I am ra positive since last 7 yrs my right foot is in pain since last 25 days previously it used to move around in my body I hope it's not the critical stage of disease I m taking methotrexate 10 mg weeklyand leflunomide10 mg every day please help.

Dr. N C GuptaOrthopedist52yrs exp

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Kindly show me a photograph & digital x rays of affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Ibuprofen 200mg od & sos x 5days. Bio d3 max 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do reply back for detailed treatment plan. Do not ignore. It could be beginning of a serious problem. 

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