Subject: Hands and mtx

Hi everyone.

I've two questions which I hope someone can advise!

My right hand and fingers are mostly affected by my PsA and I am worried that it will turn into a useless claw. Is there anything I can be doing to prevent/halt this? I'm unable to straighten three fingers now, one finger is completely bent over. I'm of course right handed! It's so disabling already and to be honest, it terrifies me just looking at my hand!

Secondly I'm on mtx at 25mg and will be taking my fourth dose this week. No improvement yet but I know it takes time to work.

Can someone spell out exactly what miracle will occur when it does? Will I be able to use affected joints as I did before arthritis, or does it just stop more joints being affected?

Is the damage already done now permanent or will mtx reverse anything?

In a nutshell what's the best I can hope for as and when MTX does kick in? What am I waiting to see/feel?

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Subject: Re: Hands and mtx

Hi Samantha,

Sometimes the swelling and inflammation can make the joints look swollen and a bit deformed and hard to bend etc and when the medication starts to work it will help a lot with the pain and swelling etc and you should notice an improvement with your hands. You could also ask the OT at the hospital about splints as they can sometimes help.

Hope it kicks in soon. x

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Subject: Re: Hands and mtx

Hi Sam, I've got RA and I'm on meth,leflunomide and now infliximab. I use my hands a lot for work (secretary) and asked for a referral to an occupational therapist via my GP last year. I found these appointments really helpful in terms of educating me as to what I can and can't do, providing wrist/finger splints/exercises etc. Speak to your GP and get a referral. Good luck x

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