Woman, 56. Not Obese, Non-smoker, Physically Active, No Work Related

Posted on Mon, 25 Nov 2019

Question: Woman, 56. Not obese, non-smoker, physically active, no work related problems. Hypermobile, but doesn’t qualify for EDS. Since many years recurring pain in SI-area, plantar fasciitis in both feet, carpal tunnel syndrome both hands, tennis elbow, severe pain outside of hip, tempromandibular problems, knee pain etc. Pain/problems lasts from days to months before subsiding. HLA b negative. No rheumatiod factor, cpr normal. What to do? Accept these symptoms as part of normal ageing?

Answered by Dr. Divya Agarwal (25 minutes later)

Brief Answer:
looks like a pain syndrome

Detailed Answer:
hi
I think needs to be treated like a pain syndrome, so needs some centrally acting agents which can suppress the pain pathways.
other thing that needs to be emphasized is regular physical workout and exercise which will help us in bypassing the pain pathways.
regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Divya Agarwal (4 hours later)

As I understand it, pain syndrome is secondary to something. I have not experienced any trauma and I have not been diagnosed with an underlying illness. Therefore I still wonder why I experience widespread, migrating, recurring pain in/near joints from coccyx to TMJ. I do not have any trigger points. I am not depressed. I am not anxious. I have been exercising for many years (gym, cardio) 3 d/w. I walk my dog every day for 1-2 hours. I am aware of the necessity to strenghten my core and I work out accordingly. So are my symptoms idiopathic?

Answered by Dr. Divya Agarwal (12 minutes later)

Brief Answer:
as below

Detailed Answer:
I totally agree with you that there is normally some trigger, however as u stated this may be completely idiopathic.
it may not sometime not be possible to find the root cause of the pain syndrome.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Divya Agarwal (55 minutes later)

My last question: do you rule out unspecified spondyloarthropathies?

Answered by Dr. Divya Agarwal (20 hours later)

Brief Answer:
seems less likely

Detailed Answer:
seems less likely , since hlab 27 is also negative however in females it may present with non specific symptoms, the only way to rule it out entirely is to check the SI joints with an MRI, if there are no bright signals in the SI joint area we can rule out SPA.

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Above answer was peer-reviewed by : Dr. Yogesh D