[58F] Experiencing severe hand cramps and total body stiffness

Patient Description

A 58-year-old female reports severe cramps in her hands, described as a 'charlie horse' sensation with fingers locking open, and total body stiffness after resting. These symptoms have been present for approximately a year, with the hand cramps occurring for about seven years. The stiffness is particularly debilitating after periods of inactivity, and the patient finds some temporary relief with hot water and Advil. The patient has a history of Addison's disease, Raynaud's syndrome, thyroid issues since the age of 18, psoriatic arthritis, and fibromyalgia. Current medications include hydrocortisone for Addison's disease, Flexeril, Synthroid, Voltaren as needed for pain, and supplements with vitamins C and D3. The patient also has an allergy to Clindamycin. No new joint swelling, skin, or nail changes have been observed.

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Arora's Assessment

What might be happening

Based on the information you've provided, your symptoms of hand cramps, body stiffness particularly after rest, and spasms could be related to several of your pre-existing conditions:

  • 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 multi-disciplinary approach, including physical therapy, exercise, stress-reduction measures, and medication to manage symptoms.
  • Psoriatic Arthritis: This is a form of arthritis that affects some people who have psoriasis — a condition that features red patches of skin topped with silvery scales. Most people develop psoriasis first and are later diagnosed with psoriatic arthritis, but the joint problems can sometimes begin before skin patches appear.

    • Treatment typically involves medications to reduce inflammation and prevent joint damage.
  • Addison's Disease: This is a disorder that occurs when your body produces insufficient amounts of certain hormones produced by your adrenal glands. In Addison's disease, your adrenal glands produce too little cortisol and, often, too little aldosterone. Symptoms may include muscle weakness and stiffness, joint pain, and muscle spasms.

    • Treatment involves replacing, or substituting, the hormones that the adrenal glands are not making.

What you can do

You should consult with your doctor about these symptoms. They may want to adjust your current treatment plan or explore other potential causes for your symptoms. In the meantime, you can:

  1. Continue to use heat therapy, as you've found it helpful. This can include warm baths, hot packs, or a heated blanket.
  2. Gentle stretching and light physical activity may help with stiffness.
  3. Over-the-counter pain relievers, such as the Advil you're taking, can help with pain and inflammation. However, these should be used as directed by your doctor.
  4. Ensure you're taking your prescribed medications as directed.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms significantly worsen
  • You experience severe pain
  • You develop new symptoms

Remember, while I strive to provide accurate information, I'm an AI and not a substitute for professional medical advice. Always consult with a healthcare provider for advice about your health.

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11 mo ago

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People Also Ask


What causes muscle cramps and stiffness in conditions like fibromyalgia and psoriatic arthritis?

Muscle cramps and stiffness in fibromyalgia are due to the way the brain processes pain signals, often amplifying them. In psoriatic arthritis, inflammation in the joints can lead to stiffness and pain, especially after periods of inactivity.


How can Addison's disease contribute to muscle weakness and spasms?

Addison's disease can lead to muscle weakness and spasms because the adrenal glands produce insufficient amounts of cortisol and aldosterone, hormones that help regulate metabolism, immune response, and other essential functions.


What are some effective home remedies for managing muscle cramps and stiffness?

Effective home remedies for managing muscle cramps and stiffness include heat therapy, such as warm baths or hot packs, gentle stretching exercises, and over-the-counter pain relievers like Advil, as directed by a doctor.


When should someone with these symptoms seek immediate medical attention?

Immediate medical attention should be sought if symptoms significantly worsen, severe pain occurs, or new symptoms develop, as these could indicate a more serious underlying issue.


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