Hello dear As per history it seems rhematoid arthritis I suggest you to please get following tests done for confirmation Share the result with general physician medicine for better clarity and for safety please donot take any medication without consulting the concerned physician Crp Esr Bone scan Rbs CBC Serum ferritin Serum troponin Lft Rft Regards
Considering that your mom’s blood work and X-ray didn’t reveal any definitive diagnosis, it’s essential to look into other causes for the inflammation and discomfort she’s experiencing. Chronic inflammation can often be related to conditions like arthritis, tendonitis, or even plantar fasciitis. It’s good that the hot and cold therapy is providing some relief. Encouraging her to continue this, perhaps with more regular intervals throughout the day, could help manage the symptoms. Applying heat can reduce muscle tension and improve circulation, while cold packs can numb sharp pains and reduce swelling. If she’s still experiencing significant pain after these measures, it might be worth asking her doctor about non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen, provided she has no contraindications for them, such as kidney problems or ulcer disease. An additional step could be ensuring that she wears supportive footwear, which might cushion her feet and distribute the pressure more evenly, reducing strain on affected areas. Additionally, gentle stretching and strengthening exercises, tailored by a physical therapist, might prevent her muscles and tendons from becoming too tight, which could be contributing to her stiffness in the mornings. Encouraging her to avoid prolonged standing or walking without breaks could alleviate some of the pressure on her feet and knees as well. If inflammation and pain persist or worsen, a referral to a rheumatologist or an orthopedic specialist may be necessary to delve deeper into less obvious conditions that might not show up on initial scans or tests.
Your mum’s symptoms most likely represent an early inflammatory or tendon-related condition that may not show up on initial blood tests or X-rays. The next best step is evaluation by a rheumatologist and, if possible, MRI or ultrasound imaging. With proper diagnosis and targeted treatment, improvement is very likely.
