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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Severe Pain In Muscles And Joints Of Body Suggest?

I am a male 59 with severe muscle and joint pain started about three weeks.my family physican did complete blood work my white blood cells are high don t no the numbers I m not on any RX prior to this I m taking pain meds now. What could cause the infection and how did I get this. Is it possible that a toenail fungus could cause this since I do have a fungus
Fri, 30 Jun 2023
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Anesthesiologist,  's  Response
Hello,

The following are few causes of severe pain in joints:
1) Osteoarthritis
2) Rheumatoid arthritis
3) Gout
4) Septic arthritis
5) Arthritis associated with infections elsewhere in the body like urine infections.

Usually toenails fungal infection can't cause pain in muscles and joints.
The following is treatment suggested:
1) NSAIDs like tab. Ibuprofen or tab. Naproxen are to be used for 1 week.
2) As the above medication can cause gastric irritation, tab. Pantoprazole 40 mg is to be taken once daily before food.
3) In patients with bleeding disorders and kidney failure, NSAIDs are not recommended.
4)In such patients, it's better to use opioids like Hydrocodone, Oxycodone or Tramadol daily twice for 1 week.
5) Physical therapy is advised to strengthen the muscles and joints.

If pain doesn't come down even after 1 week, you may need to consult a rheumatologist for further evaluation. Regarding toe nail infection, topical application of nail on helps eliminate the fungal infection.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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What Does Severe Pain In Muscles And Joints Of Body Suggest?

Hello, The following are few causes of severe pain in joints: 1) Osteoarthritis 2) Rheumatoid arthritis 3) Gout 4) Septic arthritis 5) Arthritis associated with infections elsewhere in the body like urine infections. Usually toenails fungal infection can t cause pain in muscles and joints. The following is treatment suggested: 1) NSAIDs like tab. Ibuprofen or tab. Naproxen are to be used for 1 week. 2) As the above medication can cause gastric irritation, tab. Pantoprazole 40 mg is to be taken once daily before food. 3) In patients with bleeding disorders and kidney failure, NSAIDs are not recommended. 4)In such patients, it s better to use opioids like Hydrocodone, Oxycodone or Tramadol daily twice for 1 week. 5) Physical therapy is advised to strengthen the muscles and joints. If pain doesn t come down even after 1 week, you may need to consult a rheumatologist for further evaluation. Regarding toe nail infection, topical application of nail on helps eliminate the fungal infection. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist