A member asked:

What could cause pains in hands, feet, shoulders, and knees? i've been checked for all of the autoimmune and rheumatological diseases.

6 doctors weighed in across 3 answers

Sedentary lifestyle?: If your doctor has ruled out the many causes of joint pain; including a thorough workup for autoimmune, rheumatologic including Osteoarthritis, Fibromylalgia infectious disesase causes like Lyme, Dengue fever to name a few; metabolic causes Vitamin D deficiency, Cancer etc... which I assume they have. Then maybe it is time to start moving those joints and stretching the muscles improve function

Answered 2/1/2020

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Poly Arthritis: There are a host of conditions that can cause pain in multiple joints . Infections such as Viral or Bacterial Any form of inflammatory diseases such as inflamatory bowel disease Cancer of any type you should consider having a good exam with blood work . Eventually with time , your condition will either improve - resolve or point to a cause Take care

Answered 4/29/2015

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Dr. Dominic Riganotti answered

Specializes in Infectious Disease

Neuropathic pain: Make sure Lyme disease was ruled out. Cold agglutanins should be ordered. Does this happen more when your hands and feet get cold???? I'm sure they checked out Sjögren's syndrome. A Lupus panel should be ordered if not. Fibromyalgia is a diagnosis of exclusion once everything else has been ruled out. You may ask if a trial of Neurontin or Lyrica (pregabalin) is appropriate.

Answered 4/30/2015

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