u/RedDevilSlinger

After 7 years of progressing SI joint and back pain. Fatigue and all the traditional symptoms of inflammatory arthritis I started a three month trial of Humira this week. My first injection was this past Monday. My pain…..nearly all of my pain is GONE. I woke up this morning, after not having woken up multiple times overnight from pain and having to reposition, jumped out of bed and hugged my wife in the bath room and said…. I don’t hurt. For the first time in YEARS. I just can’t believe it worked so quickly.

I posted about two months ago (see linked post) and finally had my rheum appt. She was fairly uninterested and asked me a single question. So what’s going on? While my case is not clear and dry apparently in her experience if I have spondyloarthropathy my serology should be thru the roof and imaging should
Look crappy. I’ve had a few X-rays show sacro-ilitis. When I saw my PCP 2 months ago I was in a flair type situation for me for about a month. Waking up in the middle of the night with searing pain localizes to SI joint. Sed rate and CRP mildly elevated. The first proof in my mind that I haven’t been crazy this whole time.

At first she was pretty much like you don’t have this and I didn’t get angry or anything but kinda made my case. She sort of accused me of “wanting to be on biologics” cause he patients don’t ever want that unless they absolutley have to. Well I have railed mobic and naproxen therapy and high dose anti-inflammatories aren’t really an option for me due to bariatric surgery. I’ve just never been given any other options and if 1) it would help with my pain and 2) PREVENT damage I would be interred.

Anyways she order labs and X-rays and is trying to get Humira approved for a 3 month trial. If it helps she’ll dx. If not pretty much I don’t have it and don’t need to see her anymore.

TLDR: possibly getting to trial biologics. Got what I wanted but at the same time don’t really feel like I was heard and def don’t get the sense she thinks it’s going to help.