[51M] Experiencing chronic thigh, hip, and rib pain

Patient Description

A 51-year-old male reports suffering from chronic pain in both thighs described as a bone ache, particularly in the front inner part, which worsens with walking, running, or standing for extended periods. The pain severity is rated 6 out of 10. Additionally, the patient experiences stiffness and pain in the hip joints, specifically at the top of the femur, and has been dealing with this for approximately 3 years. The patient also reports a constant, dull, and achy pain in the lower right ribs, which is painful when pressed, rated 5 out of 10 in severity. Other symptoms include joint stiffness, especially in the morning, occasional night sweats, and fatigue. There is no known history of chronic illnesses or conditions, no known drug allergies, and the only medication being taken is sertraline 50mg daily.

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Arora's Assessment

What might be happening

Based on the information you've provided, there are several possibilities for your symptoms:

  • Osteoarthritis: This is a degenerative joint disease that can cause pain and stiffness in the joints, particularly in the hips and knees. It's common in older adults and can be exacerbated by physical activity.

    • Treatment typically involves pain management with over-the-counter pain relievers, physical therapy, and in some cases, surgery.
  • Fibromyalgia: This is a chronic condition characterized by widespread pain, fatigue, and tenderness in localized areas. It's more common in women, but men can also be affected.

    • Treatment typically involves a combination of medication, exercise, stress management, and healthy lifestyle habits.
  • Polymyalgia Rheumatica: This is an inflammatory disorder that causes muscle pain and stiffness, especially in the shoulders and hips. It's more common in people over 50.

    • Treatment typically involves low doses of corticosteroids to reduce inflammation.
  • Multiple Myeloma: This is a type of cancer that forms in a type of white blood cell called a plasma cell. It can cause bone pain, especially in the chest or spine, and fatigue. Night sweats are also a common symptom.

    • Treatment typically involves chemotherapy, radiation, and stem cell transplantation.

Please note that these are possibilities based on the information you've provided and are not definitive diagnoses.

What you can do

Given the chronic nature and severity of your symptoms, it's important to seek medical attention. A healthcare provider can perform a physical examination and order tests such as blood tests, imaging studies, or other diagnostic procedures to determine the cause of your symptoms.

In the meantime, you can try the following to help manage your symptoms:

  1. Over-the-counter pain relievers: Non-prescription medications like acetaminophen (Tylenol) or nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil, Motrin) can help reduce pain and inflammation.
  2. Heat or cold therapy: Applying a hot or cold pack to the painful areas may provide some relief.
  3. Gentle exercise: Low-impact activities like walking or swimming can help maintain joint flexibility and strength. However, it's important to avoid activities that worsen your pain.
  4. Rest: Make sure you're getting enough sleep and taking breaks throughout the day to rest and recharge.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe pain that doesn't improve with rest or over-the-counter medications
  • Sudden, intense pain
  • Difficulty moving or walking
  • Unexplained weight loss
  • Fever or other signs of infection

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. It's important to consult with a healthcare provider for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common symptoms of osteoarthritis and how is it treated?

Common symptoms of osteoarthritis include joint pain and stiffness, particularly after physical activity or in the morning. It often affects the hips, knees, and hands. Treatment typically involves pain management with medications like NSAIDs, physical therapy, lifestyle changes, and sometimes surgery.


How can fibromyalgia be distinguished from other conditions with similar symptoms?

Fibromyalgia is characterized by widespread musculoskeletal pain, fatigue, and tenderness in specific areas. It can be distinguished from other conditions by the presence of these symptoms along with sleep disturbances and cognitive difficulties. Diagnosis is often based on symptom history and ruling out other conditions.


What are the typical signs of polymyalgia rheumatica and who is most at risk?

Polymyalgia rheumatica typically presents with muscle pain and stiffness, especially in the shoulders and hips, and is more common in people over 50. Risk factors include age and possibly genetic predisposition. Diagnosis is often based on symptoms and blood tests showing inflammation.


What are the early symptoms of multiple myeloma and how is it diagnosed?

Early symptoms of multiple myeloma include bone pain, especially in the spine or chest, fatigue, frequent infections, and night sweats. Diagnosis usually involves blood tests, urine tests, imaging studies, and sometimes a bone marrow biopsy to confirm the presence of abnormal plasma cells.


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