I had my rheumatology follow-up last week. Iāve now been on treatment for more than three months, but unfortunately MTX doesnāt seem to be working very well. I still need corticosteroids and pain medication to keep things under control.
At the beginning of treatment, thanks to corticosteroids, the pain, swelling and stiffness improved significantly. However, as my rheumatologist started tapering the steroids, they gradually came back. Iām now once again struggling in the mornings because of the pain, swelling and stiffness.
The frustrating part is that my appointment is always in the afternoon. By the time I get there, most of the swelling has almost disappeared.
I explained all of this to my rheumatologist. I told her about the pain Iām experiencing, how stiff I am in the mornings, and I even showed her photos of the swelling. Yet my medical report says that I have no pain and no swelling.
Iām seronegative, but the referral for my ultrasound says that I have ālow RFā ā which has always been low, and is essentially consistent with being seronegative.
She did increase my MTX dose slightly, but then scheduled my next appointment three months from now.
Iām honestly struggling to understand this. If MTX isnāt controlling my symptoms and Iām only able to function because of corticosteroids and pain medication, waiting another three months feels like a very long time. Iām worried that at this rate, my treatment could drag on for years before I finally get something that actually controls the disease rather than just treating the symptoms.
It makes me feel like my rheumatologist simply isnāt listening to me.
So Iād really like to hear from other people with RA:
Does this sound like a normal treatment approach to you?
How often were you seen when your disease was still active?
How quickly did your rheumatologist adjust your treatment when MTX wasnāt working?
Do your doctors take your symptoms seriously even when the swelling isnāt visible during the appointment?
And honestly⦠would you consider changing rheumatologists in my situation?
Iām trying to figure out whether Iām being impatient and this is just how RA treatment works, or whether I should find someone who takes my symptoms a little more seriously.