For the past six months, I have been experiencing severe ankle discomfort. Last September, I experienced symptoms similar to chikangunya, but they were resolved in just one week. But. My ankles began to pain in November when winter arrived. I've been using HCQS 200 tablets for a month, but they weren't very helpful, and I've been taking etoshine 90mg painkillers intermittently for some relief. Even if I do yoga, it doesn't help. Anti-CCP serum and uric acid levels are normal, according to blood testing. ESR was at 53 and CRP (c reactive protein) was at 22 on the chart. Please provide guidance on this. Thank you.

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For the past six months, I have been experiencing severe ankle discomfort. Last September, I experienced symptoms similar to chikangunya, but they were resolved in just one week. But. My ankles began to pain in November when winter arrived. I've been using HCQS 200 tablets for a month, but they weren't very helpful, and I've been taking etoshine 90mg painkillers intermittently for some relief. Even if I do yoga, it doesn't help. Anti-CCP serum and uric acid levels are normal, according to blood testing. ESR was at 53 and CRP (c reactive protein) was at 22 on the chart. Please provide guidance on this. Thank you.

Asked by Male, 50 · 2 days ago

Y. Lakshmi Thulasi

Pharm-D (Post baccalaureate)

2 days ago

Even when the fever has subsided, the infection may induce long-lasting joint inflammation, which can result in persistent ankle pain for months following a chikungunya-like sickness. While normal uric acid and Anti-CCP reduce the likelihood of gout or rheumatoid arthritis, they are not completely ruled out. Your elevated ESR and CRP indicate persistent inflammation. It may take several weeks for HCQS 200 to start working, and regular usage of analgesics like Etoshine 90 should be closely watched due to potential adverse effects of the kidneys, heart, and stomach. Please keep seeing a rheumatologist since you could require additional testing, physical therapy, supportive shoes, and treatment modifications.