Artritis reactiva - final positivo

Hi everyone,

I became ill nearly a year ago to the day and so I thought I would share my experience of Reactive Arthritis with you.  I don't share a lot on social media, and have never posted in a forum in my life, but to "celebrate" this odd anniversary here goes nothing...

Before last November I was a very physically active 34-year-old woman with a stressful career and busy social life. 

It took 6 weeks to get a conclusive diagnosis, during which time I was the most ill I had ever been in my life with what I now know to be classic Reactive Arthritis symptoms - pain in all my joints and tendons from the hips down making walking more than 10 steps very difficult, extreme fatigue, inflammatory temperatures, mind fogs, sensation of a UTI, bloodshot red raw but weeping eyes, extreme dry mouth, trouble breathing etc. etc.  

During those weeks, and once I received a diagnosis, I was terrified.  Terrified I'd never get better.  Terrified I'd never walk normally again. Terrified I'd never be able to go back to work.  Terrified I'd never be able to swim, or run, or dance again.  Terrified I'd never be able to have children.  The list went on.  

I spent quite a lot of time in bed on the internet looking for answers, my faith in my doctors having been severely shaken by my experiences in the weeks without diagnosis of constantly being sent away, at best being told to rest and come back if things failed to improve, or at worse being looked at almost as if my symptoms were psychosomatic. I wanted to know:  Why had this happened to me?  (Answer, doctors never did establish the infection that triggered my immune system's inappropriate response.)  What was my prognosis? And what could I do to make myself better, as nothing doctors were giving me (anti-inflammatories and steroids) were doing much good?     

I wanted to tell you all that, a year on, I am better.  

It been a long road.  You'll all know how Reactive Arthritis works so as you can imagine there's been lots of ups and downs.  I was discharged by the consultant after 6 months but I'd say it's only the past few months I've started to feel 100%.

Everyone is different and so what worked for me may not be the same for you but I thought I would share what I found helpful.  

I read online that some people had found acupuncture helpful.  I've never held too much truck with alternative therapies, and was scared of needles.  But I was so desperate to try anything to get back to "normal" I booked an appointment with a Traditional Chinese Medicine Acupuncturist.  When the first needle went into my foot I felt a pleasant rushing sensation down my leg. Where there had been pain and discomfort was suddenly energised and I was converted.  I went weekly for months and I believe, along with time, and other changes detailed below, it has helped me to recover.   

Once the flare ups started to get further apart, and I had a bit more energy between flares, I bit the financial bullet and joined a gym with a sauna and steam room.  I found the heat of the sauna especially helpful, both with the dreadful cold aches in my bones I had almost continually and with loosening the tendons in my legs.  

About 3 months in I went to see a hydrotherapist and got a set of exercises I could do in the gym pool myself, which I tried to do once a week for just 10 minutes.  

When I felt like I had more energy, about 4 months in, I cautiously started aqua aerobics classes once a week.  I told the instructor about my condition and she was brilliant and stopped me from overdoing it.  (The temptation to push myself too hard in an attempt to feel like I was normal again was something I have battled with during my recovery.)  Even though I struggled, had to take a lot of rests during the class, and hobbled out of the pool at the end, the sensation of having done something physical, however minor compared to what I used to do, was such a psychological boost.

As my energy levels increased, I started to go to aqua aerobics a couple of times a week.  And then I found a very gentle Iyengar yoga class, and started going to that too.  Although I had to block out the fact that I was clearly much, much less physically able than other people in the class that were more than twice my age, stretching the tendons in my legs seemed to help with my mobility a lot.  The yoga classes also helped me to quiet down the terror I felt.

I read a lot about diet, and, although I didn't follow the strict elimination diet recommended by some, I did find there were certain things that did increased my inflammation: mainly red meat, sugar (both natural and processed) and caffeine so I avoided them (although wasn't puritanical).  Now having given up caffeine, I'm not going back!

But over the past year I would say my recovery has only been in part thanks to these physical activities.  My state of mind has been equally important.  In the first months, whenever I thought about, and so became distressed about the future, an inflammatory fever spike would happen that I could chart with a thermometer.  This made me realise that my mind and my body were not two entities but part of the same system.  Sounds obvious but this is not how the medical profession was treating me.  And so, that's why I would recommend yoga and acupuncture (I have since started gardening which is gentle enough and relaxing too).  

I would like to say if you too are stressing about your future, there is hope.  Celebrate even the smallest advances you make - even if it's just getting out of bed to have a bath.  Coping with Reactive Arthritis is really hard and probably no one you know even knows what it is.   Please give yourself a break.  Don't beat yourself up.  Be kind to yourself.

You can do it!

Estoy realmente agradecida de que hayas compartido esto. También está muy bien escrito

Ahora estoy tomando esteroides orales, que inicialmente no quería tomar, pero el dolor comenzó a extenderse a mis costillas, lo cual es bastante aterrador. 10 horas después de la primera pastilla, mis síntomas disminuyeron tremendamente, la hinchazón de mi pie disminuyó (por supuesto, no hasta el punto de que todo volviera a la normalidad) y la inflamación de mi espalda baja y costillas pareció entrar en un estado más tranquilo. Ahora puedo cojear de nuevo, lo cual me alegra mucho.

Lo más aterrador es que esto será una condición de por vida, pero una buena fuente dice que el 50% se recupera en 3-5 meses y casi todas las personas en 6-12 meses, así que siento que solo tengo que esperar a que esta condición pase y tratar de mantenerme activa y disfrutar de las cosas que aún puedo hacer.

Supongo que este foro también tendrá un porcentaje más alto de personas que lo tienen de manera crónica, ya que son más propensas a ser activas aquí a largo plazo. Por lo tanto, esto puede dar un mensaje desalentador al leer en los foros aquí. Hago lo mejor para mantenerme positiva y gracias una vez más por tu historia. ¡Me alegra que haya resultado bien para ti!

¡Muchas gracias por compartir una historia motivadora! Creo que todos aquí podríamos necesitar una. ¿Podrías contarme más sobre lo que hiciste durante este último año en cuanto a prácticas básicas de estilo de vida? ¿Tomaste vitaminas o suplementos? ¿Bebiste alcohol y, de ser así, qué tipos y con qué frecuencia? Lo pregunto porque estas son las dos cosas en las que creo que podría mejorar. Llevo 11 meses intentando recuperarme y volver a mi antiguo estilo de vida... Realmente no quiero quedarme atascado viviendo con esto durante años o de por vida si puedo evitarlo.

Thanks for replying.  Glad you found it useful.  Wishing you all the best with your recovery.

Sorry to hear that you're still suffering 11 months on.  I did take a lot of vitamins and supplements - I think I was taking about 19 pills a day at one point including my meds!  I can't say if any of them had any affect at all on my recovery but happy to share.

Before I was properly diagnosed I was on antibiotics for nearly 4 weeks (I was told I just had a chest infection) so, after some research, I took probiotics from a health food shop for a month as I'd read that a healthy gut can have an influence on Reactive Arthritis.

Before I got ill I was already taking Omega 3-6-9, Evening Primrose Oil, Vitamin C, and Omega 7.  However, I discovered Omega 6 and vit C can be quite inflammatory so I stopped taking those.  I also avoided orange juice and oranges for this reason.  Make sure you read the labels of your vitamins/supplements - I hadn't realised there was also Omega 6 in the Omega 7 capsules I was taking.

I started taking B12 just because I thought everyone always needs that and a multi-vitamin as I was so run down.

I read about the beneficial effects of tumeric for other arthritic/inflammatory conditions so I started taking that, and drinking tumeric tea when I could.  I also read people with other kinds of arthritic conditions found rosehip beneficial.  I couldn't find capsules so bought some tea but I really didn't like the taste so didn't drink much of that...

And, for energy, I started taking ginseng and drinking ginseng tea when I could. 

I was no saint during my recovery.  During the first month I didn't drink alcohol because I just felt so dreadful but after that I did.  However, although alcohol may have strong pain-killing abilities it is a known inflammatory.  I found it did exacerbate my symptoms (I don't think any particular kind of alcohol was worse than another) but I don't think alcohol had an effect on my overall recovery time.  

One of the worst things I found about Reactive Arthritis was that it seemed to be a waiting game and I struggled with feeling out of control of my own body.  I'm not sure anything I did helped to cure me but I do think they may have helped me to alleviate my symptoms.  But there were other things that seemed to bring about symptom flares that I could do nothing about, for example, hormonal changes during my menstrual cycle.

I would say try anything you think might help you to feel better - even if that includes a drink of your favourite tipple every now and again!

Good luck! 

¿Crees en los elementos mentales que Barbara Allen describe como las piezas iniciales para sanar la artritis? Ella dice que la ira y el miedo se almacenan en el cuerpo y hasta que se liberen adecuadamente a través de la meditación, no puede ocurrir una sanación completa. Soy estadounidense, actualmente viviendo en Australia, y hay algo aquí llamado acuenergética. La comenzaré la próxima semana, pero creo que es básicamente la teoría de Barbara Allen mezclada con el concepto de (no la práctica de) la acupuntura. Así como la acupuntura toma el chi de tu cuerpo y lo manipula para restaurar el equilibrio, la acuenergética te enseña a través de la meditación a reequilibrar la energía atrapada en tu cuerpo, lo cual es una de las razones por las que experimentamos esta artritis.

Estoy explicando esto porque me pregunto qué piensas tú y cualquier otra persona. ¿Fue esto parte de tu proceso de recuperación? Realmente no sé qué creer. Puedo imaginar que sea cierto para mí, tengo algunas negatividades del pasado para trabajar, pero ¿quién no? Y sé la respuesta obvia es “bueno, solo inténtalo, trabaja en meditar sobre ello y ve si ayuda. ¿por qué importa saber primero si todos lo creen?”. Me hace pausar que Barbara Allen Y estos practicantes de acuenergética estén promoviendo sus ideas como La Verdadera Forma. Dicen que esta parte de la limpieza mental es esencial para mejorar, pero quizás solo lo es para ellos. Quizás muchas personas pueden beneficiarse de ralentizar y meditar, pero que la energía esté atrapada dentro no necesariamente es cierto para todos. No lo sé… supongo que solo me siento un poco cauteloso con mi estado emocional en este momento. Estoy reacio a empezar a decirme a mí mismo “no procesas tus emociones y las equilibras bien y eso es parcialmente por lo que estás tan enfermo”. No quiero patearme cuando ya estoy abajo si la teoría de estas personas es solo una coincidencia y sucede de funcionar para muchas personas, no necesariamente está basada en evidencia o hechos.

¿Todo eso tiene sentido? En resumen, soy escéptico pero abierto, y quiero saber qué piensan los demás que se han recuperado.

Me alegra mucho por ti. ¿Sabes si eres HLAB positivo?

Thank you for your thoughtful and positive story. I was also affected to reactive arthritis about 1 1/2 years ago, spent 10 days in the hospital with no diagnosis, and left in a wheelchair, my legs swollen double their size. Like you, my faith in doctors was severely shaken.  But, while everyone is different, I found many of the things you did very useful in my own recovery. Acupuncture was amazing in its ability to help me walk again after just several sessions. Physical therapy and massage were also extremely helpful. Because of the intense pain, I took pain meds for close to 2 months, but was able to gradually stop them and took turmeric and omega3 to lessen inflammation. I also took a range of supplements. Because I didn't have a diagnosis for a few months, I did not do steroids or any of the "normal" protocols.

Because of the severe damage to my leg muscles, I found I needed a broad range of exercises to bring them back-yoga, weights, squats, lifts (I believe it has to do with short and long muscle fiber), but was finally able to be running again after about six months.

You also talk about mental state and diet which I've also come to see as very important. Meditation is helpful. I also had my first flare up recently, which turned out to be only several weeks in duration without the swelling and intense pain of the first occurrence. At its start, I was rigorous in eating an anti inflammatory diet (mine was no lectin; developed by Dr Steven Gundry), and I think this perhaps helped prevent a more serious flare up. 

It is a long road, but with patience and focus everyone should know there can be a positive ending. Every day I run my couple miles I'm filled with gratitude because for many months I didn't feel it would ever be possible again. 

 

Le deseo una pronta recuperación. ¿Sabes si eres positivo para HLA B27?

Thank you. I don't know my status. By the time I was diagnosed and saw a rheumatologist I was well along in recovery... so no HLA test, steroids, etc.

¡Hola!

Solo quiero darte una actualización sobre mi situación.

Para mí básicamente ha sido (hasta ahora):

-3 semanas de dolor extraño en el pie

-dolor comenzando en mi cóccix + dolor severo en el pie donde ya no podía sentarme normalmente sin dolor. Poner el pie bajo agua fría y acostarme con él por encima de mi corazón ayudó

-5 semanas después de que comenzaron los primeros síntomas, el médico me dijo que tomara corticosteroides. Finalmente algo que ayudó después de un tratamiento con AINE sin éxito

-8 semanas después, comenzó el dolor en mi espalda (supongo que subiendo desde el dolor en el cóccix), estaba solo en un lado

-12 semanas después, el dolor de espalda era tremendo. Cuando pasé de 8 mg a 6 mg de esteroides tuve un brote enorme

-16 semanas después, el dolor comenzó a disminuir a niveles aceptables, reduje más los esteroides

-Ahora 5 meses después, aproximadamente 20 semanas. Llevo 4 semanas con metotrexato después de ver al reumatólogo. Todavía no está funcionando, pero debería hacerlo después de otras 4. El pie aún está hinchado y la espalda/cuello está rígido principalmente en la mañana. Pero ahora es nada comparado con lo que era. Principalmente espero que algún día en los próximos meses todo esto termine. Lo siento por el toque de negatividad aquí. Pero saber que cuando estás sufriendo más allá de lo imaginable, lentamente disminuirá a niveles aceptables.

¡Sé fuerte!

A

I am glad symptoms are finally subsiding for you. It is such an unpredictable disease that moves in odd ways, but eventually does subside. Hope you are back to normal quickly!

La artritis reactiva implica la inflamación de las articulaciones debido a una infección en otra parte de tu cuerpo. Los desencadenantes más comunes son los sistemas genital, urinario o gastrointestinal.

Si tienes signos evidentes de una infección bacteriana en tu tracto urinario o sistema gastrointestinal, los antibióticos pueden ayudarte a eliminarla. El antibiótico que tomes dependerá del tipo de infección bacteriana que tengas. Tu médico puede necesitar realizar pruebas para averiguarlo. Las infecciones virales y fúngicas son más difíciles de tratar.

HLA B27 positivo, atrofia muscular por dentro y por fuera.  Ojalá esto termine.🎀

Hey jauline how long have you had reactive arthritis? Can you tell me your symptoms? 

thank you so much for posting your positivity! the internet is flooded with negativity and youve provided me with a glimmer of hope.

are you on any medication now?

i was diagnosed with reactive arthritis in november, 2020 shortly after a wicked bout of diarrhea. it affected my left shoulder, both of my elbows, my right hip, right ankle, and both of my feet. i was prescribed prednisone and indomethacin and was taking both from thanksgiving 2020 until the first week of april 2021. those meds completely knocked out all the inflammation i was experiencing but now i am still dealing with pain in my feet that i have not been able to figure out yet. it prevents me from standing for more than a few minutes and prevents me from running. i was always a VERY active person (running, swimming, cycling, hiking, weight lifting) so as you can imagine this has been very difficult for me so thank you again for lifting my spirits!

a lot of sources i read state most people recover within a year so i hope thats true for me like it was for you!

Hi Mthom125,

I see that you posted recently and wanted to ask what your blood work, and symptoms were like. So far I’m negative for everything (inflammatory markers, RF, ANA) but I’m experiencing a lot of the same symptoms as everyone here. Just was hoping to get some hope or what to expect when I finally get to see the rheumatolgists.

I hope your feet recover fast! Like you I was very active before this happened. I’m glad there is a positive feed too.

I cured my REA, Just sharing my experience in case it helps anyone with reactive arthritis (ReA) where the trigger isn’t obvious.

I had ReA for a few months, could barely walk. I had 3 tests that included Clostridioides difficile (C.diff) — all negative. A new doctor said he’d seen cases where C.diff doesn’t always show on routine testing but the clinical picture still fits. He gave me two options: an advanced stool test (Gut Zoomer) or trying vancomycin, both taking about 10 days to give answers.

I did both. After 10 days of vancomycin my reactive arthritis completely disappeared, and the advanced test came back positive for C.diff, confirming the decision.

About 3 months later I developed the same pattern again:

  • Reactive arthritis returned

  • 3 more standard C.diff tests negative again (same types as before)

This time I skipped the advanced test and just took vancomycin. After about 10 days the arthritis cleared again. I then did a 14-day rifaximin chaser to try to reduce recurrence risk.

My takeaway:

C.diff can sometimes be missed on standard tests, and in my case it was clearly driving the reactive arthritis even when gut symptoms weren’t dramatic. Not saying this is everyone’s cause, but if you have unexplained ReA it might be worth discussing gut triggers with your doctor.

C.diff can be very sneaky.