Thanks for posting in this forum
I would have loved you to mention your wife's age and the onset of symptoms ( how long she has been having the crisis). Non the less, i will throw more light into the issue.
She is suffering from arthritis which could be infectious/septic ( caused by immune consequence of the infection but not directly attributable to the infection.) or non-infectious ( gout, autoimmune diseases such as rheumatoid arthritis
, SLE etc ) The septic arthritis
usually affects one joint but can affect several close joints or even distant joints. most often, bacteria are the causative agents but can also be affected by viral, fungal, mycobacterial pathogens etc. The non-septic/ polyarthritis is when there is no germs that is responsible for the affection and usually affects many joints like in your case. This affection usually affects mostly aged people but can occur in any age group.
To be able to determine the specific cause of your wife's condition some specific laboratory and imagery exams need to be done. After seeing your doctor or a rheumatologist
( specialist in rheumatic diseases
), the following investigations needs to be conducted
- Complete blood count
- Antistreptolysin O (ASLO) dosages
- Rheumatoid factor
- Uric acid dosages
- Erythrocyte sedimentation rate
- C-reactive protein
- X-ray of the affected joints
- CT scan or MRI of the affected areas
Other very specific test could be conducted depended on your doctor or the specialist and your clinical presentation and history.
For now, you will need to be placed on steroidal antinflammatory or non-steroidal antiinflammatory to manage the pain and reduce the inflammation while the cause is being investigated and subsequently treated.
Besides that, you will need to rush your wife to the hospital any irreversible changes to occur on her soft and bone tissues as this usually results as complication of arthritis.
As another differential we could think of polyarthrosis which is due to no underlying cause but usually noticed in obesity, aged people, intense physical activities etc. This can also be managed just with pain killers.
Hope this helps and w