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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Shoulder, Hip, Knee. Swelling Above Patella, Fatigue, Irritability. Arthritis?

Sure! Sudden onset of bilat muscular shoulder, hip and knee pain. occurred upon awakening 2 wks ago Monday. No injuries have occurred. R knee w moderate swelling above patella, swelling felt hard, not anything like fluid. I've had a productive cough-clear sputum for ~ 3 wks. Also increased fatigue and irritability. I have never had trauma or injury to knees, hips or shoulders (except probable tendinitis to R shoulder 10 mos ago and is 90% resolved) L shoulder pain feels muscular ~ 2 finger widths below actual shoulder joint, odd, unpredictable movements aggravate it w stabbing pain ~5cm straight down lat shoulder.. my concern is what caused these muscle groups to suddenly swell and be painful; 4-7 worst pain on pain scale, intermittently. could I have some sort of virus along with cough. Are these sx characteristic for a dx of plain old arthritis. 48 yr old female. thoughts? thx
Wed, 4 Sep 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

Based on the description of symptoms, I suspect that you could be suffering from REACTIVE ARTHRALGIA which generally occurs as a reaction secondary to an infection elsewhere in the body.

NSAID's (non steroidal antiinflammatory drugs) like Advil or Aleve will help in alleviating the inflammation as well as pain. Corticosteroid medications or injections will help is some cases. Physical therapy in the form of exercises will help improve the joint mobility and function.

Hope this information is helpful. Good day
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Pain In Shoulder, Hip, Knee. Swelling Above Patella, Fatigue, Irritability. Arthritis?

Hi, thanks for writing to HCM. Based on the description of symptoms, I suspect that you could be suffering from REACTIVE ARTHRALGIA which generally occurs as a reaction secondary to an infection elsewhere in the body. NSAID s (non steroidal antiinflammatory drugs) like Advil or Aleve will help in alleviating the inflammation as well as pain. Corticosteroid medications or injections will help is some cases. Physical therapy in the form of exercises will help improve the joint mobility and function. Hope this information is helpful. Good day