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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Prolonged Joints Pain And Fatigue Despite Taking Oxycodone?

For over 15 years I have complained to several doctors about an overall body fatigue, pain, ache than I can closest describe as when I have an extreme fever, BUT I do not have a fever (usually). Occasionally a blood test would come back saying I had a recent flare-up of the Barr Epstein virus. Occasionally antibiotics would help. I have been checked out by about 5 different doctors over the years with no determination. Currently we are treating the pain with oxycodone but I would prefer to at least know WHY I have to take it. It does not take away all the pain and my tiredness and malaise seems to be increasing. Right now I am told it is arthritis but my joint pain is the least of my problem.
Tue, 29 Jan 2019
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Addiction Medicine Specialist 's  Response
Hi,

Cannot say in your particular case but location and type of pain are helpful in determining both the cause and the process. The process has inflammatory components. Therefore, something that works on inflammation would seem to be warranted. A trial of steroids just to see what happens might be one option. Over the counter naproxen is certainly less damaging over time than steroids.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Matt Wachsman,
Addiction Medicine Specialist
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What Causes Prolonged Joints Pain And Fatigue Despite Taking Oxycodone?

Hi, Cannot say in your particular case but location and type of pain are helpful in determining both the cause and the process. The process has inflammatory components. Therefore, something that works on inflammation would seem to be warranted. A trial of steroids just to see what happens might be one option. Over the counter naproxen is certainly less damaging over time than steroids. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist