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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Joint Pains With Mild Fever?

helo doctor iam suffering from sever joint pains - left knee, both ankles, left wrist and right shoulder from last 6months. i have affected by typhoid in june later 2months after knee pain started.But doctor basing on my hrct chest (findings are enhancing lymph nodes pretracheal, para tracheal and ap window 11.5, 9.5calcified, 8.0mm and right middle lobe calcified nodules ) given anti tb treatment form last 3months but pains are not resolving. I do not understand what it could be ? even i have a low grade fever 99.0 form last 5months.
Thu, 4 May 2017
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Orthopaedic Surgeon 's  Response
Dear patient Skeletal Tb is a long and ardous disease and unlike other infections the cure takes many months.

In my experience it takes 6-9 months for the medication to really start to take effect.
However the cause of pain in your case is actually inflammation of joint in which case antiinflammatories like Ibuprofen 800mg twice a day might help.
I must add that Tb medications have a strong impact on the liver and I hope you are getting your Liver profile checked monthly
I m quite sure Ibuprofen will give immediate relief however as a precaution I suggest you inform your treating physician before you start taking the medication
All the very best
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What Causes Severe Joint Pains With Mild Fever?

Dear patient Skeletal Tb is a long and ardous disease and unlike other infections the cure takes many months. In my experience it takes 6-9 months for the medication to really start to take effect. However the cause of pain in your case is actually inflammation of joint in which case antiinflammatories like Ibuprofen 800mg twice a day might help. I must add that Tb medications have a strong impact on the liver and I hope you are getting your Liver profile checked monthly I m quite sure Ibuprofen will give immediate relief however as a precaution I suggest you inform your treating physician before you start taking the medication All the very best