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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Throbbing Pain In Back, Arms And Legs?

Ok. I woke up Monday night with extreme pain in my back, arms, legs, and feet. I took 4 Advil and it helped the pain. But I was told I cannot continue the Advil so I was given Tylenol with coding. I get chills when the pain is bad, and it just throbs constantly. So my doctor dosent know what I have. I also get cramps in my thighs and calfs. I am in a lot of pain.
Mon, 8 May 2017
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Orthopaedic Surgeon 's  Response
Dear patient thank you for your question.
I am sorry you are in so much pain.
what i am interested in knowing is why the doctor told you not to take advil. Also it seems strange that he/she has not indicated what condition you might be suffering with
In any case i feel you may have a condition called fibromyalgia

Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It is believed that fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals.

symptoms of fibromyalgia:
Pain areas: in the muscles, abdomen, back, elbow, or neck
Pain types: can be chronic, diffuse, sharp, throbbing, or severe
Pain circumstances: can occur at night
Sleep: difficulty falling asleep, sleep disturbances, or sleepiness
Gastrointestinal: constipation, nausea, or passing excessive amounts of gas
Whole body: fatigue, feeling tired, or malaise
Muscular: muscle tenderness, delayed onset muscle soreness, or muscle spasms
Sensory: pins and needles, sensitivity to cold, or sensitivity to pain
Cognitive: forgetfulness or lack of concentration
Mood: anxiety or mood swings
Hand: sensation of coldness or tingling
Also common: depression, flare, headache, irritability, joint stiffness, nervousness, painful menstruation, or tingling feet

Treatment of fibromylagia:

Pain relievers. Over-the-counter pain relievers such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others) may be helpful

Antidepressants. Duloxetine (Cymbalta) and milnacipran (Savella) may help ease the pain and fatigue associated with fibromyalgia.

Anti-seizure drugs. Medications designed to treat epilepsy are often useful in reducing certain types of pain. Gabapentin (Neurontin) is sometimes helpful in reducing fibromyalgia symptoms, while pregabalin (Lyrica) was the first drug approved by the Food and Drug Administration to treat fibromyalgia.

Alternative treatment:
Physical therapy. A physical therapist can teach you exercises that will improve your strength, flexibility and stamina. Water-based exercises might be particularly helpful.

To summarize, Fibromyalgia medication can be given by a physician only after a proper physical examination and after finding out your history for allergies or side effects to the above mentioned drugs.
Therefore please discuss the fibromyalgia as a possible diagnosis with you doctor
I find this answer helpful

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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What Causes Persistent Throbbing Pain In Back, Arms And Legs?

Dear patient thank you for your question. I am sorry you are in so much pain. what i am interested in knowing is why the doctor told you not to take advil. Also it seems strange that he/she has not indicated what condition you might be suffering with In any case i feel you may have a condition called fibromyalgia Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It is believed that fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals. symptoms of fibromyalgia: Pain areas: in the muscles, abdomen, back, elbow, or neck Pain types: can be chronic, diffuse, sharp, throbbing, or severe Pain circumstances: can occur at night Sleep: difficulty falling asleep, sleep disturbances, or sleepiness Gastrointestinal: constipation, nausea, or passing excessive amounts of gas Whole body: fatigue, feeling tired, or malaise Muscular: muscle tenderness, delayed onset muscle soreness, or muscle spasms Sensory: pins and needles, sensitivity to cold, or sensitivity to pain Cognitive: forgetfulness or lack of concentration Mood: anxiety or mood swings Hand: sensation of coldness or tingling Also common: depression, flare, headache, irritability, joint stiffness, nervousness, painful menstruation, or tingling feet Treatment of fibromylagia: Pain relievers. Over-the-counter pain relievers such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others) may be helpful Antidepressants. Duloxetine (Cymbalta) and milnacipran (Savella) may help ease the pain and fatigue associated with fibromyalgia. Anti-seizure drugs. Medications designed to treat epilepsy are often useful in reducing certain types of pain. Gabapentin (Neurontin) is sometimes helpful in reducing fibromyalgia symptoms, while pregabalin (Lyrica) was the first drug approved by the Food and Drug Administration to treat fibromyalgia. Alternative treatment: Physical therapy. A physical therapist can teach you exercises that will improve your strength, flexibility and stamina. Water-based exercises might be particularly helpful. To summarize, Fibromyalgia medication can be given by a physician only after a proper physical examination and after finding out your history for allergies or side effects to the above mentioned drugs. Therefore please discuss the fibromyalgia as a possible diagnosis with you doctor