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    Old 08-06-2004, 07:40 PM   #1
    scouts
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    celebrex

    My bone scan showed minimum arthritis in the thoracic and lumbar area of the spine. I am having pain now and then in the thoracic and lumbar area.
    I had an ANA test done The titer is low. I had a c reactive protein test done which turned out high. I did the stress test done on the heart due to the c reactive protein test was high. My heart is ok. Now today I am having pain ..i don't know exactly the medical term on part of the body..
    but it is the bone where the upper arm and shoulder is. For another words if you are wearing a long sleeve shirt and when you look at the sleeve where the sleeve starts that is where the pain is...by the bone area. I hope I made myself clear. My regular dr. started me on 200 mgs of celebrex. I have been on celebrex for three weeks. I was referred to a rheumatologist and she told me that my bone scan is ok and that i am experiencing muscular pain. Now this doesn't sound right wouldn't the pain in the back due to arthritis since the bone scan showed minimum arthritis? I was just told to increase the celebrex to 400mgs a day and come in for an office visit if the celebrex don't work. Well how long do I have to take Celebrex until I know I gave Celebrex
    a good try? Also, the dr. didn't seem to worry about the C reactive protein result which was 13, meaning there is inflammation. Any input would be appreciated.

     
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    Old 08-06-2004, 08:09 PM   #2
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    Re: celebrex

    The only thing bone scans show are "hot spots" where there is any type of activity such as inflamation or infection, it doesn't show any deterioration. To see any real deterioration you need to first start with an Xray and then if nothing shows and you can you should get an MRI of your back and possibly your neck at some point in time. Whichever is the worst I'd get looked at

    Ok for Celebrex, it is something you will have to take the rest of your life. It isn't a life sustaining medication but if you don't take it your swelling will return. It is mildly effective but does not in any way touch severe swelling, I don't think any of the anti-imflamatories do, at least not for me. Expect a few weeks before real results show. You must get your liver checked every 6 months, this is true of all the new anitimflamatory medications. If you start suffering heartburn be sure to tell your doctor right away, though they claim it is mild on the stomache this is not always true for everyone.

    Your pain - are you reffering to the collar bone and or clavicle or are you reffering to your shoulder on the outside where your arm bone comes into the socket? (having a brain fart, can't think of the names). if that is the case you might have a few things going on. It could be bursitis, torn or injured rotator cuff or last but not least problems with your cervical spine which mimics shoulder problem/pain. Could also just be some arthritis in there. Pretty much you'll need to see a specialist to determine exactly what is doing what. The rhuematologist may be able to help in that area.

    I can tell you from personal experience that if it were your neck it can get misdiagnosed as your shoulder. I had this happen to me in October of last year and ended up having an unneeded surgery on my shoulder, there were only spurs there. After the surgery my shoulder got worse and I lost the feeling in my arm and fingers. Turns out my c-spine was so herniated it was crushing my spinal cord. I had it fused in February. This is very common, the misdiagnosis, and just wanted to give you a heads up on it.

    The rhuemy can also answer the questions about your blood tests. Oftentimes regular doctors don't show much interest or concern with arthritis because there are so many types that they leave it to a more qualified individual.

    Be sure to mention your pain when you see him/her. They may do an xray and go from there. Might do some therapy or just cope with it, they could also offer some mild pain medications to help you through it. Hopefully it is nothing serious and you can get everything all straightened out.

    Hope that semi-answered some of your questions and if you need any other help feel free to ask

    - Barbie

     
    Old 08-06-2004, 08:15 PM   #3
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    Re: celebrex

    I went to the rheumy and she didn't say anything about my blood test
    how long is a good try until i know i tried very hard trying the celebrex?
    i am just disgusted about everything.

     
    Old 08-06-2004, 08:31 PM   #4
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    Re: celebrex

    Give them a try for at least 6 weeks. Does the rhuemy want to help you at all?
    Have you considered talking to a different one for a different opinion specifically related to your blood test?
    Also on your back and neck have you talked to a nuerologist about them yet? They may want to put you on some muscle relaxers or something to help.
    If you have tried therapy and have a diagnosis for your back and neck and are still in pain and surgery isn't an option or is far off you might consider a pain management facility. Just be sure you don't go to one that forces you to have injections frequently they are very bad for you in the long run and one should never have more than 3 steriod injections per year.

     
    Old 08-06-2004, 08:37 PM   #5
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    Re: celebrex

    Hi there. The blood test can take up to a week...I don't know what ones they did but just so you know. It is hard to wait but hang in there. I had to get them done and then get more done which just meant more waiting but it helps the doctor know where you are at with the arthritis.

    As for your Celebrex it can take awhile to kick in. It is only an anti-inflammitory so for some that won't take care of the pain itself. (for some it does). Sometimes it just is the Celebrex. Celebrex did not work at all for me. I had to be swtiched to a different type but in the same class of drugs.

    For my pain (we are all different of course) since I was barely able to function and miserable they started me on a steriod. And it is working fairly well, although after a week now they have told me to up it a bit since I am still in some pain.

    I am also taking a NSAID to help with long term effects of my arthritis.

    Make sure you tell your doctor about all your pain. When it is it's worst and what kind of pain it is. Ask about your blood work and have her take xrays. But first I would imagine they would try to rule out certain types of arthritis. With my first visits I wrote down all the symptoms I had been having. From dry mouth, to fatigue, to night sweats, to all the aches and pains (how long, how often, and how much). Then I wrote down questions that I had thought of. I also asked about books my rheumy would suggest to read and he gave me them.

    Tomorrow I am going to an Chinese Medicine doctor. So we will see how that goes.

    I have the most faith in my Rhuemy. He seems to understand me, what my limits are with meds, what I need at that time, and what I want in the future. Your rheumy doctor should have you feeling this way too. You are in a sense a team......if you don't feel right about this doctor find one that you do.

    Hope some of that helps.

     
    Old 08-07-2004, 06:03 AM   #6
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    Re: celebrex

    I am on baclofen for the muscle relaxer.
    It is like you go to the dr. The dr. says this and that and you say this and that and before you know it you are out the door. i went to a teaching hospital. i didn't care for the resident. the resident comes in before the dr. did. when i left i just wanted to cry.
    thank you all for your input.
    does six weeks sound right to you all in giving celebrex a good try?
    thanks

     
    Old 08-07-2004, 12:15 PM   #7
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    Re: celebrex

    Six weeks is a resonable amount of time. If you don't have any luck with it try the various others such as Mobic and Bextra. Many people respond better from them.

    I suggest you see an actual rheumy and not a hospital situation. I have found often times they are not as helpful as someone who see's rhuemy patients day in and day out, especially the interns who do not by any means know as much about arthritis as a full blown doctor who has been treating it for many years.

     
    Old 08-07-2004, 02:06 PM   #8
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    Re: celebrex

    Hi. I did see the rheumy.
    first came the resident and then the rheumy

     
    Old 08-09-2004, 08:17 AM   #9
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    Re: celebrex

    I was prescribed Celebrex 200 mg/daily by my Ortho for shoulder and arm pain about 3 mos. ago. When I saw my Rheume about 2 mos. ago he increased it to 200 mg BID because I'm 6'2" and 200 lbs. He said that the 200 mg. was not enough for me and so far seems to be right. It does help some.

    Of course at the same time I am now taking 10 mg, Percocet every 6 hours and 300 mg. of Neurontin every 6 hours. Something is working somewhat, not sure what.

    "BROKE DOWN, BUSTED UP AND OUTTA GAS"

    Al

     
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