plan as needed is vital.

By seeking medical help, you can receive a proper diagnosis, personalized treatment, and ongoing support for managing knee arthritis effectively. Remember, each case is unique, and the treatment approach will depend on your specific circumstances, so it's essential to consult with a healthcare professional for an accurate assessment and appropriate guidance.

Yes, it is possible to live a full and active life with hip arthritis. While hip arthritis can cause pain, stiffness, and reduced mobility, there are numerous treatment options available to manage symptoms and improve quality of life.

Here are some strategies that can help individuals with hip arthritis live a fulfilling life:

Treatment Plan: Work closely with your healthcare team to develop a comprehensive treatment plan tailored to your specific needs. This may include a combination of medication, physical therapy, assistive devices, lifestyle modifications, and possibly surgical interventions.

Physical Activity: Engage in regular low-impact exercises approved by your healthcare provider to maintain joint flexibility, strengthen surrounding muscles, and improve overall fitness. Activities like swimming, cycling, and walking can be gentle on the hip joints while providing cardiovascular benefits.

Weight Management: Maintaining a healthy weight reduces stress on the hip joints, minimizing pain and slowing down the progression of arthritis. Incorporate a balanced diet and regular exercise to achieve and maintain a healthy weight.

Joint Protection: Practice joint protection techniques to minimize unnecessary strain on the hip joints. This may involve using assistive devices such as canes or walkers, modifying activities to reduce impact on the hips, and adopting proper body mechanics when lifting or carrying objects.

Pain Management: Work with your healthcare provider to develop strategies for pain management, including both non-pharmacological approaches (such as heat or cold therapy) and medication options when necessary. Implement relaxation techniques and stress management strategies to further alleviate pain and promote well-being.

Adaptive Strategies: Explore adaptive strategies and assistive devices that can make daily activities easier and less painful. This can include using special tools for dressing, modifying your home environment to reduce physical strain, and utilizing ergonomic supports like cushions or chairs with appropriate hip support.

Remember, the impact of hip arthritis can vary from person to person, and individual treatment needs may differ. By actively managing the condition, seeking appropriate medical care, and making lifestyle adjustments, many people with hip arthritis can lead enjoyable and fulfilling lives.

Chiropractic treatment can be beneficial for managing hip arthritis symptoms and improving overall function, but it is important to consider it as part of a comprehensive treatment approach. Chiropractors often employ manual manipulation techniques, exercises, and other therapies to address joint misalignments, reduce pain, improve range of motion, and enhance musculoskeletal function.

While chiropractic care cannot cure arthritis or reverse joint damage, it may provide relief from pain and stiffness, and improve joint mobility. By adjusting the spine and other joints, chiropractors aim to restore proper alignment, which can help alleviate stress on the affected hip joint.

However, it is crucial to consult with a healthcare provider to develop an individualized treatment plan that incorporates multiple approaches. This typically includes medication, physical therapy, lifestyle modifications, and possibly surgical interventions, depending on the severity of the arthritis and overall health of the patient.

I'm so sorry! Having a child diagnosed with a chronic, painful illness is so hard!



Here's some information on managing rheumatoid arthritis in adolescents:

Medication: Options include disease-modifying antirheumatic drugs (DMARDs) and biologics to reduce inflammation and slow disease progression.

Physical Therapy: Exercise and physical therapy can help improve joint flexibility and muscle strength.

Healthy Habits: Encourage a balanced diet, regular exercise, and adequate rest. Regular eye exams are also important as JIA can affect the eyes.

Remission: In some cases, symptoms may go into remission with treatment.

Pain Management: Focus on relieving pain and inflammation to improve quality of life.

Collaborate closely with healthcare providers to tailor a comprehensive treatment plan that addresses the individual needs of your son.

Here are a few great websites for you to look over:
https://www.mayoclinic.org/diseases-conditions/juvenile-idiopathic-arthritis/diagnosis-treatment/drc-20374088
https://www.hopkinsmedicine.org/health/conditions-and-diseases/arthritis/juvenile-idiopathic-arthritis
https://kidshealth.org/en/teens/juv-rheumatoid-arthritis.html
https://www.cedars-sinai.org/health-library/diseases-and-conditions/j/juvenile-rheumatoid-arthritis.html
https://familydoctor.org/condition/juvenile-rheumatoid-arthritis/
https://www.webmd.com/rheumatoid-arthritis/understanding-juvenile-rheumatoid-arthritis-treatment

The symptoms of gout include sudden and severe pain, often occurring in the middle of the night or early morning. Typically, this pain is localized and affects specific joints, such as the big toe, ankle, or knee. The affected joints become tender, swollen, and warm to the touch. Additionally, individuals may experience limited range of motion and discomfort that makes even light pressure intolerable. Gout symptoms are often intermittent and can last for days or weeks before subsiding. Furthermore, recurrent gout attacks may lead to joint damage and joint deformities over time.

Here are some great websites for you to check out:
https://www.mayoclinic.org/diseases-conditions/gout/symptoms-causes/syc-20372897
https://my.clevelandclinic.org/health/diseases/4755-gout
https://www.cdc.gov/arthritis/types/gout.html
https://www.arthritis.org/diseases/gout
https://www.pennmedicine.org/for-patients-and-visitors/patient-information/conditions-treated-a-to-z/gout
https://www.webmd.com/arthritis/understanding-gout-symptoms

Absolutely; most people who have autoimmune disease have a perfectly normal CBC. Labs like an ANA by IFA, RF, CCP, Sed Rate, CRP, HLA B27, and so on, will help identify possible autoimmune causes of your pain and facial rash. A thorough work-up including labs, X-Rays, and a physical exam will better help you get the answer you need.