Case study ( 3621 views as of August 11, 2020 )
Larry is a 58-year-old gentleman who has noticed that his right knee has become moderately swollen. It has been like this for about 3 months. He thought it was initially because he was working more hours as a mechanic. He tried taking some ibuprofen which helped partially to reduce the pain and the morning stiffness he was experiencing. About 1 month ago, he started getting pain and swelling in his wrists as well. Now his joint symptoms are starting to interfere with his very physically demanding occupation.
His family physician confirmed swelling of his right knee and his wrists and ordered some initial investigations. These showed an elevated blood marker for inflammation but negative tests for rheumatoid arthritis.
Larry is wondering if he actually does have rheumatoid arthritis because he tested negative for the rheumatoid factor. He wants to be able to get back to work as soon as possible.
Larry could benefit from further discussion with his family physician, and referrals to allied healthcare providers that could help his symptoms such as a rheumatologist, physiotherapist, bracing specialist and/or massage therapist.Author: Dr. Jason Kur