Why do I get severe joint pain with no disease?
ADVERTISEMENT

Q. I get joint and muscle pain with positive ANA test and normal ESR and CRP. What is my problem?

Answered by
Dr. Naval Mendiratta
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Jun 16, 2020 and last reviewed on: Jul 18, 2023

Hello doctor,

I get frequently sick with joint and muscle pain and burning legs sometimes feel difficulty walking and climbing stairs. I consulted a physical, he tested ANA and it came back positive but since ESR and CRP are normal he said no need to test further and I am perfectly healthy. But my pain never subsided, I cannot go to the office due to AC and joint pain. It is affecting my work and quality of life due to frequent sickness and unable to do normal activities. After consulting a rheumatologist he further tested ANA profile and anti ds DNA. That also came perfectly alright. I am confused with my body why my joints are paining so much without any disease?

#

Hello,

Welcome to icliniq.com.

I would like to ask you a few more queries. Is your sleep pattern normal? Do you have morning fatigue? How long did the viral last? Any hair fall, oral ulcers, dry eyes, or dry mouth? Any recent irritability or forgetfulness? It appears to be chronic fatigue syndrome which usually has a previous viral illness. But let me know these queries and would guide you further.

Thank you.

Thank you doctor,

When I am stressed I do not get sleep. After this sickness, I could not sleep due to pain and stiffness. I did not have a viral fever. Hair fall is there but no dry mouth. And yes, I often get irritated and forget the points, I cannot even work in the office. Kindly check my attached lab reports.

#

Hello,

Welcome back to icliniq.com.

I have gone through the reports as well (attachment removed to protect patient identity). Alone ANA I could not find but the rest of the subset seems fine. Also, since you mentioned your ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) are normal. We can conclude that the ANA is not causing so much impact on your body. So we can just observe for any evolution of symptoms as the other symptoms which I asked are also negative.

As for the current symptoms, it seems like fibromyalgia, chronic fatigue syndrome which is going on. I would suggest you start on tablet Pregabalin M 75 mg at night and see how it works. Side effects are giddiness and sleep but it gets normal in a couple of days. You can read about it once and see if your symptoms match through it.

And definitely try to combat the stress. I know it is easier said than done but it adds up to your pains.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Testicular ultrasound showed multiple lesions. Do I need testicular biopsy to confirm cancer?

.. mass is treated as cancer unless proven otherwise. That is why it is advised to evaluate the lesions found by patient or ultrasound by surgical removal and detailed pathological examination.Whereas for most other sites, the biopsy is possible.   Read full

Prevention of Joint Pain in Old Age

Also in our diet, we usually do not take sufficient amount of calcium and vitamin D ... Take calcium and vitamin D supplements if your   Read full

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

If the above features are not present, then check for vitamin D level and thyroid function ... You can take Vitamin D supplements as we   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask a Rheumatologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare 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. Read our Editorial Process to know how we create content for health articles and queries.