I was wondering if anyone has gotten NA after having RT, or if anyone knows if this is recommended. I was diagnosed about 3 weeks ago. At that time I only had nodules and a knuckle pad, but I've since developed what I think are 4 cords (in 3 weeks!) So this is moving fast. No contracture yet, but I am starting to get some tightness, especially when I try to stretch out my right thumb (there are two different cords going to the thumb).

I am investigating RT, and if I decide to do it, would like to move on it very quickly since this disease seems to be progressing so fast (it seems to change almost daily). I'm not sure if I'm a candidate for NA quite yet, but if the cords tighten up much more I definitely would be. Does anyone know if it would make since to go ahead and start the RT as soon as I can, with the option of getting NA later as needed? Obviously, I will ask this question of various doctors too, but I'd be very interested in the experience of those on this board as well - the more input the better!

Also, when they do RT, do they irradiate just the nodules and those part of the cords that fall within the margin around the nodule, or do they irradiate the entire cord as well? (This would would seem to cover a much larger area.)

Thanks for any input you can provide.

I agree with Luba. My experience with RT was very good. It helped greatly. My understanding also is the NA does work after RT. If you wait until you have contracture, you will may have to have NA before RT, because the hand needs to lie almost flat while you're having RT. I recommend that you consider RT soon especially with yours progressing so rapidly.