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Suggest Treatment For Pain In Hands Radiating To Shoulders And Hip
Question: Hi, Been having excruciating muscel, joint pain..inflammation. Moves from hands to shoulders to hips.knees. Last 10 months. Was on blood pressure meds, LOSARTIN AND SIVEM-AMLODIPINE for
past 12 years, then since August 2014 was diagnosed with Diabetes 2, taking one Metformin pill a day seemed to bring it on. Now off Metformin completely but still in major pain. They were checking me for Rumeatoid arthritis. Gone from very healthy strong 57 yr old women to one who has trouble doing stairs or opening jars.. Very frustrating! Val My blood sugars fairly stable by diet. currently.
past 12 years, then since August 2014 was diagnosed with Diabetes 2, taking one Metformin pill a day seemed to bring it on. Now off Metformin completely but still in major pain. They were checking me for Rumeatoid arthritis. Gone from very healthy strong 57 yr old women to one who has trouble doing stairs or opening jars.. Very frustrating! Val My blood sugars fairly stable by diet. currently.
Brief Answer:
You go with what you see...
Detailed Answer:
Nerves, joints, bones, muscles.....all can be visualized and function examined.Frankly, in general just seeing what actions trigger the pain, the quality of the pain, the distribution would usually point to where the pain is.
Opening jars... small joints... would be an inflammatory condition. Can an allergic response to a medication cause an ongoing inflammatory condition? well, not commonly, and not associated with metformin. Seriously, foods, environment, over the counter meds would be more gloppy and stimulating to the immune system.
Ok... the rheumatoid test is for only ONE type of antibody. Serum levels of antibody, sedimentation rate are more general indicators of inflammation. For example, you don't have HIV,but having that virus (or any other chronic infection including TB, hepatitis or mono, ) AND a lot of antibody to it produces joint inflammation in many with HIV. None show on rheumatoid test.. different antibody.
In theory thyroid inflammation can also do this. Not common in 50's common in 20's and 30's.
General exam. X-rays of joints that are painful. Tests of inflammation AND vitamin D and hormone levels like thyroid hormone.. and general tests would be the first thing standardly done.
If nerves are painful (doesn't sound like it, then nerve conductions). if particular joints have fluid in them, then the problems are narrowed down and the fluid can be analyzed. serological tests for the nature of any antibodies can be done to see what the immune stimulant is.
You go with what you see...
Detailed Answer:
Nerves, joints, bones, muscles.....all can be visualized and function examined.Frankly, in general just seeing what actions trigger the pain, the quality of the pain, the distribution would usually point to where the pain is.
Opening jars... small joints... would be an inflammatory condition. Can an allergic response to a medication cause an ongoing inflammatory condition? well, not commonly, and not associated with metformin. Seriously, foods, environment, over the counter meds would be more gloppy and stimulating to the immune system.
Ok... the rheumatoid test is for only ONE type of antibody. Serum levels of antibody, sedimentation rate are more general indicators of inflammation. For example, you don't have HIV,but having that virus (or any other chronic infection including TB, hepatitis or mono, ) AND a lot of antibody to it produces joint inflammation in many with HIV. None show on rheumatoid test.. different antibody.
In theory thyroid inflammation can also do this. Not common in 50's common in 20's and 30's.
General exam. X-rays of joints that are painful. Tests of inflammation AND vitamin D and hormone levels like thyroid hormone.. and general tests would be the first thing standardly done.
If nerves are painful (doesn't sound like it, then nerve conductions). if particular joints have fluid in them, then the problems are narrowed down and the fluid can be analyzed. serological tests for the nature of any antibodies can be done to see what the immune stimulant is.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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