[24F] Experiencing nerve pain, joint pain, and unexplained bruising

Patient Description

A 24-year-old female has been experiencing nerve pain described as pins and needles in her feet, hands, knees, and shoulders for two weeks, with a pain severity of 8 out of 10. She also reports constant joint pain in her shoulders, knees, ankles, and wrists, described as stiff and sharp, with a severity of 7.5 out of 10, which worsens in the evening. Additionally, she has noticed large, dark purple bruises on her thighs and shins for the past eight months. The patient feels unusually tired and has had unexpected weight loss. Her medical history includes stage 4 endometriosis, POTS, hypermobile EDS, depression, anxiety, PTSD, ADHD, panic disorder, and IBS-C, diagnosed within the last six years. She is currently taking Omeprazole and birth control and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on the symptoms and medical history you've provided, several possibilities could be contributing to your symptoms:

  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory, and mood issues. It is often considered in individuals with long-term, widespread pain and tenderness in joints, muscles, tendons, and other soft tissues.

  • Peripheral Neuropathy: This condition results from damage to your peripheral nerves and causes weakness, numbness, and pain, usually in your hands and feet. It can also affect other areas of your body.

  • Vitamin Deficiency: Certain vitamin deficiencies, such as vitamin B12, can cause nerve pain and unexplained bruising.

  • Rheumatoid Arthritis: This is a chronic inflammatory disorder that can affect more than just your joints. It can cause joint pain and stiffness, which you've described.

  • Ehlers-Danlos Syndrome: Given your diagnosis of hypermobile EDS, some of your symptoms could be related to this condition. EDS can cause a variety of symptoms, including joint pain and easy bruising.

Please note that these are possibilities and not a definitive diagnosis.

What you can do

  1. Keep a symptom diary: This can help you track when your symptoms occur, their severity, and any potential triggers. This information can be helpful for your healthcare provider.

  2. Maintain a balanced diet: Ensure your diet is rich in vitamins and minerals, particularly B vitamins, which are essential for nerve health.

  3. Regular exercise: Low-impact exercises such as swimming or cycling can help reduce joint pain and stiffness.

  4. Warm baths or heat pads: These can help to relieve joint pain and stiffness.

  5. Stay hydrated and get plenty of rest: This can help manage your fatigue.

Remember to consult with a healthcare professional who can provide a definitive diagnosis and treatment plan.

What you should look out for

If your symptoms worsen or you develop new symptoms, such as severe pain, difficulty moving, or rapid, unexplained weight loss, seek medical attention immediately. Additionally, if your fatigue becomes so severe that it interferes with your daily activities, or if your bruising is accompanied by bleeding elsewhere (such as from the nose or gums), seek medical attention.

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11 mo ago

People Also Ask


What could be causing the pins and needles sensation in my hands and feet?

The pins and needles sensation, also known as paresthesia, could be caused by peripheral neuropathy, which is damage to the peripheral nerves. It can also be related to vitamin deficiencies, such as vitamin B12, or conditions like fibromyalgia.


Why am I experiencing large, dark bruises on my thighs and shins?

Large, dark bruises can be a result of easy bruising associated with conditions like Ehlers-Danlos Syndrome (EDS) or vitamin deficiencies. It's important to consult a healthcare provider to determine the underlying cause.


How can I manage joint pain and stiffness that worsens in the evening?

To manage joint pain and stiffness, consider low-impact exercises like swimming or cycling, use warm baths or heat pads for relief, and maintain a balanced diet rich in vitamins and minerals. Keeping a symptom diary can also help identify patterns and triggers.


What should I do if I experience severe fatigue and unexpected weight loss?

If you experience severe fatigue and unexpected weight loss, it's crucial to seek medical attention. These symptoms could indicate an underlying health issue that needs to be addressed by a healthcare professional.


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