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Real members of myPBCteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

My mom and her sister had RA. I have had 3 back surgeries, 3 knee surgeries (one a total knee replacement), 2 hand surgeries for joint issues and both feet for bunions. I hurt non stop.

March 10
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A myPBCteam Member

Thank you. I am going to inquire about this at my next appointment .

March 11
myPBCteam

Do you need a rheumatologist if you have osteoarthritis along with PBC?

Given your family history of RA (your mom and aunt) and your extensive joint issues, seeing a rheumatologist could be beneficial. While osteoarthritis is different from rheumatoid arthritis, a rheumatologist specializes in both conditions and can help Show Full Answer

Do you need a rheumatologist if you have osteoarthritis along with PBC?

Given your family history of RA (your mom and aunt) and your extensive joint issues, seeing a rheumatologist could be beneficial. While osteoarthritis is different from rheumatoid arthritis, a rheumatologist specializes in both conditions and can help determine if you might have RA or another autoimmune joint condition alongside your PBC.

Since PBC is an autoimmune disease, some people also develop other autoimmune conditions like rheumatoid arthritis. Between 5-10% of people with PBC also have RA, and genetics may play a role in this connection.

A rheumatologist can:
- Evaluate whether your joint pain is purely osteoarthritis or if there's an autoimmune component
- Help coordinate treatments that won't interfere with your PBC medications
- Monitor for development of other autoimmune conditions
- Manage your chronic pain more comprehensively

Given your constant pain and family history, it's worth discussing with your gastroenterologist whether a rheumatology referral makes sense for your situation. They can work together to ensure any treatments for joint issues won't negatively impact your liver health.

March 10

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