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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Body Pain While On Steroids?

Trying to figure out what is wrong with my body. I have been to a rheumatologist with no specific diagnosis. I have been on steroids and that makes the symptoms almost go away. I have had the general issue for around 6 -7 years now. Blood tests have been negative for any factors. The issue is over all body ache following any type of mildly strenuous activity. focused on joint locations, but not necessarily inside the joint. Thanks for any assistance with moving toward a diagnosis...
Tue, 16 Jul 2019
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Neurologist 's  Response
Hi,

Not knowing any other information about you such as age, gender, race, other medical issues, medications you are currently on, etc. there isn't enough information.

If a rheumatologist has seen you and is not coming up with anything then, it is likely they've done what would be considered an inflammatory workup for you looking for metabolic markers for things such as lupus, Sjogren's, rheumatoid arthritis, gout, vasculitis, etc.

If they are not finding much in the way of markers then, either it is too early in the process to detect anything or you don't have an inflammatory or rheumatological process.

You may wish to speak with a geneticist about inborn errors of metabolism or a neurologist about neuromuscular processes that could result in hyperactivation of muscles after strenuous activity, could this be something such as polymyositis or polymyalgia rheumatica?

Again, not a whole lot in your initial presented data for any of these entities but systemic inflammation of a rheumatological nature does not seem to be where it's at either.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dariush Saghafi, Neurologist
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What Causes Severe Body Pain While On Steroids?

Hi, Not knowing any other information about you such as age, gender, race, other medical issues, medications you are currently on, etc. there isn t enough information. If a rheumatologist has seen you and is not coming up with anything then, it is likely they ve done what would be considered an inflammatory workup for you looking for metabolic markers for things such as lupus, Sjogren s, rheumatoid arthritis, gout, vasculitis, etc. If they are not finding much in the way of markers then, either it is too early in the process to detect anything or you don t have an inflammatory or rheumatological process. You may wish to speak with a geneticist about inborn errors of metabolism or a neurologist about neuromuscular processes that could result in hyperactivation of muscles after strenuous activity, could this be something such as polymyositis or polymyalgia rheumatica? Again, not a whole lot in your initial presented data for any of these entities but systemic inflammation of a rheumatological nature does not seem to be where it s at either. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist