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Doctor insights on: Inflammation Of The Backbone With Stiffness In The Joints

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Severe joint pain in hands and feet and morning stiffness. Sed rate is norm. So no inflammation. So why do they hurt?

Severe joint pain in hands and feet and morning stiffness. Sed rate is norm. So no inflammation. So why do they hurt?

Don't assume. ..: That there is no joint inflammation because sed rate is normal. It's unclear from your note how long you have been experiencing severe joint pain; in the early stages of joint inflammation the sed rate may be normal and even the finding of joint swelling can be subtle. You are in the age group in which Rheumatoid Arthritis may occur. A more sensitive marker for inflammation is the CRP; ask MD. ...Read more

Inflammation (Definition)

Inflammation is the body's attempt at self-protection; the aim being to remove harmful stimuli, including damaged cells, irritants, or pathogens - and begin the healing process. Inflammation is part of the complex biological response of vascular tissues to harmful stimuli, such as pathogens, ...Read more


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Severe widespread joint pain/morning stiffness 9 mnth. Daily 20mg prednisone did not work, MRI of joints show no inflammation. RF DNA SM neg ANA 1:320?

Severe widespread joint pain/morning stiffness 9 mnth. Daily 20mg prednisone did not work, MRI of joints show no inflammation. RF DNA SM neg ANA 1:320?

Alternative: Despite ANA being positive, if you have no inflamm visible & prednisone had no effect, consider an alternative track: many foods cause sensitivities/joint/muscle pain without measurable inflammation.Sugar/Wheat/Gluten are among the most common. Consider seeing a doctor interested in 'Functional Medicine' & they can test for these sensitivities. Other thought: toxicities. These drs can test this, too. ...Read more

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I am experiencing  knee pain for the past 5 years- Painful swollen joints, Knee swelling, and Joint stiffness. Gradually getting worse. MRI showed only inflamation. Do I need to go to ortho dr? What can I expect to hear as diagnosis?

I am experiencing  knee pain for the past 5 years- Painful swollen joints, Knee swelling, and Joint stiffness. Gradually getting worse. MRI showed only inflamation. Do I need to go to ortho dr? What can I expect to hear as diagnosis?

Yes and Rheumatology: It sounds to me like you have a polyarthritis that may be an inflammatory arthritis. Lab tests for connective tissue disease are not routinely performed, but in your case I would test for Lyme disease, Rheumatoid arthritis, and other causes of polyarthropathy. Do your painful swollen joints migrate? Any joint fluid taken for analysis? Any trauma? Full history and exam indicated. ...Read more

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Lower back and joint stiffness? How often should I stand and stretch? >

Lower back and joint stiffness? How often should I stand and stretch? >

Often: There is a genetic condition that causes lower back and large and small joint stiffness, called ankylosing spondylitis. If this is the cause of your stiffness you should see a rheumatologist who will prescribe x-ray studies and an anti inflammatory to start the treatment. Other conditions such as rheumatoid arthritis can cause joint and back stiffness. You should definitely see a rheumatologist. ...Read more

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I am experiencing back pain (side: upper) and back injury. The following also describes me: Joint stiffness. What should I do?

I am experiencing back pain (side: upper) and back injury. The following also describes me: Joint stiffness. What should I do?

Options: Some things you can try at home for back pain include a warm shower with the water aimed at your back, a heating pad (insure that you don’t get burned), stretching & Tylenol or NSAID’s. If your pain is severe or chronic, a medical evaluation would be prudent. Acupuncture & massage can be beneficial for some types of back pain. ...Read more

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I'm getting morning back stiffness and have rose joints with a swelling on my wrist. I exercise 4 times a week, it's slows me down. Thanks?

I'm getting morning back stiffness and have rose joints with a swelling on my wrist. I exercise 4 times a week, it's slows me down. Thanks?

