ADVERTISEMENT

Q. I have severe low back pain with fatigue and leg pain. Are the symptoms related to arthritis?

Answered by
Dr. Peter Bryant Rapsing Grutas
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Feb 29, 2020

Hello doctor,

I have been dealing with severe lower back pain, hip pain, butt and leg pain, fatigue, insomnia, hot and sweaty, pain in wrist and fingers, foot pain (left foot my toes are curved down and one is curved to the left). I do not know if this has anything to do with arthritis but there are occasional lesions in my nose and occasional neck pain. I am currently taking Cymbalta. I have had Arnold Chiari malformation and underwent decompression surgery.

ADVERTISEMENT
#

Hello,

Welcome to icliniq.com.

I am sorry you are having these symptoms. Have you had any laboratory workups done before? How about imaging studies?

There are many causes of your current symptoms and this makes it more complicated since you have Arnold-Chiari malformation. This includes autoimmune condition, degenerative condition and metabolic conditions. I would recommend that you do further testing to understand your condition. I would recommend that you check your CBC (complete blood count), RF (rheumatoid factor), SGPT (serum glutamic pyruvic transaminase) and SGOT (serum glutamic oxaloacetic transaminase), BUN (blood urea nitrogen), creatinine, ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), thyroid function test and FBS (fasting blood sugar) as initial tests.

In the meantime, I recommend that you undergo a physical therapy program to include ultrasound, TENS (transcutaneous electric nerve stimulation), William's flexion exercise, Myofascial release, joint conservation techniques, range of motion exercises within pain-free range, endurance exercise as tolerated. I would also recommend you take Naproxen three times a day for pain and Ibuprofen twice a day for breakthrough pain. Once you have the results of the tests, please do follow up.

I hope this helps.


Regarding follow up:

Follow up with lab results.


Was this answer helpful?

 | 

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



Related Questions:
I have low back pain and frequent urination after sex. Why?

.. here to help you. Yes, your symptoms are consistent with either urinary tract infection (UTI) or prostatic enlargement. In fact, you might have benign prostatic hyperplasia (BPH) contributing to UTI. The second reason can be sexually transmitted ...   Read full

I have severe low back pain with fatigue and leg pain. Are the symptoms related to arthritis?

.. sorry you are having these symptoms. Have you had any laboratory workups done before? How about imaging studies? There are many causes of your current symptoms and this makes it more complicated since you have Arnold-Chiari malformation. This in...   Read full

How can arthritis be confirmed?

Your arthritis tests are negative, but then again we can have arthritis even when the rheumatoid factor, anti-cyclic citrullinated peptide, and anti-nuclear antibody are negative ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  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.