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Suggest Treatment For Severe Pain In Shoulder And Hands

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Posted on Thu, 3 Nov 2016
Question: I have been diagnose with fibromyalgia. I suffer severe pain in shoulder and hands both sides I takebso many. Meds, could some of them be making it worse? Norvasc,dDuloxetine,enalapril,klor-con m 20mg,melodical,toprol xl 25mg,proposed, plus a lot of supplements. Could any of these make it worse? Oh yes, and synthroid for hypothyroid ????
doctor
Answered by Dr. Binu Parameswaran Pillai (7 hours later)
Brief Answer:
Exclude other causes

Detailed Answer:
Good day.

Sorry to hear about your symptoms.

Fibromyalgia is a disease of exclusion. You have to exclude many diseases which can mimic like fibromyalgia. For example, Vitamin D deficiency, hyper parathyroidism, depression, poly myalgia rheumatica, connective tissue disorders also have similar symptoms. I hope your doctor excluded all these diseases before diagnosing fibromyalgia. None of the medicines which you mentioned worsen the pain. In fact, Duloxetine will improve the pain.

Hypothyroidism, if uncontrolled can cause similar pains. But once you are adequately replaced with Synthroid ( and if TSH is normal), the symptoms should disappear. Synthroid by itself does not worsen pain.

Most people with fibromyalgia also would require physiotherapy along with medicines to improve pain. Swimming in a heated pool, meditation, Gentle massage in a spa, yoga and meditation also are known to improve chronic painful conditions including Fibromyalgia.
Regards
Binu

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (23 hours later)
I saw my Dr yesterday He changed some. Meds and I will go back in 2weeks to discus changes. All of the conditions you mentioned have been checked out and both eliminated. I am hoping the new meds will help.
doctor
Answered by Dr. Binu Parameswaran Pillai (4 days later)
Brief Answer:
WISH YOU SPEEDY RECOVERY

Detailed Answer:
okay.let us hope that the change of medications make some difference.
wish you speedy recovery.
let us know if you have any more questions.
regards XXXXXXX
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1438 Questions

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Suggest Treatment For Severe Pain In Shoulder And Hands

Brief Answer: Exclude other causes Detailed Answer: Good day. Sorry to hear about your symptoms. Fibromyalgia is a disease of exclusion. You have to exclude many diseases which can mimic like fibromyalgia. For example, Vitamin D deficiency, hyper parathyroidism, depression, poly myalgia rheumatica, connective tissue disorders also have similar symptoms. I hope your doctor excluded all these diseases before diagnosing fibromyalgia. None of the medicines which you mentioned worsen the pain. In fact, Duloxetine will improve the pain. Hypothyroidism, if uncontrolled can cause similar pains. But once you are adequately replaced with Synthroid ( and if TSH is normal), the symptoms should disappear. Synthroid by itself does not worsen pain. Most people with fibromyalgia also would require physiotherapy along with medicines to improve pain. Swimming in a heated pool, meditation, Gentle massage in a spa, yoga and meditation also are known to improve chronic painful conditions including Fibromyalgia. Regards Binu