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Joint pain with crack sound while bending - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1770 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   whats your name doctor? am XXXXXXXX
Doctor :   Hi AAAAAAA

Doctor :  
I am Dr. Bharath here.
User :   hello doctor bharath
Doctor :  
Please proceed with you medical query. I will help you with your concern.
User :   i need some advise
Doctor :  
sure. please proceed.
User :   my brother has been complaining of pains in knee joints for 6 months now
User :   when he bends his knees there is a crack small sound too
User :   both knees
User :   nXXXXXXXXr had an injury
User :   some times he can not cont walking etc
User :   at other time he is running with no issues XXXXXXXXn jumping
Doctor :  
ok
User :   but there is one interesting thing which i should tell you
Doctor :  
may i know the age of your brother?
Doctor :  
sure. please tell me.
User :   he told me that the same pain is feeling in all his joints of all bones in his body
User :   like wrists particulary
Doctor :   ok

User :   as if his whole body bone joints havd issues
User :   so i told him this is not only a knee issue
User :   he is 37
User :   he saw a doctor
User :   who gave him some heavy pain killer
User :   voltarin ijection
User :   and gel
Doctor :   ok
User :   and i think olfein tablests
Doctor :  
does he have fXXXXXXXXr?
User :   no
User :   nXXXXXXXXr
User :   not XXXXXXXXn a flu
User :   or anything
User :   but he nXXXXXXXXr takes meat
User :   only rise
User :   not XXXXXXXXn milk
User :   so perhaps he is having issues on bones
User :   dont know
Doctor :  
ok
User :   if u have any more questons to ask pls feel free he is sitting with me
Doctor :   clicking sound in the knee is seen in the normal individuals.
User :   yes but sound is not an issue
User :   its the sXXXXXXXXre pain which prXXXXXXXXnts him from XXXXXXXXn walking
Doctor :  
but in whole body joints are paining this looks little different.
User :   thats what i thought and he confirms that all his body joints (like wrists, XXXXXXXXn finger joints) he feels same pain
User :   otherwise he is very hard boy i mean tough guy
Doctor :  
does he has swelling and difficulty in movements.
User :   not sweeling
Doctor :   ok
User :   just pain in joints
User :   i must tell u one thing perhaps would help
Doctor :  
and the pain is not regular.
Doctor :  
is it?
User :   he had done in the past (like from 1995-2007) work in the newspaper job
User :   meaning he had a newspaper stand
Doctor :   ok

User :   and he occassionaly use his bike to throw away nespapers to apartments balconyes
User :   driving a bike etc etc
Doctor :  
ok
User :   he said the whole body joint pains he also felt a lot in those days
User :   but nowadays the biggest issue is his knee joint pain
User :   cant XXXXXXXXn walk sometimes
User :   anyway
Doctor :  
ok
User :   what do you think?
Doctor :  
does the pain remain same entire day.
Doctor :  
or he is getting in regular intervals
Doctor :  
like morning its more
Doctor :  
afternoon a mild pain
Doctor :  
again in the XXXXXXXX it's increasing
User :   he is saying the pain feeling is 24 hrs
User :   but in the morning when wake up its bit more
Doctor :   ok

User :   like now XXXXXXXXn he is twisting his fingers and wrists
User :   and feeling pain
Doctor :  
morning its more and as the day progresses it get mild and whole day its mild pain in all joints of the body?
Doctor :   Based on the case history you have given I will suggest you to go for certain blood tests.
Doctor :  
Hb, TC, DC, ESR, RF, FBS and PPBS.
User :   he said
User :   when he wakes up in morning
User :   he feels more pain
User :   XXXXXXXXn he feels strerchng in his fingers as if his fingers become hard stuffed
User :   as the day progresses thing become better
Doctor :   Yes
User :   also told me when he presses his knees
User :   he feels that some veins are stretching inside
Doctor :  
thats why I suggested for RF
User :   whats RF
Doctor :  
Rheumatoid factor
Doctor :  
Since it is more generalised rather than a local pain
Doctor :  
It is possible to be rXXXXXXXXaled in blood tests
Doctor :   Are you following?

User :   hang on
User :   he said
User :   that when he saw the doc
User :   he did blood tests for uric acid and also hb
User :   it was negative
Doctor :   Ok

User :   but did not do all others test like rf etc
Doctor :  
Yes, that is to test for Gout
Doctor :  
But this is different
User :   so if u want i can ask him to do these test which u said but pls writ the proper names for all these abbriviations for us to be easy
Doctor :   Ok
Doctor :   But all the labs will understand it
Doctor :  
It is standard abbreviation
User :   thing is doct h is
User :   we are in saudi
Doctor :  
Ok
User :   and he is on his company doc
Doctor :  
Safer side, I will list it
User :   i think he can not tell his doc to do these tests
User :   we have to find private labs
User :   and people are egyptians docs here
Doctor :   Yes

Doctor :  
Yes, thats what I meant
User :   so better if u tell whole name pls...
Doctor :  
Pvt labs do understand it
Doctor :  
the lab personnel would be familiar with it
Doctor :  
XXXXXXXX not to take it for granted
Doctor :  
I will list out
User :   ok
Doctor :  
Total count, Differential count, Erythrocyte Sedimentation Rate, Fasting Blood Sugar, Fasting Lipid Profile and Rheumatoid Factor
Doctor :  
I have omitted Hemoglobin or Hb as you mentioned it to be already done
User :   ok
Doctor :   I have added Lipid Profile, which is not directly linked

Doctor :  
but worth getting done
User :   doctor what are you suspecting pls? just roghly possibilities
Doctor :  
as it would be possible in the same sample
Doctor :  
Rhemautoid arthritis is my main suspect
Doctor :  
But cannot come to a conclusion
Doctor :  
without the tests
Doctor :  
Is there anything else I can help you with?
Doctor :   Get back to me with the results

Doctor :  
Are you there?
User :   no
User :   thanks
User :   i will
User :   you take care
Doctor :  
Please fill the feedback form
Doctor :  
and say done after filling
User :   doc one last question
Doctor :   Sure

User :   if it is the same issue then is there a cure?
User :   and what it is?
Doctor :   Yes, treatment is there rather than cure

Doctor :  
But it is too premature to talk of it now
User :   you mean by medicines
Doctor :   Yes

User :   may iask the cause of this desease
Doctor :   Nothing specific

Doctor :   Only certain risk factors
Doctor :  
like overweight, diabetes, infections
User :   ok
User :   thanks
Doctor :  
Thanks for consulting, bye
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