A 29-year-old female asked:
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i am 28f. i am unable put hands straight forward some time, my muscles are ache a lot . in nights my thighs also ache very heavy. what is reason?

1 doctor answer
Dr. Laurence Badgley
52 years experience General Practice
Various: 28y female has upper extremities weakness & "aching" & nocturnal "thigh aching", suggesting systemic disorder; exam & lab studies needed. If no specific findings then Fibromyalgia becomes a consideration & Rheumatology consult advised. Symptoms suggest soft tissue musculoskeletal disorder & sciatica while in bed at night. See comments:
Answered on Apr 27, 2016
5
5 comments
Dr. Laurence Badgley
52 years experience General Practice
Provided original answer
Certain co-factors predispose the evolution & development of Fibromyalgia by magnifying chronic gravitational repetitive stress of deconditioned soft tissues: Obesity, joint instabilities resulting from ligament injuries, Joint Hypermobility Syndrome, pelvic girdle instability, & spinal scoliosis all stress & strain the upright body musculoskeletal tower.
Oct 27, 2015
Dr. Laurence Badgley
52 years experience General Practice
Provided original answer
Fibromyalgia, FM, sufferers commonly have: femaleness, youth, first degree female relatives with FM, obesity, oft multiple childbirths, pelvic girdle injury from MVA/falls/lifting accidents, prolonged sedentariness & weak soft tissues due to illness or injury & Joint Hypermobility Syndrome. Unifying factors: soft tissue injury in body tower with unstable joints repetitively stressed by gravity.
Oct 27, 2015
Dr. Laurence Badgley
52 years experience General Practice
Provided original answer
See Rheumatologist: for years American College of Rheumatology has defined criteria for diagnosis of Fibromyalgia & they probably have greatest skill diagnosing & using FDA pain meds. Natural therapies provide greatest potential for "cure"; so also see an Alternative Medicine doctor: nutrition, myofascial & mindfulness therapies, biofeedback, PT, yoga, Cannabis, etc.
Oct 27, 2015

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