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Q. Why is there joint pain and pricking sensation in fingers three months after COVID recovery?

Answered by
Dr. Nupoor Acharya
and medically reviewed by Dr. Sushrutha Muralidharan
This is a premium question & answer published on Oct 18, 2021

Hi doctor,

My uncle (42-year-age) has some joint pains, so he had his body checkup done. Three months back, he had recovered from COVID-19.

He has itching all over the body. Sometimes when he scratches, it will become a wound and later will become a black mark. Sometimes there is some pain, as a small pin piercing. He had the same issue one year ago.

We have attached the overall reports. Please take a look at the same. Kindly let us know if any treatment is required on anything? Can he take vaccination now? He has 36 mm of ESR. Please suggest some medication.

#

Hello,

Welcome to icliniq.com.

You have not described the joint pains in detail. So it is difficult to ascertain the cause for joint pains. Which are the joints involved? Any associated swelling or redness of joints? Any early morning stiffness? Whether the pain increases on activity or rest? These are some of the questions that are important in making a diagnosis. Some amount of joint and muscle pains can be seen following COVID infection, which usually subsides in two to three months with or without some anti-inflammatory medicines. All the reports of your uncle are normal (attachments removed to protect the patient's identity) except ESR (erythrocyte sedimentation rate). Some of the other tests that can be done are CRP (C-reactive protein), rheumatoid factor, anti-CCP (cyclic citrullinated peptide), ANA (antinuclear antibodies), IFA (indirect fluorescent antibody), etc. For symptomatic relief, I suggest taking tablet Naproxen 500 mg as needed.

Also, if his infection was more than 90 days back, he can take the vaccine.

I hope this was helpful.

Hi doctor,

Thank you.

He has pains, especially in his hand, finger joints, and feet joints. When he climbs stairs, he has some pain in these joints. He has early morning stiffness for the fingers joints both in the hand and feet. Sometimes like a pin-piercing pain, when you pour hot water in the itching area, it is more itching.

He has done anti-CCP and CRP tests today. Please take a look. Kindly suggest further action to be taken. Will it be cured with some medication? Will this ESR be reduced to a normal level?

Any food diet we have to follow for this?

Kindly give your opinion.

#

Hello,

Welcome back to icliniq.com.

It seems like he might be having some mild form of inflammatory arthritis. As his CRP is normal and ESR is not very high, the inflammation will not be severe (attachments removed to protect the patient's identity). I suggest he start on the following medicines, and further treatment can be decided according to the response.

1) Tablet HCQS 400 mg (Hydroxychloroquinone) at night.

2) Oral Calcium twice a day.

3) Tablet Etoricoxib 60 mg for pain as needed.

He also needs to reduce weight and do some exercises. That will also help with the pain. Repeat ESR and CRP after a month.

I hope this was helpful.


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