HomeAnswersRheumatologyrheumatoid arthritisWhat are the causes of low back pain and joint pain?

Why do I have joint pain and low back pain?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Srinivasa C.

Medically reviewed by

iCliniq medical review team

Published At June 14, 2016
Reviewed AtJuly 11, 2023

Patient's Query

Hi doctor,

I am a 45 year old male. I had an accident before 10 years. At that time, my knee x-ray was done and I was reported to have osteoarthritis. I have been suffering from pain for few years. I have lower back pain and pain in some of the joints. For the past few weeks, I have pain in my left palm, particularly in my finger joints and more on left middle finger joint. Also, on my foot joints. I also feel very fatigued and tired. My blood pressure (BP) was 110/70 mmHg a week back. I am enclosing a comprehensive blood test report, which was done very recently and I have advised to take tablet Nusam 400 for six months. I have been taking for the past two months. Please suggest me the remedy and preventive measures.

Answered by Dr. Srinivasa C.

Hi,

Welcome to icliniq.com.

Hi,

Welcome to icliniq.com.

Vitamin D deficiency and autoimmune causes can cause low levels of vitamin D. I suggest you do an ultrasound abdomen and pelvis, test for rheumatoid factor, MRI of the spine with sacroiliac joint, and MRI of the whole spine. Also, do a screening and ultrasound of the hands to look for active arthritis, HBsAg (hepatitis B surface antigen), and HCV (hepatitis C virus) tests. I suggest you take Calcirol sachets (vitamin D) 60000 units once a week with a glass of water for six weeks and a tablet of Dolo 650 mg (Acetaminophen) for pain. Avoid alcohol and excessive weight lifting. Also, try to avoid painkillers as your liver functions are abnormal.

Thank you.

<a href="https://www.icliniq.com/qa/medical-questions-answers/medical-conditions/knee-pain/my-mother-is-having-severe-pain-in-the-knee-her-vitamin-d-levels-are-low-please-help">Vitamin D deficiency</a> and autoimmune cause. Ultrasound abdomen and pelvis, rheumatoid factor, MRI of spine with sacroiliac joint and MRI of the whole spine, screening and ultrasound of hands to look for active arthritis, HBsAg (hepatitis B surface antigen) and HCV (hepatitis C virus). <b>Calcirol sachets (vitamin D)</b> 60000 units once in a week with a glass of water for six weeks and tablet Dolo 650 mg (Acetaminophen) for pain. 1. <b>Avoid alcohol and excessive weight lifting</b>.

2. Also, try to avoid painkillers as your liver functions are abnormal.

Differential diagnosis

Seronegative spondyloarthropathy.

Probable diagnosis

1. Rheumatoid arthritis. 2. Seronegative spondyloarthropathy.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Srinivasa C.
Dr. Srinivasa C.

Rheumatology

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