Rode my bike to Dr. Kingston's and back. Today I had my second K-Laser treatment at Dr. Stucky's. So far I haven't observed any benefit, but I'll do a couple more treatments before I pass judgment on the laser. I'm totally off ibuprofen (which I was taking at night to help me sleep), so I should have a completely unfiltered assessment of pain at all times of day. Right now the foot hurts worse in the middle of the night and in the morning. Once I walk on it for a few hours, it is at least "serviceable", in that I am only mildly limping by evening. At no point does it stop hurting though, and it seems to "reset" the pain every evening. Before people start commenting about "plantar fasciitis", the pain I am talking about is all in my toes and in the ball of my foot. It is not PF.
I also got my arthritis blood tests back today. Four of the five tests were negative, but I was positive for the HLA-B27 gene. This is a not a proper diagnostic, but merely means that I am at higher risk of having Ankylosing spondylitis, or "A.S." Over 95% of people with A.S. have the HLA-B27 indicator, but not all people with HLA-B27 have A.S. (less than 5%, I think). So a blood test can only serve as a piece of the puzzle, rather than a full diagnostic. I don't care to describe it, but you can read more about A.S. here: http://en.wikipedia.org/wiki/Ankylosing_spondylitis I had already read up on A.S. quite a bit, because several other pieces of the puzzle point to it as well. When I called the dr's office this morning, the tech said that I tested positive for IGG for something like that. I was confused and asked her to double-check what that meant, as I totally expected to hear "HLA-B27" instead. She came back, apologized, and said that she wrote down the wrong one. "Sorry, I meant 'HLA-B27'," she said. "Well, duh," I said. Here's why I already thought I might have A.S.
- The sports doc I saw a couple weeks ago suggested it as a possibility just from listening to my injury history. No blood test needed for that.
- It would explain my chronic SI joint pain over the last three years.
- It would explain why my second toe is swollen a good quarter-inch thicker than its counterpart on the other foot
- It would explain the joint inflammation on the ball of my foot, and other toe inflammation.
- It would explain why my neck and upper back hurts, and why it hurts a little bit when I take a very deep breath.
- It is most common in males in their 20s. I am a male in my 20s. I had no problems of any sort until I was in my mid-20s.
- It can also cause plantar fasciitis.
But really, I can't know for sure, at least not at this point. I was referred to the local
Rheumatologist (Cory Walker), and can't get in for an appointment until June 25th. I'm not sure what else he can do. Perhaps order an MRI, as that's really the only diagnostic tool left. And most likely prescribe lots of prescription drugs, since that's generally what doctors do. sigh. The Pettibon stuff will definitely help my back and neck, but I don't think it can reduce the swelling in my foot. I may consider trying a starch-free diet before drugs, but I need more info first.
Until then, it's back to laser.
| 