Joint Stiffness

The leading cause of stiff joints is rheumatoid arthritis and osteoarthritis. Other causes include obesity, bursitis, autoimmune disorders like lupus and gout. While in arthritis, the stiffness of joints is experienced after a prolonged lack of joint movement, like while getting up in the morning after a night's sleep. But as the day progresses and the joint engages in activities, the stiffness reduces. But in the case of joint stiffness due to infection, the stiffness increases as the day progresses. Hot compress after waking up, reducing weight, exercising regularly, and pain medications are some methods to control pain and stiffness at home.

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How to manage rheumatoid arthritis until I meet a specialist?

Query: Hello doctor, My primary care physician said that I may have RA. My ESR rate was 27, my CRP was 14.1 and my CCP antibody IgG was 500. What does this mean? I have heard a high CCP result could indicate more aggression in my RA, if that is what I have.  Read Full »


Dr. Divya Agarwal

Answer: Hello, Welcome to icliniq.com. Yes, the chances that you have RA (rheumatoid arthritis) or are developing it, are high. Anti-CCP antibodies are associated with RA and may also indicate an aggressive disease. However, there are various prognostic markers. This is only one of them. A high ESR and CRP,...  Read Full »

Kindly help me know about dysautonomia, its diagnosis, and treatment plan.

Query: Hello doctor,I am having periodic feelings of pressure in my head with tinnitus for several years. I also have occasional crunching in my neck when I move, poor sleep, continual soreness and stiffness in my back and hips, constant weakness, and fatigue. I thought it was because of aging and managed ...  Read Full »


Dr. Aida Quka

Answer: Hello,Welcome to icliniq.com.I understand your concern, and I would explain that dysautonomia is a neurological disorder characterized by autonomous nervous system dysfunction. It usually leads to orthostatic hypotension, postural tachycardia syndrome, low blood pressure after eating, abnormal sweat...  Read Full »

I have rheumatoid arthritis with degenerative changes and reduced space between bones. Kindly help.

Query: Hello doctor,I was diagnosed with rheumatoid arthritis, my rheumatoid factor was above 200 IU/mL, and I was under treatment with HCQS for about six months. Now, my rheumatoid factor is 42 IU/mL. The x-ray that I took a couple of years ago suggests degenerative changes and reduced space between bones...  Read Full »


Dr. Anshul Varshney

Answer: Hi,Welcome to icliniq.com.Rheumatoid arthritis cannot be cured entirely, but it can be well controlled. I would suggest you discuss with your doctor to start you on HCQS (Hydroxychloroquine), Etoricoxib, Calcium, vitamin D3, and Prednisolone. Based on your liver and kidney function tests, it is advi...  Read Full »

Does hypothyroidism cause joint pain and stiffness along with fatigue?

Query: Hi doctor, My TSH, ultrasensitive is 5.110 ml. Do I have a thyroid? My joints are painful and stiff in the morning. I feel fatigued and tired. I do not have a fever. Please suggest to me how to control it. Also, could I take the first dose of COVID vaccine with this condition? I am attaching my rep...  Read Full »


Dr. Thiyagarajan T

Answer: Hi, Welcome to icliniq.com. I looked at your lab work (attachments removed to protect the patient's identity). You have slightly increased TSH (thyroid-stimulating hormone). I suggest you follow it up with repeating TSH and also check FT4 (free T4). You may have low thyroid (mild). You coul...  Read Full »

I have weird sensation all over body. Why?

Query: Hello doctor,I have started feeling weird sensations all over my body for seven months now, and they all happen at once and on a daily basis. My skin itches all over, especially my face and scalp. A lot of the times, when I speak, I sense a vibration in my eyes or a little bit lower. It is as an inn...  Read Full »


Dr. Atul Sardar Narayankar

Answer: Hello, Welcome to icliniq.com. These all symptoms point towards a chronic condition. You will have to undergo few more investigation as follows. Basic hemogram. Thyroid function tests. Check for autoimmune diseases status, consult a physician and get tested for ANA (antinuclear antibody). Do you eve...  Read Full »

My right hip pops loudly and hurts a lot. Why?

Query: Hi doctor,I am a 27 year old female. My weight is 135 lbs and height is 5'7". For the past two months, my right hip pops very loudly for at least once or twice a day when I sit on my knees and lean to my right. It hurts badly for a second and then the pain goes away. Though if it does not pop, my h...  Read Full »


Dr. Atul Prakash

Answer: Hello,Welcome to icliniq.com.Popping feeling or sound around a joint is often due to soft tissue rubbing over a bony prominence. They may or may not be painful.Other cause can be from within the joint, and this is more significant as it may come from the joint moving abnormally or something that is ...  Read Full »

Will laxity of joints cause severe pain in joints for more than 17 years?

Query: Hi doctor, I am 32-year-old, of weight 93 kg and height 181 cm. For almost 17 years, I have serious pain in all my joints. As I grow, these pains grow with me. I have a complete analysis done lately, but I do not think I had the best medication as I still live in pain on a daily basis. I have small...  Read Full »


Dr. Nupoor Acharya

Answer: Hello, Welcome back to icliniq.com. I saw your reports (attachments removed to protect the patient's identity). I was, unfortunately, unable to understand your X-ray reports, but you told me that it is normal. So I will take that as normal. Your blood reports do not suggest any inflammation as you...  Read Full »

Does my scan report suggest the cause of my low back pain?

Query: Hi doctor, I do not remember any spine trauma. I do have morning stiffness of greater than one hour with will become better with movement. I have this issue for the past seven years. My HLA-B27 is positive. Am I suffering from inflammatory spondyloarthropathy or ankylosing spondylitis? I have attac...  Read Full »


Dr. Vivek Chail

Answer: Hi, Welcome to icliniq.com. The SI joints show minimal linear hyperintensity on STIR (short TI inversion recovery) sequence (attachment removed to protect patient identity). It is mild edema and not the usual findings which are seen in inflammatory spondyloarthropathy. Probably, it is in the early s...  Read Full »

Please suggest medicine for stiffness caused by ankylosing spondylitis.

Query: Hi doctor, I have been diagnosed to have ankylosing spondylitis approximately 2 years back. I also had psoriasis, probably due to the same and it is chronic. Of late, there is extreme pain and even more stiffness, especially during the morning. It is no more tolerable and hence I am writing this. ...  Read Full »


Dr. Sumit Chawla

Answer: Hello, Welcome to icliniq.com. Here are the answers to your questions. You have been diagnosed as a case of ankylosing spondylitis with psoriasis. Both the condition will affect your joints. Ankylosing will affect mainly axial skeletal joints. Psoriasis mostly affects peripheral joints and is of ...  Read Full »

What could be the cause for my various neurological problems?

Query: Hello doctor, I am a 29-year-old female. I am an occasional drinker and social smoker (pack a week). Until the last 4 years, I jumped from career to career due to the inability to perform duties. No prior surgeries or diagnoses other than EDS (idiopathic hypersomnia) at the age of 23. I take multi ...  Read Full »


Dr. Aida Quka

Answer: Hello, Welcome to icliniq.com. I read carefully your question and would explain that your situation seems to be really complex. Coming to this point, I would recommend checking some blood lab tests: 1. Vitamin B12 and D plasma levels for possible deficiency. 2. Thyroid hormone levels for po...  Read Full »

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