These are unrelated conditions. Degenerative disc disease is age related wear and tear damage. It is not inflammation related or autoimmune in nature. Sjögren’s syndrome is an autoimmune disease which sometimes can be associates with joint problems but these are different from degenerative disc disease
Conditions such as RA or OA do not typically cause symptoms such as described by you. Fibromyalgia does increase sensitivity of the nerves but whether that is the cause of symptoms or something else is the problem is a good question. If there is concern for alternate cause the one would consider evaluation by a Neurologist or an ENT physician. Vibration and ringing sounds sometimes originates in the inner ear. If unhelpful then maybe optimization of the fibromyalgia and exploring relaxation techniques would be beneficial.
I hope this helps.
No it is not. Lupus is an autoimmune disease and is not an infection of any kind; it is not transmitted through sexual contact.
Fibromyalgia can certainly cause a variety of symptoms and pain with achiness, soreness, burning, tingling and generalized fatigue. It is however important to rule out other causes of symptoms before attributing symptoms to fibromyalgia. Conditions such as degenerative disk disease of the spine, neuropathy and muscle disease are just a few things that do need to be considered. Considering the burning and weakness mentioned it would probably be reasonable to ensure nothing else is causing such symptoms; a specialist such as a neurologist or rheumatologist may be able help delineate further. If other conditions and alternate explanations are ruled out then fibromyalgia can be considered. In this situation treatment is aimed at minimizing symptoms and improving function with medications and other measures.
I hope this helps.
1st line treatment for Lymes disease is Doxycycline for 21-28 days; sometimes 14 days treatment is used instead. In situations where the is an allergy to Doxycycline, or in cases not responsive to Doxycycline, other antibiotics are used. Amoxicillin is not the antibiotic of choice unless there are contraindications to 1st line treatments. Sometimes in chronic or complicated disease intravenous antibiotics are also used.
I hope this helps.
Osteoarthritis or degenerative arthritis affects most people in a variety of ways and in a variety of joints. The symptoms of dull pain with extension to fingers however would be a bit more suspicious for conditions such as carpal tunnel syndrome. This is a fairly common condition whereby a nerve in the wrist gets irritated and injured leading to dull achy pain in the wrist and hand often with tingling, burning and numbness. Often people with this condition are woken up at night due to numbness and achiness in the hand which improves with wiggling or shaking the hand. Using a splint for carpal tunnel at night often leads to gradual improvement in symptoms although it is always wise to seek an evaluation to clarify the exact cause which often is possible with a physical exam, some imaging studies and possibly some blood tests.
Osteoarthritis is simply "wear and tear" damage to joints that accumulates over years based on several factors including activity, genetic, body habitus, etc. Management for OA includes several different options and to a certain extent follows a sequence, with less dangerous/less invasive options tried first and, in case of lack of benefit, more aggressive measures are pursued. Such options may include:
- Oral pain relievers, such as OTC Tylenol (safest) or NSAIDs (Advil/Aleve, etc.); initially, these can be taken as needed, but as symptoms worsen, one can consider using these regularly whilst being monitored to ensure no major side effects develop.
- Topical pain relievers, such as topical NSAIDs (Voltaren) or other pain medications
- Steroid injections, especially for knees
- Viscosupplementation injections (Synvisc, etc.); these are typically done by orthopedics, but a lot of rheumatologists also perform these.
- Physical therapy
If all these measures have been tried and failed, or damage to the knee is significant based on imaging and symptoms, then surgery may be an appropriate option. If appropriate, any of the options listed above could be tried before proceeding with surgery based on patient preference and physician advice/expertise.
Mishal Abdullah, M.D.