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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I am an overweight male. What could be the reason for severe pain, inflammation, and stiffness in my knee?

Query: Hello doctor, I am a 27-year-old overweight male. I have had severe knee pain, inflamation, 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 »


Dr. Rajesh Jain

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 »


Dr. Divya Agarwal

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 »

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 »


Dr. Atul Prakash

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 ...  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 »


Dr. Ashaq Hussain Parrey

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 »


Dr. Aida Abaz 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 »

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