HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Causes Pain In Hands And Feet?

Posted on Wed, 15 Apr 2015

Question: My 6yr old daughter is having pains in both hands and both feet at the same time at any point during the day and night. She keeps squeezing her hands and feet trying to alleviate the pain by stretching. What could cause pain in all four distal extremities like this ? I cant imagine it would be something serious such as cancer or lymphoma as any mass causing like symptom would be localized and not affecting other extremities. Motrin helps alleviate the pain but the pain comes back throughout the day . Any advice would be greatly appreciated.

Answered by Dr. Sumanth Amperayani (39 minutes later)

Brief Answer:
Kindly answer the questions please

Detailed Answer:
Hi....

Please answer the questions below as I need more information.

1. Since when is she having these pains?
2. Are they associated with fever?
3. Was there any rash associated with the start of pains?
4. Are the small joints of fingers and toes involved?
5. How is her appetite?
6. Is there any recent significant weight loss?
7. Are there any recent skin changes?
8. Does any others relatives however distant have any history of connective tissue disorder like rheumatoid arthritis or SLE?

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Sumanth Amperayani (13 hours later)

She's been complaing of pain for a few months and has no swelling or rash like symptoms . Hlshebis a small girl but no real changes in weight have occurred although she does not gain weight easily aven with a normal appetite which is normal for her. The entire hands and feet hurt with an aching pain. No arthritis in the family except for my 80 yr old grandmother . She has no fever and is acting normal except for the complaints of pain in her hands and feet . The only hx she has is a febrile seizure at 8 months or so . She is 6 now and has never had any other seizure or neurological deficit.
Thanks again Dr. XXXXXXX

Answered by Dr. Sumanth Amperayani (11 hours later)

Brief Answer:
Suggestion on limb pains

Detailed Answer:
Hi... If I were your pediatrician I would do the following -

1. CBC/ ESR/ CRP/ Renal function tests and Liver function tests
2. ANA
3. Vitamin D levels.

Get her blood pressure checked once.

We need to rule out -

1. Connective tissue disorders
2. Vitamin D deficiency.

Regards - Dr. Sumanth

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar