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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Excruciating Joint Pain With Swelling Even With Normal Activity. RA Ruled Out. History Of Chikungunya. Possible Rason?

Hello Doctor, my dad had chikungunya about a year ago. He recovered after the usual medication and returned to his normal lifestyle. However, about 6 months ago, he started having excruciating pain in his joints. The pain travels to various joints, which then swell . Any normal activity triggers an episode of intense pain. Walking, sitting, driving or even turning in bed have become near impossible. We were asked to check for rheumatoid arthritis . The tests show that he doesn t have the condition. We cannot figure out what the problem is. Please advise.
Thu, 26 Jun 2014
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hello,
Thanks for your query.
You are suffering from polyarthitis, the cause of this might be Rheumatoid arthritis (RA), systemic lupus erythematosus (lupus), psoriatic arthritis, osteoarthritis (OA), Infectious arthritis or crystal deposition arthritis.

To allow me to help you better, please let me know if you also have any of the following complaints:

Pain and stiffness that last for more than an hour upon arising
Bilateral symmetrical involvement of hands and feet joints
Hand joints and feet joints that are warm and tender to touch
History of viral illness like chikungunya.
Flu-like feeling
Finger and toe joints that "creak" when moved; this is called crepitus
Deformities in finger and toe joints
Fatigue that is not easily resolved
Presence of malar rash and photosensitivity
Presence of raised patches or lesions of dead skin cells (psoriosis).

I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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Excruciating Joint Pain With Swelling Even With Normal Activity. RA Ruled Out. History Of Chikungunya. Possible Rason?

Hello, Thanks for your query. You are suffering from polyarthitis, the cause of this might be Rheumatoid arthritis (RA), systemic lupus erythematosus (lupus), psoriatic arthritis, osteoarthritis (OA), Infectious arthritis or crystal deposition arthritis. To allow me to help you better, please let me know if you also have any of the following complaints: Pain and stiffness that last for more than an hour upon arising Bilateral symmetrical involvement of hands and feet joints Hand joints and feet joints that are warm and tender to touch History of viral illness like chikungunya. Flu-like feeling Finger and toe joints that creak when moved; this is called crepitus Deformities in finger and toe joints Fatigue that is not easily resolved Presence of malar rash and photosensitivity Presence of raised patches or lesions of dead skin cells (psoriosis). I do hope that you have found something helpful and I will be glad to answer any further query. Take care