Recently Answered Questions
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Does hypothyroidism cause joint pain and stiffness along with fatigue?
Query: Hi doctor, My TSH, ultrasensitive is 5.1 mIU/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 re... Read Full »
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 could feel ... Read Full »
Query: Hello doctor, I am a 42-year-old female. I have joint pain (both hands, knees, and neck), fatigue, migraines, depression, and sometimes a burning sensation in my knees at night. I have increased stiffness and pain in the morning and settle throughout the day and the pain resumes at night. I took a... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your query and understand your concern. Yes, you are right, you may have joint pains without arthritis. There could be a few reasons for your joint pains. 1. Side effect of Atorvastatin. 2. Chronic fatigue syndrome 3. Due to Aimovig (Erenumab) injection. Pl... Read Full »
Could there be an underlying reason for pain and clicking in joints?
Query: Hello doctor,I have a joint pain with lots of clicking. On a scale of 1 to 10, it is only 1 or 2. But, the clicking is to the point where it is annoying. Also, my ankle hurts a lot for no apparent reason. I do not know if this is relevant, but my foot used to turn in. Read Full »
Answer: Hello, Welcome to icliniq.com. If your worry is about the clicking of the joints, then that is fairly common, and not a cause for worry especially if you are in a growing phase or stopped growing recently. You however, have to do regular stretches and strengthening exercises to help with this.You me... Read Full »
Why do I have muscle pain and joint stiffness that worsens with inactivity?
Query: Hello doctor, I am a 50-year-old female. I am having muscle pain and joint stiffness that is more in my legs and elbows. The discomfort is more in the morning before getting off the bed and worsens with inactivity. However, it gets better with exercise and returns after prolonged sitting or staying... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I understand your concern. From what you have mentioned, you have osteoarthritis, a degenerative joint disease (wear and tear of the joint) that mainly affects the knee, elbow, and hip joints. The other possible cause can be rheumatoid arthritis. Do you have red, te... Read Full »
I suffer from extreme joint pain during the night and after waking up. Please help.
Query: Hi doctor, I suffer from mild joint pain across my body, except my knees, with extreme pain during night time and after waking up. However, I suffer from general stiffness when I wake up in the morning, which lasts roughly for an hour or more. I did a few blood tests, and my CRP is always between 7 ... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. You are describing typical inflammatory pain with the setting of positive RNP (anti-ribonucleoprotein)and ANA (antinuclear antibody). While you do not have other systemic symptoms, this suggests early lupus or mixed connective tissue di... Read Full »
Query: Hello doctor, I am a 27-year-old overweight male. I have had severe knee pain, inflammation, and stiffness for two days. I cannot keep my leg straight due to the pain; it is also severe when bending my knee. Previously, I have used tablet Ibuprofen for my knee pain. Also, recently I have been diagno... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. I suggest the below treatment plan for five days: Tablet Emanzen-D (Diclofenac and Serratiopeptidase) twice daily. Tablet Pan 40 (Pantoprazole) once daily on an empty stomach. Consult a specialist doctor, talk to him or her, and tak... Read Full »
How to manage rheumatoid arthritis until I meet a specialist?
Query: Hello doctor, My primary care physician said that I might 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 »
Answer: Hello, Welcome to icliniq.com. Yes, the chances of having RA (rheumatoid arthritis) or 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 and an ... Read Full »
I want a permanent solution for my back and neck pain. What should I do?
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 »
Answer: Hello, Welcome to icliniq.com. I went through your query. Your predominant complaint is pain along the axial skeleton. If it is associated with early morning stiffness of the back and if the pain increases with rest, then ankylosing spondylitis needs to be ruled out. If the above features are not pr... 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 »
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 »
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 »