Q. I have severe low back pain with fatigue and leg pain. Are the symptoms related to arthritis?
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.
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:
Comprehensive Medical Second Opinion.Submit your Case
Also Read
Coronavirus Variant Arcturus: | Omicron XBB.1.16 Variant
Arcturus is an emerging variant of the Omicron virus that causes various symptoms and spreads rapidly across the world. ... Read more»
Adrenaline Rush - Symptoms, Causes, Effects, and How to Control
Adrenaline is a hormone responsible for fight or flight response. It is also a neurotransmitter and medicine. It is also... Read more»
Fatty Liver - Types, Symptoms, Stages, and Treatment
The liver is the largest gland in the body. Its primary function is to process the food and drinks we consume. and filte... Read more»
Ask your health query to a doctor online?
Ask a Rheumatologist Now* guaranteed answer within 4 hours.