Many Possibilities: Depending on how long it's been going on, I would consider an evaluation by a spine specialist. Sometimes it could be a muscle imbalance, early onset arthritis or scoliosis. Also could be a pinched nerve/herniated disc. Either way it might be good to figure it out and get appropriate treatment. ...Read more

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Why do I have extreme joint pains and stiffness in hips, lower back, elbows, knees and feet? R.A. has been ruled out. My x- rays come back fine.

Why do I have extreme joint pains and stiffness in hips, lower back, elbows, knees and feet? R.A. has been ruled out. My x- rays come back fine.

Multiple joint pain: Joint pain is either degenerative (osteoarthritis) or inflammatory. There are over 100 kinds of arthritis. If rheumatoid factor is negative, you would look to ESR and CRP first. There are a battery of tests that follow for rarer conditions as more common ones are ruled out. Disease Markers (RF, CCP, ANF/ANA) for example. A rheumatologist may be helpful, as well as your primary doc ...Read more

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I am experiencing back pain, curved spine (quality: one shoulder higher), aching muscles and severe back pain. The following also describes me: Joint stiffness. What should I do?

I am experiencing back pain, curved spine (quality: one shoulder higher), aching muscles and severe back pain. The following also describes me: Joint stiffness. What should I do?

Be evaluated: I would not hesitate to be seen and thoroughly evaluated in terms of both the "curved spine" otherwise known as scoliosis as well as cause of your severe back pain, which may or may not be directly be related to the scoliosis itself. ...Read more

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Always tired low energy low iron not anemic but bordrline dizzy spells light headed loss of balance n i-site bldwrk done 4 low bldprss came back nothing? Stiffness and pain in joints achy everywhere.

Always tired low energy low iron not anemic but bordrline dizzy spells light headed loss of balance n i-site bldwrk done 4 low bldprss came back nothing? Stiffness and pain in joints achy everywhere.

Too young tohave pro: Young people rarely have health problems. Most of their probelms are due to emotional instability and or stress. The solution for such probelms lies in strenthening your mind. This will require you to siplify your life. Take time to exercise daily, eat healthy and sleep 8 hours daily. Anytime that you can find, take a stroll and walk > 5, 000 steps daily. I can assure yiou to feel and function bett. ...Read more

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Injured self somehow & had pubic shearing & si joint inflammation. Saw d.O. & he adjusted pubic bone. Pain was gone for a month. Now pain is back! Why?

Somatic dysfunction: Treatment of certain conditions may provide long lasting pain/symptom free interval. By not addressing the cause & prevention, symptoms are bound to return. Either way, it sounds like a success story so far; you were able to go without pain meds for a month by receiving a benign treatment. Go back & tell your do you want the pain gone now! & don't want it to ever come back. ...Read more

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Pain lower right side, just below ribs, pelvic/hip area, & entire lower back. Difficult moving, joints & muscle stiffness & pain. What could it be?

Pain lower right side, just below ribs, pelvic/hip area, & entire lower back. Difficult moving, joints & muscle stiffness & pain. What could it be?

Possible UTI: While there are a myriad of causes for low back pain, your location description, gender and arthralgias (joint pain) raise concern for an upper urinary tract infection even without typical urinary symptoms. I'd seek medical attention to include a possible urinalysis. While most causes for chronic low back are non-urgent, this hints at something of a more serious nature if untreated. ...Read more

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Severe joint pain in hands/feet morning stiffness numbness. One finger the joint feels like it is sliding back and forth when bending it. What is it?

Severe joint pain in hands/feet morning stiffness numbness. One finger the joint feels like it is sliding back and forth when bending it. What is it?

See your PCP: Severe pain in hands and feet in the morning can indicate an inflammatory condition such as arhritis. The individual finger problem sounds like a tendon issue. The two are not related. A blood test. By your Primary Care doc may anseer the former, a Hand surgeon should evaluate the latter. ...Read more

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Chrondolamacia getting worse, pinched nerve in back, symmetrical joint pain, esp in hands & wrists. Morning stiffness. Fatigue. A little redness. RA?

