Nuclear Bone Scan for diagnosis?
Hello!
I started seeing a rheumatologist after my oral and maxillofacial surgeon diagnosed me with severe tmj arthritis. I’m 27 (F) this year.
All my bloods have been negative, but my dad has psoriasis and possible psoriatic arthritis. I’ve had jaw pain, shoulder pain, hand pain, and hip stiffness for as long as I can remember. Also had a completely swollen finger two months ago, which I suspect was dactylitis. I also had tendon pain in my right ankle maybe 2-3 weeks ago which had a sharp pain when bending my ankle forwards. As such, I’ve kind of suspected I have PsA.
My rheumatologist said it’s possible but he’s not entirely convinced, as he said it’s usually people who have severe skin arthritis that get PsA. He suggested a biopsy of my jaw joint to confirm or rule it out. (Edit: I’m also being trialed on sulfasalazine)
My jaw doctor instead got me to do a whole body bone scan. I got the results and it showed possible mild arthritis of bilateral shoulder joints and sacroillitic joints, as well as a brightened portion of my upper heel area on the right (Achilles area).
Has anyone had a diagnosis based on results like this? Or been taken more seriously based on nuclear bone scan findings? Or will I need an MRI?
I feel like surely it shows I do have pain in multiple joints. Hoping rheum will take it seriously at my next appointment on Monday. Really hoping it’s my breakthrough 🙏