[57F] Experiencing constant joint pain and swelling

Patient Description

A 57-year-old female reports experiencing constant joint pain throughout her body for the past year, rated as severe (10/10). The pain is not affected by activity or rest and is accompanied by swelling. Additionally, she experiences morning stiffness that lasts for about an hour. The patient denies any recent injuries, unexplained weight loss, fevers, or changes in skin appearance. No other symptoms were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Rheumatoid Arthritis: This is a chronic inflammatory disorder affecting many joints, including those in the hands and feet. It's an autoimmune disorder, which means your immune system mistakenly attacks your body's tissues. Symptoms include tender, warm, swollen joints, joint stiffness that is usually worse in the mornings and after inactivity, and fatigue.

    • Treatment typically involves medications to reduce inflammation in your joints in order to prevent or slow joint damage.
  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It amplifies painful sensations by affecting the way your brain processes pain signals. Symptoms sometimes begin after a physical trauma, surgery, infection or significant psychological stress.

    • Treatment often involves a combination of medications, exercise, stress-management measures, and healthy lifestyle habits.
  • Polymyalgia Rheumatica: This is an inflammatory disorder that causes muscle pain and stiffness, especially in the shoulders and hips. Symptoms of polymyalgia rheumatica often occur suddenly and get worse in the morning.

    • Treatment typically involves medications to reduce inflammation in your joints in order to prevent or slow joint damage.

What you can do

  1. Schedule an appointment with your primary care doctor. They can provide a formal assessment and order relevant tests if necessary.
  2. Keep a symptom diary. Note when your symptoms occur, their severity, and any potential triggers. This will be useful information for your doctor.
  3. Try gentle exercises like swimming or walking, which can help to reduce joint pain and stiffness.
  4. Apply heat or cold to the joints that hurt. Some people find relief from a warm bath or hot pack, others find cold packs to be more helpful.

What you should look out for

Reasons to seek urgent medical attention:

  • If you notice a sudden increase in pain or swelling
  • If you develop a fever (temperature over 100.4°F)
  • If you experience sudden weakness or loss of function in your joints
  • If your symptoms significantly interfere with your daily activities

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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7 mo ago


People Also Ask


What are the common symptoms of rheumatoid arthritis?

Common symptoms of rheumatoid arthritis include tender, warm, swollen joints, joint stiffness that is usually worse in the mornings and after inactivity, and fatigue. It is an autoimmune disorder that can affect many joints, including those in the hands and feet.


How is fibromyalgia different from rheumatoid arthritis?

Fibromyalgia is characterized by widespread musculoskeletal pain, fatigue, and issues with sleep, memory, and mood. Unlike rheumatoid arthritis, which is an autoimmune disorder affecting the joints, fibromyalgia affects the way the brain processes pain signals and does not cause joint inflammation.


What lifestyle changes can help manage joint pain and stiffness?

Lifestyle changes that can help manage joint pain and stiffness include engaging in gentle exercises like swimming or walking, applying heat or cold to the affected joints, maintaining a healthy diet, and managing stress through relaxation techniques or therapy.


When should I seek urgent medical attention for joint pain?

You should seek urgent medical attention for joint pain if you notice a sudden increase in pain or swelling, develop a fever over 100.4°F, experience sudden weakness or loss of function in your joints, or if your symptoms significantly interfere with your daily activities.


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1 Comments


Anonymous#23658

7 mo ago

Have you been diagnosed with rheumatoid arthritis? I was 10 years ago but now I can say it's bearable for the most part. It was a lot of work to gain mobility again. I take a weekly shot, no longer an infusion, and fewer meds. I have to watch what I put into my body, like less sugar and exercise, to keep the pain down. If I miss one of the things, it automatically causes a bad few days after.

My damaged joints some have gained back their strength but are still a little deformed and no longer hurt. I'm lucky it's only a few.

And still, this can all change back one day. But if I keep my strength up, I will be able to recover faster later and have less pain in the future. I have lived with it for almost thirty years now, and every day, I am grateful to be walking around and taking care of myself.

I say it took ten years to get better because it took at least ten years to get that bad before a doc recognized what it was.

This is a glorious time with improvements to the medication for RA a lot more than it was even twenty years ago. There are options now. Not just prednisone and aspirin. And new ones on the horizon.

Take care, and you got this.

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