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Painful joints, Rheumatoid factor and Reactive protein test - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   I was diagnosed with high cholesterol. I am 60 years old. Aside from a reasonable exercise routine, I have started taking Niacin and also Omega-3. I have been on this new regimen for 9 weeks. I have lost a little weight, and many inches. However, this past week all my joints are really painful! It is not a muscle thing - it is joints! Could it possible be the Niacin or the Omega-3?
Doctor :   Hi,
User :   Hope you can help
Doctor :   No, both are not known to cause such sideeffects
Doctor :   the pain in the joints you have can be attributed to loss of weight
Doctor :   Are you able to read me ?
User :   I do not understand - I thought the weight loss would be good for the joints!
User :   Yes I read you - but I do not understand why?
Doctor :   weight loss will be accompanied with loss of fat reserve around the joints , as they are busy working spots
User :   Okay - what is the solution? Gain the weight back?
Doctor :   you may have to go for joint massage with methyl salicylate oils
Doctor :   Do not worry , this problem is self limiting and will go off on exercising
Doctor :   No , gaining weight is not the solution here
User :   But I HAVE been exercising!!!! I have been doing all the exercises that the Chiropractor and physio therapist have given me.
Doctor :   Also apply DICLOFENAC gel over the joints affected , thrice a day it will give you good relief
Doctor :   Ok, fine do you have pain in small joints like that of in toes and fingers ?
User :   Yes - toes, fingers, shoulders, back, hips, elbows, knees, ankles....
User :   and even my neck!
Doctor :   Ok, It may last for not more than 2 to 3 weeks on regular exercising
Doctor :   Also i would ask you to get a CRP and RA factor test done
User :   I have been exercising faithfully for 9 weeks! The onset of this joint pain has been in the last week. I do not think it is reated.
User :   Wath is a RA factor?
User :   and CRP?
Doctor :   the above tests will rule out any other serious causes of joint pains like rheumatoid arthitis
Doctor :   RA is Rheumatoid factor , and CRP is C reactive protein
Doctor :   the both tests can help in early detection of serious joint pathologies
User :   Does rheumatoid arthritis usually have a sudden onset?
Doctor :   no , but it presents with intermittent episodes of joint pains each lasting for a week or two in the beginning
Doctor :   later become chronic joint pathology
Doctor :   with continuous pain
User :   Is there a cure?
Doctor :   yes, there is cure
Doctor :   and can be better treated if detected early
User :   Okay - thankyou - I will look into this.
Doctor :   you are welcome
Doctor :   Thanks for consulting me
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