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What Causes Severe Pain In Right Knee, Leg, Ankle And Wrist?

Posted on Wed, 12 Nov 2014

Question: hi i started to have severe pain in rt knee, ankle, leg, wrist. it started wed after a visit with dr for pain management. up'd my fentenyl patch from 75 to 100 and it didnt phase the pain. i had blood clots in XXXXXXX warfin started bleed bad so 7 days in hospital. had a stroke 4 yrs ago effected left side. the car ride and getting in out of car caused some pain in the past, but nothing like this. on scale 1 to 10 its a 10 plus. my legs arent swollen, been on warfin about 1 month no bleeding. i dont want to go to er if at all possible my dr not in till tues. this really hurts knees now are aching bad,

Answered by Dr. Mukesh Chugh (54 minutes later)

Brief Answer:
Further information will be more helpful

Detailed Answer:
Hello
Thanks for posting
I have gone through your query and understand your concern. To help you better please tell me-
1. Is there any swelling at multiple joints with redness?
2. What makes the pain worse/better?
Going by the symptoms it is polyarthritis (multiple joint pain) and the cause could be rheumatoid arthritis/Gout. This needs clinical examination and blood work like serum RA factor, serum uric acid and complete blood count with ESR will help.
Meanwhile you may take Ibuprofen to relieve pain.
Looking forward to your reply.
Take care

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

Follow up: Dr. Mukesh Chugh (50 minutes later)

there is no swelling or redness. this just started after a trip to our pain management dr in fort XXXXXXX ar. an hr drive to and back.
the pain never stops, its a severe dull ache.
i thought it might of been from the patch being changed from 75 too 100. allergic reaction. but i dont think now thats it because i took the patch off yesterday just to see. even with it on it still was pain severe dull ache type.

thank you XXXXXXX

Answered by Dr. Mukesh Chugh (2 hours later)

Brief Answer:
As follows

Detailed Answer:
Hi
You are welcome and it’s good to see you.
After going through your reply and short history of suffering, it needs physical examination beside blood test as discussed earlier to reach any diagnosis.
It could be because of stress induced by driving?
To relieve of pain, you may have tablet. Aleve (naproxen) for few days. Please do not lose hope. I know you will get over it.
If possible, you may send the picture of joints leading to pain
God bless you.
Take care

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

Follow up: Dr. Mukesh Chugh (4 hours later)

thank u so much i will do follow up asap. might be i just need to go to er because my dr wont be in office till tuesday.

thank you again XXXXXXX breashears

Answered by Dr. Mukesh Chugh (2 hours later)

Brief Answer:
Wishing you good health

Detailed Answer:
Hello
You are welcome. For any further help if you ever need you may reach me at-
http://bit.ly/drmchugh
Have a healthy, successful life.
Take care

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

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