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Radiating joint pain, swelling, crackling sound, tingling, bodyache, palms turning pinkish with white patches. Advise? - Online Doctor Chats

Date : 30-May-2013
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor:How can I help you?
User:Hello Dr XXXXXXX
User:I wanted to get some pointers/ directions
User:I have been having bad bone / musle pains..i do not know which one
User:intially it has been just on the joints, but now its not just restricted to joints
User:sometimes there is swelling, which does not go down
User:like just under the elbows or between my thumb and the pointer finger
User:Also every time i get up i can hear a crackiling sound from my knees
User:and the joints snap loudly many times on movement
User:Yesterday my arm, left one had a strange sensation
User:almost like aftermath of a electric shock..tingling, but heavy
User:and then the palms color turned pinkish but with little white patches
User:also have a bad back, shoulder ache
User:bad heahaches most of the days
User:which immediatly leaves dark circles under the yes
User:sorry meant eyes
User:and a nerve pulling pain strectching into the top of my skull, running from underneath my ears
User:pain is cruciating almost like a froazen shoulder
User:have a low vit d. count of 6
User:been on medications now for 4 mnths but no improvement
User:hence the call to you
Doctor:May I know your age?
Doctor:And since when are you having these symptoms?
User:on and off for 6 years
User:have had physio twice before...3-4 years back once for knee and once for back
User:but the pain gets settled, but eventually comes back
User:physciotherapist said the symptons were identical to having a injured back specially a whiplash
Doctor:Have you been evaluated by your doctor for these symptoms?
User:not recently
User:this was 3-4 years back
Doctor:And may I know what diagnosis did the doctors mention at that time?
Doctor:Do you have other medical illness such as diabetes, thyroid problems?
User:no proper diagnosis
User:suspected to for osteoporisis, spondilitus, arthritis
User:not sure yet
Doctor:Have you undergone any bone scans?
User:have crohns
Doctor:Don't take me wrong, but I would like to know if you have anxiety or depression?
User:stressful life though
Doctor:Let me brief you.
Doctor:The symptoms that you mentioned are associated with multiple systems of the body
Doctor:It is a difficult task to predict what the cause could be without physical examination and review of the tests.
Doctor:Low vitamin D levels have been seen in some women, but not all have osteoporosis.
Doctor:It is usually diagnose based on bone scans.
Doctor:Other possibilities which can explain few of your symptoms include arthritis, anemia and nutritional deficiency.
Doctor:A few psychological problems such as stress, anxiety, inadequate sleep and so on can also explain few of your symptoms.
User:i cant figure out do i see a general physician or a specialist. if specialist, which one?
Doctor:We can narrow down the possibilities by systematic evaluation.
Doctor:You can consult an MD physician or a rheumatologist
Doctor:to evaluate you.
Doctor:If all the tests come out normal, then psychosocial interventions can be tried by a clinical psychologist.
Doctor:The symptoms you mentioned are worrying, but don't worry
User:last time i saw a MD physician who gave me d-rise, once a week to be had, which i have been having for 4-5 months, but no improvements
Doctor:we may be able to get to the root of the problem and treat you.
User:that will be great
Doctor:If you aren't happy with your previous physician, you may visit a rheumatologist to evaluate you and
Doctor:treat you.
Doctor:I am sure a rheumatologist will do a good job.
Doctor:Thanks for consulting me.
User:you have been a great help
Doctor:Bye for now.
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