[46F] With severe muscle pain and new onset migraine
Patient Description
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Arora's Assessment
What might be happening
Your symptoms could be related to several issues, possibly linked to your lupus or the recent fall. Here are some possibilities:
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Muscle and Joint Pain:
- Lupus can cause widespread muscle and joint pain. The fall might have exacerbated these symptoms.
- Pain in multiple areas like your back, hands, legs, and feet could also be due to fibromyalgia, which is common in people with lupus.
-
Migraine:
- Stress, changes in sleep patterns, or lupus itself can trigger migraines. Since this is your first experience, monitoring is important.
-
Numbness and Cramps:
- These could be related to nerve compression or circulation issues, possibly worsened by lupus or the fall.
-
Tailbone Pain:
- This might be due to the fall, causing bruising or strain in the area.
What you can do
Muscle and Joint Pain:
- Continue using Tylenol and ibuprofen as directed, but consult your doctor to ensure it's safe with your lupus.
- Gentle stretching and low-impact exercises like swimming can help.
- Use heat therapy cautiously, as it helps some people with muscle pain.
Migraine:
- Maintain a regular sleep schedule and stay hydrated.
- Consider keeping a migraine diary to identify triggers.
Numbness and Cramps:
- Magnesium supplements seem to help; continue as directed.
- Gentle leg stretches before bed might reduce cramps.
Tailbone Pain:
- Use a cushion when sitting to relieve pressure.
- Avoid prolonged sitting and apply ice if needed.
Consider using MDandMe to journal your symptoms and track progress. This can help provide insights and share notes with your healthcare provider.
What you should look out for
Seek medical attention if you experience:
- Increased pain or swelling.
- New or worsening numbness.
- Severe headaches or changes in vision.
- Any signs of infection or unusual symptoms.
Always consult with a healthcare professional for a formal diagnosis and treatment plan.
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1 mo ago