[42M] With severe elbow pain and stiffness, joint pain, and fatigue

What might be happening

Based on the symptoms you've described, there are a few potential diagnoses that could explain your condition:

1. Rheumatoid Arthritis (RA):

   • Rationale: RA is an autoimmune disorder that causes chronic inflammation of the joints. It often presents with symmetrical joint pain, stiffness (especially in the morning), swelling, and tenderness. The fact that your symptoms are worse in the morning and improve with movement is characteristic of RA.
   • Typical Treatments/Testing: Blood tests (e.g., rheumatoid factor, anti-CCP antibodies), imaging studies (X-rays, MRI), and physical examination. Treatment often includes disease-modifying antirheumatic drugs (DMARDs), biologics, and anti-inflammatory medications.

2. Osteoarthritis (OA):

   • Rationale: OA is a degenerative joint disease that can cause pain, stiffness, and swelling in the joints. It is more common with aging and can be exacerbated by previous joint injuries or overuse.
   • Typical Treatments/Testing: Physical examination, imaging studies (X-rays, MRI), and sometimes joint fluid analysis. Treatment includes pain relievers, physical therapy, lifestyle changes, and sometimes surgical interventions.

3. Psoriatic Arthritis:

   • Rationale: This is an inflammatory arthritis associated with psoriasis. It can cause joint pain, stiffness, and swelling, and may also affect the tendons and ligaments.
   • Typical Treatments/Testing: Blood tests, imaging studies, and physical examination. Treatment includes NSAIDs, DMARDs, biologics, and physical therapy.

What you can do

Elbow Pain, Stiffness, and Tenderness:

• See a doctor: Given the severity and duration of your symptoms, it's important to consult a healthcare provider for a thorough evaluation. They may refer you to a rheumatologist for specialized care.
• At home:
  • Apply ice packs to reduce inflammation and pain.
  • Use over-the-counter pain relievers like Tylenol, as you mentioned it helps.
  • Gentle stretching and range-of-motion exercises can help maintain joint flexibility.
  • Avoid activities that exacerbate the pain, such as heavy lifting or pulling motions.

Fatigue and Depression:

• See a doctor: Discuss your symptoms with your healthcare provider, as they may be related to your joint issues or could be a separate condition like depression or chronic fatigue syndrome.
• At home:
  • Maintain a regular sleep schedule and ensure you get enough rest.
  • Engage in light physical activity, such as walking or gentle yoga, to boost your energy levels.
  • Consider talking to a mental health professional for support with your depression.

Frequent Urination:

• See a doctor: This could be related to a variety of conditions, including diabetes or a urinary tract issue. Your healthcare provider can perform tests to determine the cause.
• At home:
  • Keep a diary of your fluid intake and urination patterns to share with your doctor.
  • Avoid caffeine and alcohol, as they can increase urination frequency.

Headaches and Chills:

• See a doctor: These symptoms could be related to an underlying condition or could be side effects of your medications. Your healthcare provider can help determine the cause.
• At home:
  • Stay hydrated and rest in a comfortable, quiet environment.
  • Use over-the-counter pain relievers for headache relief.

What you should look out for

Given the complexity and severity of your symptoms, it's important to seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Sudden, severe joint pain or swelling.
• Fever or signs of infection.
• Unexplained weight loss or persistent fatigue.
• Any new or worsening symptoms.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.