“My diagnosis and treatment recommendation?”
I am a 20 years old female, 160 cm, 50 kg. I have pain in my joint, tendon, muscle, bone pain in fingers, wrists, elbow, shoulder (cannot lie on sides at all and feels like falling), knees, ankles, and soles of feet. I have had stiffness in the morning and also through the day for almost 2 months. I suspected sciatica pain and degenerative disc, not been tested yet. Negative for rheumatoid factor and anti-CCP so previous doctor said probably not rheumatoid arthritis or immune problem, not sure. I had a Ganglion cyst in one wrist from many months ago that ached a little but was left untreated. I used Arcoxia for some time which did help a little with pain but not too much. Can you give information on what the diagnosis would be and what should I actually do and what medical procedure I have to follow?
Female | 20 years old
Complaint duration: 2 months
Medications: arcoxia
4 Answers
It definitely sounds to me like you have an autoimmune disease...What was your ESR/CRP/ANA/HLA B-27? Keep in mind that there are some autoimmune diseases that present with negative labs initially and evolve into positive over time. I would see a rheumatologist and have them do a more thorough lab panel, and maybe try some prednisone and maybe Plaquenil.
Hello
I would see a Rheumatolgist even though Rheumatoid factor was negative. This sounds like something long term.
I would see a Rheumatolgist even though Rheumatoid factor was negative. This sounds like something long term.
It is hard to suggest a diagnosis and treatment without a full exam and a battery of tests. Pain in every muscle tendon and joint is suggestive of an autoimmune disease. There are other causes outside of rheumatoid. Work with a single specialist. If that fails, ask that Physician for a referral. In the interim, decrease sugar increase hydration and do low-impact exercise, like yoga.
Good luck.
Robert D. Swift, DO, FAOAO
Good luck.
Robert D. Swift, DO, FAOAO
As best as I can tell, you probably have Fibromyalgia. You will have to see a Dr. that deals and treats this and likely undergo further testing and medication trials.
Dr. F.
Dr. F.
