[43F] Experiencing jaw and knee pain with chills and body aches

Patient Description

A 43-year-old female presents with continuous dull knee pain located at the front, which worsens with walking and sitting, and has been occurring on and off for about 2 years. The pain is rated 8/10 in severity. Additionally, she experiences sharp jaw pain on the right side under the zygomatic bone, also rated 8/10, which causes difficulty chewing and is accompanied by a popping sensation. This pain is persistent throughout the day. She also reports night sweats but no fever or unintentional weight loss. Her medical history includes high white blood cells, bronchitis, and recent infections with COVID-19 and strep throat. She has been on Zoloft (100mg) for 6 years and takes Tylenol and ibuprofen as needed. No known allergies or family history of arthritis or autoimmune conditions were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Temporomandibular joint (TMJ) disorders: These conditions affect the joint that connects your jaw to the side of your head. Symptoms can include jaw pain, difficulty chewing, and a clicking or popping sound when you move your mouth. Stress, teeth grinding, and arthritis can all contribute to TMJ disorders.

    • Treatment typically involves self-care practices, such as eating soft foods, applying ice to the jaw, and avoiding extreme jaw movements. Non-surgical treatments, such as medications and physical therapy, may also be helpful. In severe cases, surgical procedures may be necessary.
  • Osteoarthritis: This is a type of arthritis that occurs when the protective cartilage that cushions the ends of your bones wears down over time. It can cause pain and stiffness in any joint in your body, but is most commonly affects the knees. Your description of worsening pain with activity and relief with rest is consistent with this condition.

    • Treatment typically involves a combination of exercise, weight loss if you're overweight, pain relievers, and physical therapy. In severe cases, joint replacement surgery may be necessary.
  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It can also cause body aches and has been linked to stress, infections, and genetics.

    • Treatment typically involves a combination of medications, exercise, stress management techniques, and healthy lifestyle habits.

Please note that these are just possibilities and not a definitive diagnosis. It's also possible that your symptoms could be related to a different condition.

What you can do

Given the severity and duration of your symptoms, it's important that you seek medical attention. Here are some steps you can take:

  1. Schedule an appointment with your primary care provider: They can perform a physical examination, ask more detailed questions about your symptoms, and potentially order tests to help determine what's causing your symptoms.

  2. Keep a symptom diary: Note when your symptoms occur, what you're doing when they happen, and anything that makes them better or worse. This can help your healthcare provider identify patterns and potential triggers.

  3. Practice good self-care: This includes eating a balanced diet, getting regular exercise, ensuring you get enough sleep, and managing stress. These measures can help improve your overall health and may help alleviate some of your symptoms.

What you should look out for

If your symptoms worsen or you develop new symptoms, such as severe pain, fever, or unexplained weight loss, you should seek medical attention immediately. These could be signs of a more serious condition that requires prompt treatment.

Remember, I'm an AI and this advice is based on the information you've provided. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common symptoms of temporomandibular joint (TMJ) disorders?

Common symptoms of TMJ disorders include jaw pain, difficulty chewing, a clicking or popping sound when moving the mouth, and sometimes headaches or ear pain. These symptoms can be exacerbated by stress, teeth grinding, or arthritis.


How is osteoarthritis in the knee typically treated?

Osteoarthritis in the knee is typically treated with a combination of exercise, weight management, pain relievers, and physical therapy. In severe cases, joint replacement surgery may be considered.


What lifestyle changes can help manage fibromyalgia symptoms?

Lifestyle changes that can help manage fibromyalgia symptoms include regular exercise, stress management techniques, maintaining a healthy diet, ensuring adequate sleep, and sometimes cognitive behavioral therapy. Medications may also be prescribed to help manage pain and improve sleep.


When should I seek immediate medical attention for my symptoms?

You should seek immediate medical attention if your symptoms worsen significantly, or if you develop new symptoms such as severe pain, fever, or unexplained weight loss, as these could indicate a more serious condition.


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