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Severe pain in the hands and legs. Done with blood tests. Taking Tayo 6K. Treatment? - Online Doctor Chats

Date : 03-Oct-2013
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2407 Questions
User:My wife is 32 yrs old. From the past 6 months she has been complaining of severe pain in the hands and legs. We met a couple of doctors (General physician to Orthopedic) but the pain still persists. All her reports came normal except Vitamin D which was 11 and B12 which was
User:GA sir
Doctor:Give me a few minutes to read your query.
Doctor:I would like to know what the doctors mentioned the cause of pain was?
User:the General Physician mentioned the pain was due to the Vitamin deficiency
User:basically, my wife takes care of home and work and hardly takes rest
User:she is up by 6 am and works till 11 pm
User:and this is an everyday routine
User:we thought it was stress earlier
Doctor:May I know if the pain is consistent throughout the day or if it varies with time of day?
User:but it appears to be something esle
User:it is consistent
User:and throughout the day
Doctor:Does she feel better with sleep?
Doctor:Or does the pain disturb her sleep?
User:no, the pain doesn't disturb her sleep
User:but recently she sweated a lot in her sleep
User:almost drenched
User:this happened a few times
Doctor:Can you specify the exact locations of pain - is it the joints or other areas?
Doctor:If it is the other areas can you name the areas involved?
User:it is from elbow to the palm and Knees to her foot
User:and when the hand is paining the elbow gets really hot (temperature)
Doctor:Does she have swollen joints too?
Doctor:Let me brief you.
Doctor:The symptoms that your wife complaints are too vague and broad to understand what is going on exactly.
Doctor:Vitamin D deficiency and vitamin B12 deficiency can cause similar pains.
Doctor:So will other metabolic abnormalities such as high blood sugar, abnormal thyroid hormones, calcium and mineral deficiency can also cause such problems.
User:we got the sugar and thyroid tests done and the reports were normal
Doctor:In addition we also need more tests to know about hemoglobin levels, immune status and so on to isolate the cause.
User:Is it Ok if I send you the reports I have?
Doctor:if no specific cause is found, we manage this pain with drugs similar to antidepressants. Low dose of such medications will modify her pain receptors
Doctor:and make her lead a better life.
Doctor:All these evaluation are best done under guidance of a rheumatologist.
User:oh ok
Doctor:I would recommend that you consult a rheumatologist and find out if she has any other organic cause missed by physicians.
Doctor:Have you followed?
User:can you recommend me a rheumatologist?
User:yes, I did
Doctor:May I know your location?
User:I live in Sindhi Colony, Paradise
Doctor:I practice in Bangalore and I am unaware of doctors in Hyderabad. But if I were you, I would visit a multispecialty hospital like Apollo or Care Hospitals to find best rheumatologist.
Doctor:You can choose to do the same.
User:I'll do that.. thanks for your time and advise
Doctor:But if you want other doctors, i can mail you other practising rheumatology clinics
Doctor:to your email.
Doctor:Will that be Ok?
User:sure. that would be a great help
Doctor:you will get the details of rheumatologist to your email. I hope you have registered with us. If not, please confirm your email address.
Doctor:Thanks for consulting me.
Doctor:Nye for now.
Doctor:*bye for now.
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