Question
Developed Trigger Thumb (locked extended) treated with cortisone shot, told to see rheumatologist since they feel I have PA not RA like I was told 35 yrs ago. Have in past used, Indocid, then Entrophen, then ASA as I felt need if I had a flare. this last flare lasted 3-4 months and was worse than any I’ve had for many years(just went away a week ago and now i feel good), but unsure if this trigger thumb requires further treatment, ie surgery, since I’m told this cortisone shot will wear off before long (had it May 4th). What more help can a rheumotologist do for me? What should I ask surgeon about thumb…since one surgeon said too many risks to do surgery on me, and second surgeon said, definitely need surgery, I’m 53, excellent health 9except for RA or PA, no meds, appropriate weight. Want proper use of thumb with no possible recurrences. Gladys
Answer
Heed your doctor’s advice and see the rheumatologist. There are many therapies for rheumatoid arthritis and psoriatic arthritis but therapy should be based on your specific situation.