Suggest Treatment For Severe Joint Pain

Posted on Sat, 29 Nov 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 29 Nov 2014 Answered on

Tue, 23 Dec 2014 Last reviewed on

Question : I have had severe joint pain for 5 months the doctor put me on prednisalone and helped but took me off it now off it for over 2weeks now has return severe help?

Answered by Dr. Mukesh Chugh (1 hour later)

Brief Answer:
Need to know about joint involved and there number

Detailed Answer:
Hello
Thanks for posting
I have gone through your query and understand your concern. To help you better please tell me-
1.Is a single joint involved or multiple and what are the associated symptoms?
2.Any blood investigation done like complete blood count,ESR,Serum RA factor,Anti CCP antibody?
We need to find the cause of your joint pain.Meanwhile you may have ibuprofen to relieve pain.Looking forward to your reply.
Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mukesh Chugh (4 hours later)

The joints that r affected r my feet,toes,ankles,hands fingers,wristsand knees. The joint r very painful to move and feel tight i hasd some bloods done and came back as high white bllod cells and im niot sure what the others were. Also skin cells in my urine. The doctor put me on prednisalone and i got a lot better but took me off it ove 2 weeks ago now it has cone back severe again.r

Answered by Dr. Mukesh Chugh (4 hours later)

Brief Answer:
Prednisolone alone is not sufficient

Detailed Answer:
Hi
It's good to see you
The most likely cause of multiple joint pain is rheumatoid arthritis.This needs to be confirmed by blood test as discussed earlier along with physical examination.The usual drug given in rheumatoid arthritis are methotrexate,sulfsalazine and HCQS. Prednisolone alone is not sufficient.
My advice would be visit a rheumatologist/physician for evaluation and treatment .
Hope this information suffices.
Take care
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mukesh Chugh (3 hours later)

I have been checked and the doctor said idont have that

Answered by Dr. Mukesh Chugh (12 minutes later)

Brief Answer:
Needs further observation

Detailed Answer:
Hello
I am happy that the suggested blood test for rheumatoid arthritis are negative. But with multiple joint pain,it needs further evaluation and observation to find the cause. Hence,it's a must to visit a Rheumatologist.
Taking Prednisolone alone has serious side effects in the long run.It only gives symptomatic relief without affecting the basic cause.
For now you may have Ibuprofen along with omeperazole to take care of pain and stomach.
Hope this helps.
Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar