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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Joints Pain, Painful Muscles, Fibromyalgia, Memory Issues, No Sign Of Lupus. Taken Tylenol And Doxycycline. What Is Wrong?

I am 26 years old, 150lbs, and 5'6 in height. I have had pain in the knee, elbow, hands, feet, neck, shoulders, and hip areas. It seems like it could be joint pain however, I notice specifically, pain in the muscles. I have had this pain for years with is progressing slowly starting around the age of 13. However, the last two months it has gotten so bad in my hands and feet that I can barely walk. I can only use a computer or write for short periods of time. I triple my regular doses of tylenol and have taken prescription pain killers left over from toothaches that I have.The prescription seems to help with the pain but only for a short time. I was born with a calcium deficiency however that does not seem to be a factor. I recently was diagnosed with Rocky Mountain Spotted fever and take doxycycline twice a day. However, it is not doing anything for the pain. I looked up other diseases that have my symptoms:
Joint and muscle pain, headaches, issue with the bladder (urgency and pain), memory issues, back pain, issues falling alseep. The only one that seems to fit is fibromyalgia. Is there anything else this could be. My blood test all come back normal, there is no inflammation, no sign of lupus, or infection except the rmsf.
Wed, 28 Aug 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

As you have multiple symptom complexes for the past decade, a thorough evaluation is needed to arrive at a possible diagnosis.

Fibromyalgia is a possibility in your case. It is a diagnosis of Exclusion (it means all other possible conditions that mimic fibromyalgia are to be excluded by all possible ways). There is no blood test or any other lab test to confirm Fibromyalgia.

The American College of Rheumatology (ACR) established two criteria for the diagnosis of fibromyalgia
* Widespread pain lasting at least three months
* At least 11 positive tender points out of a total possible of 18 all along the skeleton.

So, I suggest you to consult a General physician for a detailed workup and further management.

Hope this information is helpful. Good day
I find this answer helpful
Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hello,
Thanks for writing to us
Your symptoms look like a non specific fibromyalgia. Plenty of exercise, addressing any stress and seeing a physiotherapist will help. Try and evaluate if something is causing stress as stress can indeed extremely varied and weird manifestations.
I do hope that you have found something helpful and I will be glad to answer any further query.
I find this answer helpful

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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Joints Pain, Painful Muscles, Fibromyalgia, Memory Issues, No Sign Of Lupus. Taken Tylenol And Doxycycline. What Is Wrong?

Hi, thanks for writing to HCM. As you have multiple symptom complexes for the past decade, a thorough evaluation is needed to arrive at a possible diagnosis. Fibromyalgia is a possibility in your case. It is a diagnosis of Exclusion (it means all other possible conditions that mimic fibromyalgia are to be excluded by all possible ways). There is no blood test or any other lab test to confirm Fibromyalgia. The American College of Rheumatology (ACR) established two criteria for the diagnosis of fibromyalgia * Widespread pain lasting at least three months * At least 11 positive tender points out of a total possible of 18 all along the skeleton. So, I suggest you to consult a General physician for a detailed workup and further management. Hope this information is helpful. Good day