Chrondolamacia getting worse, pinched nerve in back, symmetrical joint pain, esp in hands & wrists. Morning stiffness. Fatigue. A little redness. RA?

Needs work up: Diagnosis of autoimmune arthritis (such as RA) includes blood work, clinical exam, and if nec. A variety of imaging. See your Dr.
From a radiology viewpoint, there are many tools. First and foremost are plain films. Quantitative dynamic MRI may actually be good for RA prognosis as well as early response to treatment.
There are now good biologic drugs for RA, so it is not as scary as it once was ...Read more

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Joint and back pain and stiffness with numerous trigger points, most recent MRI of hand revealed a partial tear of the flexor pollicis longus tendon?

Joint and back pain and stiffness with numerous trigger points, most recent MRI of hand revealed a partial tear of the flexor pollicis longus tendon?

Arthritis: You have described an arthritis condition, of which there are many types. In addition to joint damage, many arthritides can cause tendon damage resulting in tears or ruptures. See a rheumatologist. (note "fibromyalgia" while causing tender points, does not result in tendon tears). ...Read more

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Stifness and pain in neck, hip joint and back. I get relief only by crackling them by twisting. Suffering from over a year now. Please help me.

Stifness and pain in neck, hip joint and back. I get relief only by crackling them by twisting. Suffering from over a year now. Please help me.

How old are you: Your age might be relevant for a complain like this stop cracking your neck and your back you can see a doctor or physical therapist oe message therapist to reduce the pain and stifness ...Read more

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Low risk of dvt. Had major autohemotherapy and out of anxiety got ddimer done. Came back. 60 under.50 normal. Should I worry or just joints inflammed?

Low risk of dvt. Had major autohemotherapy and out of anxiety got ddimer done. Came back. 60 under.50 normal. Should I worry or just joints inflammed?

Can contact the Dr.: If the doctor who did "autohemotherapy" and re-injected a patient's blood into locations where those amounts of blood don't naturally belong, the patient can contact the doctor to discuss D-dimer, how much the therapy should affect test results, whether or not such tests are valid after "therapy", etc... ...Read more

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I had a surgery I'm my fifth metacarpal I need to know when the stiffness & inflammation will be gone I mean how long does it take?

I had a surgery I'm my fifth metacarpal I need to know when the stiffness & inflammation will be gone I mean how long does it take?

Swelling hand op: First ALWAYS best to ask for surgeon. Generally it take 3 to 6 months for full recover. PT exercises will help speed this up. Again these are issues your hand surgeon needs to address.. ...Read more

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No DX from docs, I'm feeling hopeless. Symptoms: joint & widespread pain and stiffness, lung inflammation and pleurisy, fatigue, +ANA 1:640, speckled?

No DX from docs, I'm feeling hopeless. Symptoms: joint & widespread pain and stiffness, lung inflammation and pleurisy, fatigue, +ANA 1:640, speckled?

Systemic lupus?: This sounds like systemic lupus erythematosus (SLE), although other connective tissue diseases could cause similar symptoms and lab results. Hopelessness is a common symptom of depression, but is also common in almost any illness when patients feel that they aren't doing well. You should see a rheumatologist if you haven't already. ...Read more

Dr. Stratos Christianakis
1,189 Doctors shared insights

Joints (Definition)

Joints are parts of the body, formed by the cartilage-covered ends of bones plus the strong, flexible ligaments that attach the bones to one another. Movements at the joints in the body allow the different parts of the body to move in ...Read more


Dr. Walker Wynkoop
1,007 Doctors shared insights

Stiffness Or Decreased Movement (Definition)

Stiffness is a symptom of inflammation surrounding a joint or muscle and making it more resistant to movement. Neurological disorders can sometimes cause stiffness. ...Read more