A member asked:

Is there a neurological condition that causes joint pain? i have ra, pain in multiple joints since mid-aug. sed rate/crp nml. per ra md pain is "neuropathic, " prescribed neurontin-not working.

3 doctors weighed in across 2 answers
Dr. David Trettin answered

Specializes in Orthopedic Surgery

Rhematoid arthritis: As an orthopedic surgeon who treats R.A. Patients( end stage usually for joint replacement ), i would say that by definition R.A. Pts . Have joint pain because of the very nature of their diagnosis; generally not neuropathic( diabetic , for example). In my experience a negative rf, ana, etc. Early on is more common than not... Prob. A good phy. Exam to confirm dx. And nsaids would be most helpful.

Answered 3/29/2018

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Yes: Approximately 20% of RA patients also have a pain condition called fibromyalgia. The symptoms of fibromyalgia are thought to originate in the nervous system. Also, peripheral neuropathy is fairly common in RA patients. If the RA doctor is convinced that your pain is not directly coming from the ra, consider also seeing a neurologist.

Answered 9/2/2015

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