Get E-Book on COVID-19

Q. Experiencing muscle and joint pain for 10 years and is getting worse. What to do?

Answered by
Dr. Parth R Goswami
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 23, 2019 and last reviewed on: Nov 26, 2019

Hello doctor,

I am experiencing muscle pain and joint pain for ten years which consistently got worse. The recent diagnosis shows leukocytosis. My WBC is consistently high at around 13000 - 15000. I also suffer fibromyalgia, migraines, TIA, unknown source of seizures, peripheral neuropathy, left hemiparesis, muscle disorder, muscle spasm-paraesthesia, diabetic type 2, AVN of hips, DDJ and DDD disease.

I am currently taking Bacoflen 20 mg four times a day, Cymbalta 30 mg once daily, Valium 5 mg, Gabapentine 300 mg four times a day, Humalog, Metformin 1000 two times a day, Bydureon Pen once a week, and Medical Cannabis. I consulted a rheumatologist and a neurologist. Rheumatologist swore it was Lupus. The neurologist swore it was SPS.

My recent lab report:

Complement component C3C - 188H Range 90-180 (twice tested).

Glucose 168 mg/dL.

Alpha 1 globulin 4H - Range 0.2 - 0.3.

Gamma globulin 7L - Range 0.8 - 1.7.

Vitamin D - 18L - Range 30 - 100.

C-reactive protein 0.83H.

Dr. Parth R Goswami

Hematology Pathology
#

Hello,

Welcome to icliniq.com. Your main presentation is chronic muscle pain and joint pain. For that specific cause rule out first like connective tissue disorder, muscle dystrophy, neuropathic pain, spinal problem, HIV, thyroid issue, etc.

For connective tissue panel testing, CT scan, serum TSH (thyroid-stimulating hormone) estimation, serum T4 estimation like investigations are useful. Here neurologist may perform investigation like NCV (nerve conduction velocity), EMG (electromyography), for finding the specific cause. According to the cause further specific treatment will be given. If SLE (systemic lupus erythematosus) suspected by rheumatologist then it will be confirmed by connective tissue panel testing that includes testing of anti-dsDNA, anti-Sm, etc. You are prescribed Gabapentine, muscle relaxant and Duloxetine drugs and these drugs can cause fibromyalgia or chronic fatigue syndrome. Control your diabetes as it can lead to neuropathic pain and other complications. As per report vitamin D looks out of range that is low, so for that Cholecalciferol sachet can be taken with milk once a week.


Was this answer helpful?

 | 

Related Questions:
I have dull, persistent aches and pain in abdomen. Is it due to dance practice?
I am getting pain under ribs and in the back like muscle pull. What to do?
I am being tested for antiphospholipid syndrome. What will the treatment be?
 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


Is lupus causing all my symptoms?

Query: Hi doctor, I am a 44 year old female, and I have been diagnosed with rheumatoid arthritis, systemic lupus, and Sjogren's syndrome, with symptoms dating back to as young as six years old. I have also been diagnosed with pulmonary hypertension, thyroiditis, Raynaud disease, right-sided heart enlargeme...  Read Full »

My joint pain is affecting my academics. Please suggest a permanent cure.

Query: Hello doctor, I have been experiencing joint pains in my waist, back, and neck for a year now. Whenever I visit a hospital, I am prescribed NSAID, which gives me only a temporary relief. I want this problem to get solved permanently because it has started affecting my academics. I need your ...  Read Full »

Prevention of Joint Pain in Old Age

Article Overview: Joint pain in old age is a major concern that should not be ignored. Most of us suffer from knee pain or back pain after an age. If we follow simple measures in daily routine then most of these conditions can be prevented. Read Article


Dr. Tiwari
Orthopaedician And Traumatologist

Knee joint pain and backache especially in the lumbar region is a very common problem. Almost every one suffers from these problems in life either because of unhealthy lifestyle or some disease. In most cases, these are preventable and treatable, but due to lack of knowledge most people suffer from ...  Read Article

Also Read


Crohn's Disease
Crohn's disease causes inflammation of the digestive tract, which results in symptoms like severe diarrhea, stomach pain...  Read more»
I was diagnosed with Celiac disease a year back. Can you suggest any medicine?
Having celiac fromnlast 10 year dignosis recently ayear ago since then i am gluten free still cant absorb food feeling w...  Read more»
My head is shivering from 20 days, and it feels like head trauma. What is the cause?
Hello sir, My head is shivering like anything , feeling like trauma is head. And its start anytime in a day and when s...  Read more»

Ask your health query to a doctor online?

Ask a Hematologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.