Arthrite réactive - fin positive

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!

Je suis vraiment reconnaissant que vous ayez partagé cela. C'est aussi très bien écrit

Je suis maintenant sous stéroïdes oraux, que je ne voulais pas prendre au départ, mais la douleur a commencé à se propager à mes côtes, ce qui est assez effrayant. 10 heures après la première pilule, mes symptômes ont considérablement diminué, mon œdème au pied a diminué (bien sûr, pas au point que tout soit redevenu normal) et l'inflammation de mon bas du dos et de mes côtes semblait aussi se calmer. Je peux à nouveau boiter, ce qui me rend super heureux.

La chose la plus effrayante, c'est que ce sera une condition pour la vie, mais une bonne source dit que 50 % des gens guérissent en 3 à 5 mois et presque tous en 6 à 12 mois, donc je me dis que je dois juste attendre que cette condition passe et essayer de rester actif et profiter des choses que je peux encore faire.

Je suppose que ce forum comptera aussi un plus grand pourcentage de personnes l'ayant de manière chronique, car celles-ci sont plus susceptibles d'être actives ici à plus long terme. Donc, cela peut donner un message décourageant en lisant les forums ici. Je fais de mon mieux pour rester positif et encore merci pour votre histoire. Je suis heureux que cela se soit bien terminé pour vous !

Merci beaucoup d'avoir ajouté une histoire encourageante ! Je pense que tout le monde ici en aurait besoin. Pouvez-vous m'en dire plus sur ce que vous avez fait cette année passée en termes de pratiques de base de mode de vie ? Avez-vous pris des vitamines ou des compléments alimentaires ? Avez-vous bu de l'alcool et si oui, de quels types et à quelle fréquence ? Je pose ces questions car ce sont les deux seules choses que je me demande si je pourrais améliorer. Je suis à 11 mois d'essayer de me remettre et de retrouver mon ancien mode de vie... Je ne veux vraiment pas rester bloqué à vivre avec ça pendant des années ou toute une vie si je peux l'éviter.

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! 

Croyez-vous aux éléments mentaux que Barbara Allen décrit comme les premières pièces pour guérir l'arthrite ? Elle dit que la colère et la peur sont stockées dans le corps et que, jusqu'à ce qu'elles soient correctement libérées par la méditation, une guérison complète ne peut pas se produire. Je suis Américaine, actuellement vivant en Australie, et il y a quelque chose ici appelé acuenergetics. Je vais commencer la semaine prochaine, mais je crois que c'est essentiellement la théorie de Barbara Allen mélangée avec le concept de (pas la pratique de) l'acupuncture. De la même manière que l'acupuncture prend le chi de votre corps et le manipule pour rétablir l'équilibre, l'acuenergetics vous apprend, par la méditation, à rééquilibrer l'énergie piégée dans votre corps, ce qui est l'une des raisons pour lesquelles nous éprouvons cette arthrite.

J'explique cela parce que je me demande ce que vous et les autres en pensez. Cela faisait-il partie de votre processus de rétablissement ? Je ne sais vraiment pas quoi croire. Je peux imaginer que cela soit vrai pour moi - j'ai probablement quelques négativités passées à travailler, mais tout le monde, malade ou non ? et je connais la réponse évidente : "ok, essayez simplement, travaillez à méditer dessus et voyez si cela aide. pourquoi est-ce important de savoir d'abord si tout le monde y croit ?" Cela me fait hésiter que Barbara Allen ET ces praticiens d'acuenergetics promeuvent leurs idées comme La Vraie Voie. Ils disent que cette partie de nettoyage mental est essentielle pour aller mieux, mais peut-être que c'est seulement pour eux. Peut-être que beaucoup de personnes peuvent bénéficier de ralentir et de méditer, mais l'énergie piégée à l'intérieur n'est pas nécessairement vraie pour tous. Je ne sais pas.... je suppose que je me sens un peu méfiant de mon état émotionnel en ce moment - je suis hésitant à commencer à me dire "vous ne traitez pas vos émotions et ne les équilibrez pas bien et c'est en partie pourquoi vous êtes si malade." Je ne veux pas me donner un coup de pied quand je suis déjà à terre si la théorie de ces personnes est en fait juste une coïncidence et *arrive* à fonctionner pour beaucoup de personnes, n'est pas nécessairement basée sur des preuves ou des faits.

Est-ce que tout cela a du sens ? En résumé, je suis sceptique mais ouverte, et je veux savoir ce que les autres qui se sont rétablis pensent.

Je suis si heureux pour toi.  Sais-tu si tu es HLAB positif. 

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. 

 

Je te souhaite un bon rétablissement.  Sais-tu si tu es HLA B27 positif ?

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.

Salut!

Je voulais juste vous donner une mise à jour sur ma situation.

Pour moi, cela a été (jusqu'à présent) :

- 3 semaines de douleur étrange au pied

- douleur commençant dans mon coccyx + douleur intense au pied où je ne pouvais plus m'asseoir normalement sans douleur. Mettre le pied sous l'eau froide et le garder au-dessus du cœur m'a aidé

- 5 semaines après le début des premiers symptômes, le médecin m'a dit de prendre des corticostéroïdes. Enfin quelque chose qui a aidé après un traitement par AINS infructueux

- 8 semaines plus tard, la douleur dans mon dos a commencé (venant probablement de la douleur au coccyx, je suppose) elle était juste d'un côté

- 12 semaines plus tard, la douleur dans le dos était tremendous. Quand je suis passé de 8mg à 6mg de stéroïdes, j'ai eu une énorme poussée

- 16 semaines plus tard, la douleur a commencé à diminuer à des niveaux acceptables, j'ai réduit les stéroïdes davantage

- Maintenant, 5 mois plus tard, soit environ 20 semaines. Je suis sous méthotrexate depuis 4 semaines après avoir consulté un rhumatologue. Cela ne fonctionne pas encore, mais cela devrait être le cas après 4 semaines de plus. Le pied est encore gonflé et le dos/le cou est raide principalement le matin. Mais pour l'instant, ce n'est rien comparé à ce que c'était. J'espère surtout qu'un jour dans les mois à venir, tout cela s'arrêtera. Désolé pour ce petit côté négatif ici. Mais sachez que lorsque vous souffrez au-delà de tout ce que l'on peut imaginer, cela va lentement diminuer à des niveaux acceptables.

Restez fort!

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!

L'arthrite réactive implique une inflammation des articulations due à une infection dans une autre partie de votre corps. Les déclencheurs les plus courants sont les systèmes génital, urinaire ou gastro-intestinal.

Si vous présentez des signes évidents d'une infection bactérienne dans votre tractus urinaire ou votre système gastro-intestinal, les antibiotiques peuvent aider à l'éliminer. Le type d'antibiotique que vous prendrez dépendra du type d'infection bactérienne dont vous souffrez. Votre médecin peut devoir effectuer des tests pour le déterminer. Les infections virales et fongiques sont plus difficiles à traiter.

HLA B27 positif, atrophie musculaire à l'intérieur et à l'extérieur. Je souhaite que cela se 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.