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I am suffering from arthritis
-in my MRI reports
There is mild joint effusion. - Articular erosions with subchondral cystic changes are seen in acetabulum.
- Subtle subchondral marrow edema is seen in the weight bearing part of femoral head. IMPRESSION-Findings are suggestive of:- - Left hip joint arthritis. - Bilateral chronic sacroilitis (R>L). This is in my mri report how much damage happened to my hip can I stop it and recover and live normal life pls suggest I don't know what next's to do one doctor don't tell anything in explaining my questions-how much damage happened? Is it curable permanently? How much time I have to take medicine ? Pls guide help
Doctors suggest medicine
Dsaaaz 1 two times day night
Folitrax 15 in week one time
Anfol 15 all day except Folitrax
And retoz 120 if pain
I am worried about Folitrax it's safe or not because it's affect major parts of body kidney rbc and liver I am worried pls tell us
Answers (15)
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It looks like you probably have spondyloarthropathy which is an autoimmune condition which affects your sacroiliac joint and can involve peripheral large joints like hip joint.
You should consult a rheumatologist (can connect with me if required)
There are multiple dmards available for the same
Damage can't be explained only on mri..it is necessary to take proper history and examine you as there are variety of arthritis and accordingly we have to decide on treatment.
I don't think folitrax is absolutely required in this case..will have to first take a thorough consultation with you and decide on management
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Kindly consult orthopedician... for examination physiotherapy and analgesics dmards and joint aspiration and culture report..bursitis..uric acid shud be tested...steroid injection ..so kindly consult them...
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Your Report looks like you have rheumatoid arthritis ,. Extent of damage according to history and report is less .
Tab folitrax ( methotrexate) is DMARD ( disease modifying anti rheumatoid drug )
It helps to decrease inflammation and erosion .
Along with folitrax , folic acid also given to reduce the side effect of methotrexate.
Retoz (Etracoxib) also an anti-inflammatory . Which help in reducing inflammation.
Tab folitrax causes side effect on kidney, liver.
Next Steps
Continue taking your medication.
This medicine will be continued for long time .
But 6 monthly consultation is needed
Health Tips
MAINTAIN HYDRATION
AVOID FAST FOOD
AVOID ALCOHOL
AVOID FATTY MEAL
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Consult me for further advice
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Can be ankylosing spondylitis
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This is a chronic problem and won’t go away with any medication.
Considering you are in early 30s, if DMARD (ie the medications you are using) are not controlling the symptoms, you will need to be offered a different medication called Biologics.
It is likely you will need a hip replacement on the left side in near future.
With regards to monitoring your current medications effects: the advise is
1. Every 3 months blood tests for LFT, CBP, KFT
2. Every year Ultrasound abdomen
3. If developing breathing problems or chronic cough, Chest X ray (and based on the results HRCT chest)
Physiotherapy is also very good for your condition.
STAY WITH ONE RHEUMATOLOGIST TO AVOID COMPLICATIONS.
All the best.
J G S R clinic
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Need consultation. You can consult me online or contact me
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Please share details of your symptoms.
You seem to be having Rheumatoid arthritis.Get cbp with esr, Rheumatoid factor, tests done.
It is not curable by meds, but can be controlled very well, by preventing it's progression.
Continue meds as prescribed by your physician. Do regular hot fomentation.
Once pain is relieved, start doing regular exercise after consulting physiotherapist.
Take a balanced diet with adequate calcium, vit d3.
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Your MRI shows early to moderate damage in the left hip joint:
• Mild joint effusion (small fluid buildup)
• Articular erosions + subchondral cystic changes in the acetabulum (bone damage and small cysts under the cartilage)
• Subtle subchondral marrow edema in the femoral head (inflammation in the bone under the weight-bearing area)
This suggests inflammatory arthritis (likely axial spondyloarthritis or ankylosing spondylitis type, given bilateral chronic sacroiliitis, worse on right). The damage is not very advanced yet — no mention of severe joint space narrowing, major bone destruction, or collapse. It’s early enough that good treatment can slow or stop progression, reduce pain, and help you live a normal or near-normal life for many years.
Is it curable permanently? No full cure exists for this type of arthritis, but it is very controllable. With proper medicine + exercise, most people avoid severe disability, and hip damage can be slowed dramatically. Hip replacement is only needed in advanced cases (often after many years if untreated).
Next Steps
• Continue your medicines as prescribed:
• Dsaaaz (likely sulfasalazine) 1 twice daily — helps inflammation in sacroiliitis/SpA.
• Folitrax (methotrexate) 15 mg once weekly — main drug to control disease and protect joints.
• Anfol (folic acid) daily except methotrexate day — protects against methotrexate side effects.
• Retoz 120 (etoricoxib) if pain — for quick relief.
• See your rheumatologist again soon (don’t wait if questions not answered):
• Ask for clear explanation of damage level and prognosis.
• Request repeat blood tests (liver enzymes ALT/AST, kidney function creatinine, CBC for RBC/platelets) every 1–3 months while on Folitrax.
• Discuss if biologic (TNF inhibitor like adalimumab or etanercept) needed if symptoms persist.
• Do physical therapy or daily exercises (swimming, walking, stretching) to keep hip mobile and strong.
Health Tips
• Folitrax (methotrexate) safety: It is generally safe when monitored properly (used for decades in arthritis). Risks to liver, kidney, RBC are low with weekly low dose + folic acid. Doctor watches with regular blood tests (every 4–12 weeks). Stop alcohol completely while taking it. Most people tolerate it well for years.
• To help recovery:
• Do low-impact exercise daily (e.g., walking 30 min, yoga for hips).
• Eat anti-inflammatory food (fish, veggies, fruits, nuts; less sugar/red meat).
• Maintain healthy weight — extra weight stresses hips.
• Take medicines exactly as told — don’t skip doses.
• Track symptoms (pain level, stiffness time, hip movement) in a note — show doctor.
You have time on your side — early treatment like yours often gives excellent results and normal life.
For more personalized advice (based on your age, symptoms, full blood reports), please consult with me online — I can help explain or prepare questions for your doctor.
Don’t worry too much — stay positive and follow up!
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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No joint collapse so with medicine it will fix. How long??
It differs from person to person. So unable to answer. U need lot of patience.
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There is NO mention of joint collapse, severe deformity, or advanced destruction, This means
the joint is NOT destroyed,You are still at a stage where progression can be stopped.Many patients live normal, active lives with treatment.It is NOT permanently curable,BUT it is very well controllable.Don’t stop Folitrax out of fear—it is protecting your joints.
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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