We have taken 5 injections of Adfrar drug in last 3 months as prescribed by our doctor for my mother who is suffering from chronic rheumatic arthritics. Suddenly her pain is again revived in her body as before when she wasn't taking any injection. My query is that is this injection helpful as temporary relief and as we stop taking it the pain will come back as before as per Injection cost is approx 12k and considering the affordability factor and pain coming back as soon we stop take injection means is it a kind of pain killer only or shall we switch to some other treatment which is more effective Request for a prompt reply.

Dr. Julie Mercy J David RajaPhysiotherapist21yrs exp

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It is called as Rheumatic arthritis. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is Rheumatic arthritis. Wear elbow brace and wrist brace which will make her to feel warm and that will make the joints become firm. Hot water fermentation will help Knee cap will also help to prevent the damaged cartilages. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is Rheumatic arthritis. Which joints you have pain? If your proximal joints (ie. Shoulder, hip & knee has pain) then you can pour hot (warm) water in that area to reduce the inflammation. If you have pain in the distal joints ie. Wrist, fingers, ankle, toes then you can wear either elbow brace or wrist brace which will help you to feel warm and very protective. And also immerse the distal joints in the hot water tub which will help you to reduce the pain. Consult the near by physiotherapy clinic and also consult a general physician to check with your ESR levels to check whether you have inflammation The sound what you hear is called as Crepitus /?kr?p?t?s/ (also termed crepitation) is a medical term to describe the grating, crackling or popping sounds and sensations experienced under the skin and joints or a crackling sensation due to the presence of air in the subcutaneous tissue. Popping Knees and Crackling Knuckles. Occasionally hearing pops, snaps, and crackles when you bend your knees doesn?t necessarily mean you have arthritis. The kneecap (patella) is the small, convex bone that sits at the front of the knee, shielding the joint. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Ice therapy would definitely help to reduce the inflammation.  

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