Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 have a 51 y/o woman with RA whom i've been tx for 3 yrs. she was on methotrexate and some other NSAIDS when i first met her. she' been off that for 2.5 yrs now. mostly doing well, almost feels normal. a month or so ago, she started having swelling in her right knee. for the last 2 months, she's been on amelopsis and Ulmus, Mn alt with S, flasx seeds with GLA 90, super EFA liq. 2 wks ago, she called and said her knee swelling was getting worse. i had her take 2, 11, 48 and it still didn't help. (she lives on OR and commutes to work from Honolulu so sees me when she's in Honolulu, she's a flight attendant) anyway, she called today to tell me that she couldn't stand her know swelling and pain anymore so went to see an MD in OR who drained her knee of 40 cc fluid and gave her a shot. (probably cortisone, she doens't know for sure) she's really cleaned up her diet in the last few months and has been diligent with the COP on her knee. she knows better than to get a cortisone shot but she couldn't tolerate the pain till she comes next wk. she went for 3 acu sessions there but it didn't help either. are there any specific number to help with swelling like that? it kept getting worse even with diet changes and COP. any ideas before i see her next wk? thanks Tan, ND, LAc Honolulu, HI (any illness) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 This is a great case where making a diagnosis helps to decide on the proper avenue of treatment. There is no "right" number. The question is - what is the right system, the right diagnosis. You need that to move forward. Dick Thom Beaverton, OR cancer, AI have a 51 y/o woman with RA whom i've been tx for 3 yrs. she was on methotrexate and some other NSAIDS when i first met her. she' been off that for 2.5 yrs now. mostly doing well, almost feels normal. a month or so ago, she started having swelling in her right knee. for the last 2 months, she's been on amelopsis and Ulmus, Mn alt with S, flasx seeds with GLA 90, super EFA liq. 2 wks ago, she called and said her knee swelling was getting worse. i had her take 2, 11, 48 and it still didn't help. (she lives on OR and commutes to work from Honolulu so sees me when she's in Honolulu, she's a flight attendant) anyway, she called today to tell me that she couldn't stand her know swelling and pain anymore so went to see an MD in OR who drained her knee of 40 cc fluid and gave her a shot. (probably cortisone, she doens't know for sure) she's really cleaned up her diet in the last few months and has been diligent with the COP on her knee. she knows better than to get a cortisone shot but she couldn't tolerate the pain till she comes next wk. she went for 3 acu sessions there but it didn't help either. are there any specific number to help with swelling like that? it kept getting worse even with diet changes and COP. any ideas before i see her next wk? thanks Tan, ND, LAc Honolulu, HI (any illness) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2004 Report Share Posted October 21, 2004 Hi , In your case, #29 for periarticular swelling seems like a good candidate with #2, also consider #28 if its more in the joint itself. Also you mentioned she started ulmus and ampelopsis two months ago and started swelling up again one month ago. I would stop the Gemmos, it sounds like they might be moving too much and her emmunctories are not open enough to get it out, and continue the Unda drainage. Is there a latent infectious process that needs to be dealt with? Keivan Jinnah,ND,LAc Portland, OR Hepatology, General practice Quote Link to comment Share on other sites More sharing options...
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