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Suggest Treatment For Severe Muscle Pain In An Elderly Person

Posted on Wed, 4 Jan 2017

Question: I am a 73 YOA male DIABETIC however controlled by meds. I have developed muscle pain in both shoulders in the front also the same type of pain in the crook of both arms. It feels almost like a muscle strain. The pain hurts with out motion.

Answered by Dr. Mirjeta Guni (58 minutes later)

Brief Answer:
Some more info please.

Detailed Answer:
Hello,
I can understand your concern.
Did you start any mediaction lately that may cause muscle pain?
From how long does the pain persist and does ibuprofen release it?
In addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average).
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Creatinine kinase (CPK)
Protein C reactive
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Calcium

None of these tests require any fasting and can be done at any time of the day.

Will be a pleasure to help you further after the above results.
Kind regards,
Dr.Mirjeta

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Mirjeta Guni (20 hours later)

Thank You I will contact my doctor.

Answered by Dr. Mirjeta Guni (8 hours later)

Brief Answer:
Wish you good health!

Detailed Answer:
Will be a pleasure to help you at any time if you will have further queries in the future.
Kind regards,
Dr.Mirjeta

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng